National Academy of Agricultural Sciences (NAAS)
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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
Until now, there is no adequate definition of specific indications of an early and priority request for chest CT. To reveal and identify the number of community acquired pneumonia (CAP) under diagnosed by chest X-ray (CXR) and uncovered by CT-scan (CTS) in Lebanese hospitalized adult patients. A cross-sectional study was conducted and a total sample of 101 patients with CAP was recruited, with all patients having undergone CXR and chest CTS for suspected cases of pneumonia. CXRs and CTS, performed in the same patient, were matched. Pulmonary infiltrates were seen on chest X-ray in 62 (61.4%) patients. In contrast, 39 (38.6%) of patients had infiltrates on the chest CTS without having retrospectively any infiltrates on the CXR. Patients aged≤55 years with cough (n=13, 81.3%) the chest X-ray was significantly sufficient to diagnose pneumonia as compared to CT-scan (p=0.028) while patients >55 years with pulmonary disease seem to be in favor of an early CT-scan in order to reveal their true condition (25%, p=0.040).Taking a look at patients aged more than 55 years, those having myalgia and hemoptysis (n=6, 13%) did not require more than a simple X-ray to distinguish the infiltrates (p=0.026). Patients less than or equal to 55 years with pulmonary disease and smoking patients, regardless their age, require and may benefit from an early CTS.
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