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Table 3 Incidence of new expected and new unexpected predefined major abnormalities in 2,457 daily routine chest radiographs

From: The clinical value of daily routine chest radiographs in a mixed medical–surgical intensive care unit is low

Abnormalities

Expected abnormalitiesa

Unexpected abnormalitiesa

 

Abnormalities expected by the ICU physician

Abnormalities found by the radiologist

Unexpected abnormalities found by the radiologist

Abnormalities resulting in a change in therapy

Large atelectasis

4 (0.2%)

0

24 (1.0%)

-

Large infiltrates

7 (0.3%)

2 (0.08%)

23 (0.9%)

12 (0.5%)

'Severe' pulmonary congestion

5 (0.2%)

1 (0.04%)

29 (1.2%)

-

'Severe' pleural effusion

3 (0.1%)

0

13 (0.5%)

5 (0.2%)

Pneumothorax or pneumomediastinum

2 (0.08%)

0

14 (0.6%)

5 (0.2%)

Malposition of oropharyngeal tube

1 (0.04%)

0

32 (1.3%)

19 (0.8%)

Malposition of intravenous lines

0

0

12 (0.5%)

9 (0.4%)

Malposition of intra-aortic balloon pump

0

0

1 (0.04%)

1 (0.04%)

Malposition of gastric tube

0

0

5 (0.2%)

3 (0.1%)

Malposition of drains

0

0

1 (0.04%)

1 (0.04%)

Total number of abnormalities

22

3

154

55

Total number of chest radiographs with abnormalities

19 (0.8%)

3 (0.1%)

142 (5.8%)

53 (2.2%)

Total number of patients with chest radiographs with abnormalitiesb

20 (2.7%)

3 (0.4%)

108 (14.3%)

48 (6.4%)

  1. Predefined major abnormalities are summarized in Table 1. aAbsolute number of chest radiographs (% of all daily routine chest radiographs). bAbsolute number of patients (% of all patients with daily routine chest radiographs). -, not scored for; ICU, intensive care unit.