Learning objectives
To compare the informative value of the chest X-ray and computed tomography (CT) in the diagnosis of lung diseases in elderly and senile patients with severe comorbid pathology of internal organs.
Background
Chest X-ray is a very common diagnostic procedure used for the diagnosis of different lung diseases in elderly and senile persons with severe comorbid pathology of internal organs. Many of these patients suffer from progressive respiratory and heart failure. From another side, it is well known that in many of these patients chest CT is required for further clarification of X-ray findings or their discrepancy with clinical presentations of the suspected diseases. The comparative value of chest X-ray and CT should be re-assessed in thes...
Findings and procedure details
The study included 120 patients aged 65 to 90 years (average age 76.4±3.6 years) who were admitted for hospital treatment of different internal diseases.
Inclusion criteria: 1) the presence of at least 3 comorbid diseases of internal organs; 2) age over 65 years; 3) informed consent of the patient to participate in the study; 4) Clinical suspicion to any kind of lung pathology with indications to chest diagnostic imaging; 5) Availability of chest X-ray and chest CT performed during the hospital admission.
Exclusion criteria: 1)...
Conclusion
Results of this study show that in elderly and senile patients with multiple severe comorbid pathologies of internal organs for the diagnosis of lung diseases it is advisable to use chest CT. Polymorphism and multiple variants of lung diseases in these groups of patients decrease the diagnostic value of chest X-ray.
Personal information and conflict of interest
V. Strutynskiy; Moscow/RU - Author at University Hospital of Moscow State University by M.V.Lomonosov F. A. Petriaikin; Moscow/RU - Author at University Hospital of Moscow State University by M.V.Lomonosov K. Danko; Moscow/RU - Author at University Hospital of Moscow State University by M.V.Lomonosov E. Mershina; Moscow/RU - Author at University Hospital of Moscow State University by M.V.Lomonosov M. Plotnikova; Moscow/RU - Author at University Hospital of Moscow State University by M.V.Lomonosov D. Bazhenova; Moscow/RU - Author at University Hospital of Moscow State University by M.V.Lomonosov...
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