Utilidad de la radiografía simple de tórax para el diagnóstico de la patología pulmonar aguda en una unidad de cuidados intensivoscomparación de sus hallazgos con la autopsia clínica como estándar de referencia

Abstract

The portable chest radiograph (CXR) still plays today a crucial role in in the intensive care units (ICU). Portable chest radiograph is the most commonly requested examination performed in the ICU, serves to diagnose and monitor a wide variety of cardiopulmonary disorders and to evaluate a broad range of thoracic medical devices. Despite its limitations, portable chest radiograph provides valuable diagnostic information and can reveal abnormalities that may have not been previously detected clinically. The portable chest radiograph of critically ill patients poses a challenge for the intensive care physicians and for the radiologists, requiring extensive experience to avoid misinterpretation of the diverse chest diseases that can occur in the ICU environment. Nonetheless, another limitation of radiologic diagnosis is interobserver variability, which leads to a decrease in the reliability of radiological reports. The main purpose of this study was to assess the diagnostic value of portable chest radiograph in mechanically ventilated patients taking post mortem findings as the gold standard. A second objective was to evaluate the interobserver agreement amongst intensivists and radiologists...