Intensive care unit (ICU) patients with infectious complications after abdominopelvic surgery: Is thoracic CT in addition to abdominal CT helpful?
Authors' conclusion
Additional thoracic CT to detect an infectious focus in ICU patients after abdominopelvic surgery leads to identification of the focus in only 3.5% and to changes in patient management in only 0.7%. Other relevant findings are more common (16.1%), but very rarely affect patient management.
Study context
- Population
- ICU patients with signs of infection after abdominopelvic surgery
- Participants
- 143 thoracoabdominal CTs
- Comparison
- Thoracic CT in addition to abdominal CT vs abdominal CT alone
- Outcome
- Diagnostic and therapeutic efficacy of additional thoracic CT to identify an infectious focus
Methodological detailsretrospective review
- Retrospective review
Performance
As reported in the abstract
Infectious focus
| Test or model | Diagnostic efficacy | Therapeutic efficacy |
|---|---|---|
| Thoracoabdominal CT | 3.5% (95%-CI: 0.5-6.5%) | 0.7% (95%-CI: 0-2.1%) |
Thoracoabdominal CT
Diagnostic efficacy3.5% (95%-CI: 0.5-6.5%)
Therapeutic efficacy0.7% (95%-CI: 0-2.1%)
Further findings
| Outcome | Thoracoabdominal CT |
|---|---|
| All pathologic thoracic findings | |
| Diagnostic efficacy | 16.1% (95%-CI: 10.1-22.1%) |
| Therapeutic efficacy | 0.7% |
Findings detected only above the diaphragmatic dome
- Pathologic thoracic findings recorded
- 297
- Findings only supradiaphragmatic
- 26
- CTs with supradiaphragmatic-only findings
- 23
- Findings leading to change in management
- 1
Original publication
ICU patients with infectious complications after abdominopelvic surgery: Is thoracic CT in addition to abdominal CT helpful? Ann Intensive Care. Published 10 February 2023. doi:10.
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