Publication:
Comparison of daily and on-demand prescription of chest radiographs in patients in the intensive care unit of a public hospital in Selangor

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dc.contributor.affiliation#PLACEHOLDER_PARENT_METADATA_VALUE#en_US
dc.contributor.authorArul Sakthi a/p Aruminathanen_US
dc.contributor.supervisorSuhaila Nanyan, Ph.Den_US
dc.contributor.supervisorShanthi Ratnam, Ph.Den_US
dc.contributor.supervisorMohd Basri Mat Nor, Ph.Den_US
dc.date.accessioned2024-10-09T04:37:12Z
dc.date.available2024-10-09T04:37:12Z
dc.date.issued2020
dc.description.abstractIntroduction : 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, ICUen_US
dc.description.identifierThesis : Comparison of daily and on-demand prescription of chest radiographs in patients in the intensive care unit of a public hospital in Selangor /by Arul Sakthi a/p Aruminathanen_US
dc.description.identityt11100424209ArulSakthiAPAruminathanen_US
dc.description.kulliyahKulliyyah of Medicineen_US
dc.description.nationalityMalaysianen_US
dc.description.notesThesis (MMA)--International Islamic University Malaysia, 2020.en_US
dc.description.physicaldescriptionxi, 80 leaves : colour illustrations ; 30cm.en_US
dc.description.programmeMaster of Medicine (Anaesthesiology)en_US
dc.identifier.urihttps://studentrepo.iium.edu.my/handle/123456789/10863
dc.language.isoenen_US
dc.publisherKuantan, Pahang : Kulliyyah of Medicine, International Islamic University Malaysia, 2020en_US
dc.titleComparison of daily and on-demand prescription of chest radiographs in patients in the intensive care unit of a public hospital in Selangoren_US
dc.typeMaster Thesisen_US
dspace.entity.typePublication

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