Comparison of daily and on-demand prescription of chest radiographs in patients in the intensive care unit of a public hospital in Selangor /
ntroduction : The utility of CXRs in ICU setting in Malaysia is variable with some centres practicing daily CXR strategy where as others practice on-demand strategy. The aim of this study was to compare both daily and on-demand CXR strategy and determine if the current practice of on-demand CXR can...
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| Main Author: | |
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| Format: | Thesis |
| Language: | English |
| Published: |
Kuantan, Pahang :
Kulliyyah of Medicine, International Islamic University Malaysia,
2020
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| Subjects: | |
| Online Access: | Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library. |
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| LEADER | 034180000a22003730004500 | ||
|---|---|---|---|
| 008 | 210118s2020 my a f m 000 0 eng d | ||
| 040 | |a UIAM |b eng |e rda | ||
| 041 | |a eng | ||
| 043 | |a a-my-- | ||
| 100 | 1 | |a Arul Sakthi a/p Aruminathan, |e author | |
| 245 | 1 | |a Comparison of daily and on-demand prescription of chest radiographs in patients in the intensive care unit of a public hospital in Selangor / |c by Arul Sakthi a/p Aruminathan | |
| 264 | 1 | |a Kuantan, Pahang : |b Kulliyyah of Medicine, International Islamic University Malaysia, |c 2020 | |
| 300 | |a xi, 80 leaves : |b colour illustrations ; |c 30cm. | ||
| 336 | |2 rdacontent |a text | ||
| 337 | |2 rdamedia |a unmediated | ||
| 338 | |2 rdacarrier |a volume | ||
| 338 | |2 rdacarrier |a online resource | ||
| 347 | |2 rdaft |a text file |b PDF | ||
| 500 | |a Abstracts in English. | ||
| 500 | |a "A dissertation submitted in fulfilment of the requirement for the degree of Master of Medicine (Anaesthesiology)." --On title page. | ||
| 502 | |a Thesis (MMA)--International Islamic University Malaysia, 2020. | ||
| 504 | |a Includes bibliographical references (leaves 54-58). | ||
| 520 | |a ntroduction : The utility of CXRs in ICU setting in Malaysia is variable with some centres practicing daily CXR strategy where as others practice on-demand strategy. The aim of this study was to compare both daily and on-demand CXR strategy and determine if the current practice of on-demand CXR can be safely continued without affecting the relevant clinical outcomes. Materials and method : This is a prospective cohort study of mechanically ventilated adult patients admitted to the intensive care units in HSB. The study period was from 1st April 2018 to 30th September 2018. Result : One hundred and sixty patients were recruited in both daily and on-demand CXR group respectively. There were no statistically significant difference in the duration of mechanical ventilation, ICU length of stay and mortality of the patients admitted to ICU in both groups (p=0.895). The mean percentage of CXR with new findings were significantly higher in the on-demand CXR group 83.5 compared to the daily CXR group which had only 38.8 (p<0.001). The mean percentage of CXR with new findings that prompted interventions was significantly higher in the on-demand CXR group compared to the daily CXR group, with a value of 83.9 and 34.9 respectively (p<0.001). Conclusion : In view of the low diagnostic and therapeutic yield of routine daily CXRs, we conclude that routine daily CXR practice can be safely abandoned in mechanically ventilated ICU patients. Keywords: Chest xray practice, Daily, On-demand, ICU | ||
| 596 | |a 6 | ||
| 655 | 7 | |a Theses, IIUM local | |
| 690 | |a Dissertations, Academic |x Department of Anaesthesiology and Intensive Care |z IIUM | ||
| 700 | 0 | |a Suhaila Nanyan, |e degree supervisor | |
| 700 | 0 | |a Shanthi Ratnam, |e degree supervisor | |
| 700 | 0 | |a Mohd Basri Mat Nor, |e degree supervisor | |
| 710 | 2 | |a International Islamic University Malaysia. |b Department of Anaesthesiology and Intensive Care | |
| 856 | 4 | |u http://studentrepo.iium.edu.my/handle/123456789/10276 |z Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library. | |
| 900 | |a sz to nzj | ||
| 999 | |c 441715 |d 471763 | ||
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