{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T21:30:48Z","timestamp":1769549448682,"version":"3.49.0"},"reference-count":31,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T00:00:00Z","timestamp":1696464000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Czech Ministry of Health Research","award":["MH CZ-DRO"],"award-info":[{"award-number":["MH CZ-DRO"]}]},{"name":"Czech Ministry of Health Research","award":["RVO-VFN 64165"],"award-info":[{"award-number":["RVO-VFN 64165"]}]},{"name":"General University Hospital in Prague","award":["MH CZ-DRO"],"award-info":[{"award-number":["MH CZ-DRO"]}]},{"name":"General University Hospital in Prague","award":["RVO-VFN 64165"],"award-info":[{"award-number":["RVO-VFN 64165"]}]},{"name":"institutional funding of Charles University in Prague (Cooperatio, Medical Diagnostics, and Basic Medical Sciences)","award":["MH CZ-DRO"],"award-info":[{"award-number":["MH CZ-DRO"]}]},{"name":"institutional funding of Charles University in Prague (Cooperatio, Medical Diagnostics, and Basic Medical Sciences)","award":["RVO-VFN 64165"],"award-info":[{"award-number":["RVO-VFN 64165"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: The impact of serial imaging on the outcome of ICU patients has not been studied specifically in patients with high illness severity. Methods: The authors sought a relationship between the numbers of antero-posterior supine chest X-rays (CXR), computed tomography (CT) examinations, and outcome in a cohort of 292 patients with severe COVID-19 ARDS collected over 24 months in a high-volume ECMO center with established ultrasound and echocardiographic diagnostics. Of the patients, 172 (59%) were obese or morbidly obese, and 119 (41%) were treated with ECMO. Results: The median number of CXRs was eight per 14 days of the length of stay in the ICU. The CXR rate was not related to ICU survival (p = 0.37). Patients required CT scanning in 26.5% of cases, with no relationship to the outcome except for the better ICU survival of the ECMO patients without a need for a CT scan (p = 0.01). The odds ratio for survival associated with ordering a CT scan in an ECMO patient was 0.48, p = 0.01. The calculated savings for not routinely requesting a whole-body CT scan in every patient were 98.685 EUR\/24 months. Conclusions: Serial imaging does not impact the survival rates of patients with severe ARDS. Extracorporeal membrane oxygenation patients who did not need CT scanning had significantly better ICU outcomes.<\/jats:p>","DOI":"10.3390\/jcm12196367","type":"journal-article","created":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T09:14:22Z","timestamp":1696497262000},"page":"6367","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prognostic Impact of Serial Imaging in Severe Acute Respiratory Distress Syndrome on the Extracorporeal Membrane Oxygenation"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1864-2143","authenticated-orcid":false,"given":"Martin","family":"Balik","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, 1st Faculty of Medicine, Charles University and General University Hospital, 128 08 Prague, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michal","family":"Maly","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, 1st Faculty of Medicine, Charles University and General University Hospital, 128 08 Prague, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8422-9694","authenticated-orcid":false,"given":"Michal","family":"Huptych","sequence":"additional","affiliation":[{"name":"Czech Institute of Informatics, Robotics and Cybernetics (CIIRC), Czech Technical University, 190 00 Prague, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masego Candy","family":"Mokotedi","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnostics and Interventional Radiology, Institute of Clinical and Experimental Medicine, 140 00 Prague, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2299-4707","authenticated-orcid":false,"given":"Lukas","family":"Lambert","sequence":"additional","affiliation":[{"name":"Department of Radiology, 1st Faculty of Medicine, Charles University and General University Hospital, 128 08 Prague, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,10,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1164\/rccm.201003-0369OC","article-title":"Bedside ultrasound assessment of positive end-expiratory pressure-induced lung recruitment","volume":"183","author":"Bouhemad","year":"2011","journal-title":"Am. 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