„REDUCE – re-evaluation of the diagnostic value of routine chest x-rays in intensive care environments

• Conditions: J94; Other pleural conditions

• Registration Number: DRKS00015621
• Lead Sponsor: Klinikum der Universität München, Campus Großhadern

Brief Summary

Conclusion Our study results promote the use of an indication catalogue for guided CXR ordering to effectively reduce unnecessary CXR procedures without adverse effects on outcomes and clinical endpoints. The approach was feasible and safe even for patients in most critical conditions. Our findings improved patient and resource management as well as interdisciplinary communication within our hospital.

Detailed Description

Not available

Study Timeline

• Study Start: 2019-02-20
• Study Completion: 2020-11-17
• Results First Posted: 2022-06-01
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 854

Inclusion Criteria

All patients who are admitted to the ICU ITS 2, 3 or 5 during the investigation period (and for the retrospective part of our study all patients who were admitted to the ICU ITS 2, 3 or 5 during a time period of 3 months before the recuritment of patients for the prospective analysis). Patients of the prospective group are included for 3 months and the investigation ends with the last day of the prespecified time period.

Exclusion Criteria

No admission to the ICU during that time

Study & Design

• Study Type: observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Primary endpoints: number of chest x-rays per patient per day on ICU and radiation dose (cGy/cm2). The first group (all patients admitted to the ICU during 3 months) is evaluated retrospectively. The second group (all patients admitted to the ICU during 3 months) is prospectively included in this study. The number of chest-x-rays and the radiation dose per patient is evaluated at the end of the 3-months, there is no further follow up of included patients. The number of chest-x-rays and the radiation dose per chest-x-ray (cGy/cm2) is documented in our radiological computer system.

Secondary Outcome Measures

Name	Time	Method
Comparison of a) mortality (outcome), b) hours on the ventilator, c) re-intubations after extubation, d) re-admission on ICU, e) necessary interventions (pleural drainage etc.) f) cost-effectiveness