Navigation Links
Chest X-rays Can Help Predict Which H1N1 Patients Are at Greatest Risk
Date:3/22/2010

A new study published in the April issue of Radiology suggests that chest x-rays may play an important role in the diagnosis and treatment of H1N1 influenza by predicting which patients are likely to become sicker.

Oak Brook, IL (Vocus) March 22, 2010 -- A new study published in the April issue of Radiology suggests that chest x-rays may play an important role in the diagnosis and treatment of H1N1 influenza by predicting which patients are likely to become sicker.

“Working in the emergency room is very stressful and physicians need information fast,” said lead author Galit Aviram, M.D., head of cardiothoracic imaging in the Department of Radiology at Tel Aviv Sourasky Medical Center in Tel Aviv, Israel. “Our study provides significant findings that will help clinicians triage patients presenting with clinically suspected H1N1 influenza.”

According to the Centers for Disease Control and Prevention (CDC), the H1N1 virus is the predominant influenza virus in circulation during the 2009-2010 flu season. The CDC estimates that between April 2009 and January 2010 there have been approximately 57 million cases of H1N1 in the U.S., resulting in 257,300 hospitalizations and 11,686 deaths.

As in past pandemics, the virus can occur in waves. It is possible that the U.S. could experience additional waves of the virus throughout 2010.

In the study, Dr. Aviram’s research team analyzed the chest x-rays of 97 consecutive patients with flu-like symptoms and laboratory-confirmed diagnosis of H1N1, admitted to the emergency department of Tel Aviv Sourasky Medical Center between May and September 2009. The researchers then correlated the x-ray findings with adverse patient outcomes.

“To our knowledge, this is the largest series describing the presentation of chest x-ray findings in patients diagnosed with H1N1 influenza,” Dr. Aviram said.

The chest x-rays revealed abnormal findings for 39 of the patients, five (12.8 percent) of whom experienced adverse outcomes, including death or the need for mechanical ventilation. For the other 58 patients, chest x-ray findings were normal, although two (3.4 percent) of the patients experienced adverse outcomes. The mean age of patients in the study, which included 53 men and 44 women, was 40.4 years.

“Abnormal findings in the periphery of both lungs and in multiple zones of the lungs were associated with poor clinical outcomes,” Dr. Aviram said.

Although a normal chest x-ray did not exclude the possibility of an adverse outcome, Dr. Aviram said the study’s findings can help physicians better identify high-risk H1N1 patients who require close monitoring.

“In H1N1, as in various types of community-acquired pneumonia, initial chest x-rays may not show abnormalities that develop later in the course of the disease,'' Dr. Aviram explained. ''Further x-rays should be performed according to the patient’s clinical course.”

AT A GLANCE

 
  • Chest x-rays may help radiologists identify high-risk H1N1 patients who require intense monitoring.
  • Abnormal findings in the outer areas of both lungs and in multiple sections of the lungs were associated with more serious outcomes.
  • Approximately 13 percent of patients with abnormal chest x-ray findings experienced adverse outcomes, compared to 3 percent of patients with normal chest x-rays.
''H1N1 Influenza: Initial Chest Radiographic Findings in Helping Predict Patient Outcome.'' Collaborating with Dr. Aviram were Amir Bar-Shai, M.D., Jacob Sosna, M.D., Ori Rogowski, M.D., Galia Rosen, M.D., Iuliana Weinstein, M.D., Arie Steinvil, M.D., and Ofer Zimmerman, M.D.

Radiology is edited by Herbert Y. Kressel, M.D., Harvard Medical School, Boston, Mass., and owned and published by the Radiological Society of North America, Inc. (http://radiology.rsnajnls.org/)

RSNA is an association of more than 44,000 radiologists, radiation oncologists, medical physicists and related scientists committed to excellence in patient care through education and research. (RSNA.org)

For patient-friendly information on chest x-rays, visit RadiologyInfo.org.

###

Read the full story at http://www.prweb.com/releases/chest_x-rays_radiology/h1n1_influenza/prweb3764334.htm.


'/>"/>
Source: PRWeb
Copyright©2010 Vocus, Inc.
All rights reserved

Related medicine news :

1. News briefs from the February issue of Chest
2. Medichest Launches Learning Search
3. Four-Year-Old Heart Surgery Patient to Lead Thousands as Grand Marshal of Important Fundraising Event for Maria Fareri Childrens Hospital at Westchester Medical Center
4. RMA of CT Doctor Named One of Westchester Magazine's 'Best MDs'
5. Rcadia COR Analyzer(R) System Demonstrates Potential in Emergency Department Triage of Chest Pain Patients at Low to Moderate Risk of Coronary Artery Disease
6. News briefs from the January issue of Chest
7. Quick Chest Pain Test Simplifies Discharge Decision
8. Concentra, American Showa to Open Associates Health Center in Blanchester, Ohio
9. Kids Tai Chi Workout Premieres in Westchester, New York, March 2, 2010
10. News briefs from the March issue of Chest
11. Ultrasound measurement of fetal adrenal gland a better predictor of preterm birth
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... ProVest Insurance ... greater Dallas, Miami, and Raleigh regions, is organizing an extended charity drive to ... and deadly chromosome abnormality. , After struggling since birth with several health challenges, ...
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... As health ... medicine known as “patient engagement.” The patient is doing more than filling out a ... , “There is an increasing emphasis in health care and research on the ...
(Date:10/13/2017)... ... ... The American Board of Family Medicine's (ABFM) Board of Directors has selected Warren ... James C. Puffer upon his retirement. Dr. Newton will serve in the position of ... end of 2018. Upon assuming the role of President and CEO on January 1, ...
(Date:10/13/2017)... , ... October 13, 2017 , ... PurhealthRX , ... Oil utilizing Purzorb™ technology. Applying the Purzorb™process to full spectrum CBD oil will revolutionize ... providing a CBD form that can be easily incorporated into liquid products, while reducing ...
(Date:10/13/2017)... ... ... Lori R. Somekh, founder of the Law Office of Somekh & Associates ... special needs planning attorneys. “Membership in ElderCounsel helps our office remain up to date ... elder law attorneys nationwide,” said Somekh. , ElderCounsel was founded by ...
Breaking Medicine News(10 mins):
(Date:9/25/2017)... R.I. , Sept. 25, 2017  EpiVax, ... assessment, vaccine design, and immune-engineering today announced the ... on the development of personalized therapeutic cancer vaccines. ... has provided exclusive access to enabling technologies to ... Eng., MBA will lead EpiVax Oncology as Chief ...
(Date:9/19/2017)...   ZirMed Inc ., a recognized leader in cloud-based ... has been ranked #1 by its users for the seventh ... User Survey. ZirMed was recognized as the top-ranked end-to-end revenue ... centers over 200 beds and holds one of the longest ... history. ...
(Date:9/12/2017)...  Consumer reviews on the independent review site Consumer Affairs ... company for hearing aids, ranking it higher than Miracle Ear ... ... For Hearing Aids ... online store that provides high performance, state-of-the-art, German-engineered hearing aids directly ...
Breaking Medicine Technology: