ESCR 2016 / P-0001
Value of routine chest x-ray before cardiac surgery
Congress: ESCR 2016
Poster No.: P-0001
Type: Scientific Poster
Keywords: Cardiac, Respiratory system, Interventional vascular, Conventional radiography, Diagnostic procedure, Surgery, Outcomes
Authors: A. M. den Harder1, L. de Heer1, P. A. de Jong1, W. J. Suyker1, T. Leiner1, R. P. J. Budde2; 1Utrecht/NL, 2Rotterdam/NL

Results

Baseline characteristics are provided in Table 1. The chest x-ray was considered abnormal in 9.9% (112/1,136) patients (Figure 1). The three most common abnormalities were a possible mass (42/1,136; 3.7%), consolidation (19/1,136; 1.7%) or pleural effusion (42/1,136; 3.7%). Additional test or referral to a specialist based on those findings occured in 17 patients (17/1,136; 1.5%). The surgical strategy was altered in one patient, due to extensive aortic calcifications noted on the chest x-ray and subsequent CT. Surgery was postponed in two patients due to suspected previously unrecognized pneumonia and for further analysis of unilateral pleural effusion respectively. Patients with an abnormal chest x-ray more often required prolonged stay at the intensive care unit (26.7% and 16.1% respectively). In 63% (726/1,136) a recent chest x-ray and/or CT was available at the moment they received the routine preoperative chest x-ray. 

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