University of Oulu

Jansson MM, Karhu JM, Ahvenjärvi L, Autio TJ, Syrjälä HP, et al. (2020) The Occurrence and Spreading of Paranasal Sinus Changes among Critically Ill Patients Undergoing Invasive Ventilation: An Observational Cohort Study. Infect Dis Diag Treat 4: 137. DOI:10.29011/2577-1515.100137

The occurrence and spreading of paranasal sinus changes among critically ill patients undergoing invasive ventilation : an observational cohort study

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Author: Jansson, Miia M.1; Karhu, Jaana M.2; Ahvenjärvi, Lauri3;
Organizations: 1Research Group of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland
2Division of Intensive Care, Department of Anesthesiology, Oulu University Hospital, Oulu, Finland
3Department of Diagnostic Radiology, Oulu University Hospital, Oulu, Finland
4Department of Otorhinolaryngology and Head and Neck Surgery, Oulu University Hospital, Finland
5Department of Infection Control, Oulu University Hospital, Oulu, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.6 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2020082864567
Language: English
Published: Gavin Publishers, 2020
Publish Date: 2020-08-28
Description:

Abstract

Background: The development of ventilator-associated pneumonia could be prevented in the nasotracheally intubated patients by a systematic search for and treatment of nosocomial sinusitis. However, the spreading of paranasal sinus changes with time is poorly defined.

Purpose: To evaluate the occurrence and spreading of paranasal sinus changes among critically ill patients undergoing invasive ventilation in order to evaluate the association between paranasal changes and Intensive Care Unit (ICU)-related outcomes.

Material and methods: This prospective, observational, single-center cohort study was conducted in a single tertiary-level teaching hospital in Finland during 2014–2015. All invasively ventilated adult patients referred for head computed tomography or magnetic resonance imaging scans from October 2014 to June 2015 were eligible for enrolment and monitored daily until discharge from the ICU or death.

Results: During the study period, 6.8% (5.7 per 1,000 patient days) of patients had major findings in their maxillary, 20.3% (18.5 per 1,000 patient days) in sphenoidal, 6.8% (5.7 per 1,000 patient days) in ethmoidal, and 3.4% (2.9 per 1,000 patient days) in frontal sinuses. The spreading of paranasal sinus changes doubled in time. In addition, radiographically proved accumulation of fluid was within 39.0%, 35.6%, and 8.6% of maxillary, sphenoidal, and frontal sinuses, respectively. We found no association between ICU-related outcomes and paranasal sinus changes.

Conclusion: Paranasal sinus changes were common and progressive among critically ill patients undergoing invasive ventilation, without unfavourable impact on ICU-related outcomes.

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Series: Infectious diseases diagnosis & treatment
ISSN: 2577-1515
ISSN-E: 2577-1515
ISSN-L: 2577-1515
Volume: 4
Issue: 137
Pages: 1 - 8
DOI: 10.29011/2577-1515.100137
OADOI: https://oadoi.org/10.29011/2577-1515.100137
Type of Publication: A1 Journal article – refereed
Field of Science: 3121 General medicine, internal medicine and other clinical medicine
Subjects:
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