Prognostic value of free air under diaphragm on chest radiographs in correlation with peritoneal soiling intraoperatively
Purpose Gastrointestinal perforation is a significant injury that originates mainly from gastrointestinal ulcers. It is associated with a high rate of morbidity and mortality. The height of the column of the air under the diaphragm can be used to estimate the amount of peritoneal soiling due to visc...
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| Veröffentlicht in: | Emergency radiology 2023-02, Vol.30 (1), p.99-106 |
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| creator | Abosayed, Amir K. Dayem, Ahmad Yahia Abdel Shafik, Ismail Mashhour, Abdrabou N. Farahat, Mohamed Ahmed Refaat, Ahmed |
| description | Purpose
Gastrointestinal perforation is a significant injury that originates mainly from gastrointestinal ulcers. It is associated with a high rate of morbidity and mortality. The height of the column of the air under the diaphragm can be used to estimate the amount of peritoneal soiling due to viscus perforation. This study aimed to determine the correlation between this estimate and the incidence of morbidity and mortality.
Methods
To achieve this aim, a prospective cohort study was conducted on 83 patients at Kasr al ainy hospital who, between March 2021 and March 2022, presented to the emergency department with free air under the diaphragm at chest X-ray and required surgical intervention for a perforated viscus. For each case, the amount of peritoneal soiling and the amount of air under the diaphragm as determined by a chest X-ray were recorded.
Results
The mean air under the diaphragm in a plain erect chest X-ray was 1.78 ± 1.92 cm, and the mean amount of peritoneal soiling was 1201.83 ± 948.99 CC. There are positive correlations between the amount of air under the diaphragm as shown on an X-ray and the size of the perforation (
p
= 0.034), the amount of peritoneal soiling (
p
= 0.003), and the mortality (
p
= 0.013).
Conclusion
There was a statistically significant correlation between air under the diaphragm according to X-ray and the amount of peritoneal soiling in patients with a perforated viscus. This measure can be used as a sensitive tool to predict morbidity and mortality as more free air in the chest X-ray is associated with significant mortality. These results may enhance the decision making using sensitive and available tool of diagnosis. |
| doi_str_mv | 10.1007/s10140-022-02111-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2754502071</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2768578195</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-348ff988c18699d498312a949d53dbb3911a48e7812d8e4ff6fa342d0c99dc043</originalsourceid><addsrcrecordid>eNp9kU1vFDEMhiMEoqXlD3BAkbhwGYiTzExyRBUflSrBoT1H2Ukym2p2sjgzrfbfY7rlQxw4OI7sx68tvYy9AvEOhOjfVxCgRSOkpACAxjxhp6CVaehpn_71P2Evar0VQnS2M8_ZiepaaPseTtnhG5ZxLnXJA7_z0xp5STxhjNxn5OscIvKQ_X6LftzxMvNhG-vC0YdcRqR65ZmKBTFOfskE3Odly_cR81Lm6CdeS57yPBK2oC_UIOwuTodz9iz5qcaXj_mM3Xz6eH3xpbn6-vny4sNVMyjZLY3SJiVrzACmszZoaxRIb7UNrQqbjbIAXpvYG5DBRJ1Sl7zSMoiB6EFodcbeHnX3WL6vdLzb5TrEafJzLGt1sm91K6TogdA3_6C3ZcWZriOqMy0tsS1R8kgNWGrFmNwe887jwYFwP41xR2McGeMejHGGhl4_Sq-bXQy_R345QYA6ApVa8xjxz-7_yP4Ay-SaFw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2768578195</pqid></control><display><type>article</type><title>Prognostic value of free air under diaphragm on chest radiographs in correlation with peritoneal soiling intraoperatively</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Abosayed, Amir K. ; Dayem, Ahmad Yahia Abdel ; Shafik, Ismail ; Mashhour, Abdrabou N. ; Farahat, Mohamed Ahmed ; Refaat, Ahmed</creator><creatorcontrib>Abosayed, Amir K. ; Dayem, Ahmad Yahia Abdel ; Shafik, Ismail ; Mashhour, Abdrabou N. ; Farahat, Mohamed Ahmed ; Refaat, Ahmed</creatorcontrib><description>Purpose
Gastrointestinal perforation is a significant injury that originates mainly from gastrointestinal ulcers. It is associated with a high rate of morbidity and mortality. The height of the column of the air under the diaphragm can be used to estimate the amount of peritoneal soiling due to viscus perforation. This study aimed to determine the correlation between this estimate and the incidence of morbidity and mortality.
Methods
To achieve this aim, a prospective cohort study was conducted on 83 patients at Kasr al ainy hospital who, between March 2021 and March 2022, presented to the emergency department with free air under the diaphragm at chest X-ray and required surgical intervention for a perforated viscus. For each case, the amount of peritoneal soiling and the amount of air under the diaphragm as determined by a chest X-ray were recorded.
Results
The mean air under the diaphragm in a plain erect chest X-ray was 1.78 ± 1.92 cm, and the mean amount of peritoneal soiling was 1201.83 ± 948.99 CC. There are positive correlations between the amount of air under the diaphragm as shown on an X-ray and the size of the perforation (
p
= 0.034), the amount of peritoneal soiling (
p
= 0.003), and the mortality (
p
= 0.013).
Conclusion
There was a statistically significant correlation between air under the diaphragm according to X-ray and the amount of peritoneal soiling in patients with a perforated viscus. This measure can be used as a sensitive tool to predict morbidity and mortality as more free air in the chest X-ray is associated with significant mortality. These results may enhance the decision making using sensitive and available tool of diagnosis.</description><identifier>ISSN: 1438-1435</identifier><identifier>ISSN: 1070-3004</identifier><identifier>EISSN: 1438-1435</identifier><identifier>DOI: 10.1007/s10140-022-02111-8</identifier><identifier>PMID: 36515771</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Decision making ; Diaphragm ; Emergency medical services ; Emergency Medicine ; Humans ; Imaging ; Medicine ; Medicine & Public Health ; Morbidity ; Mortality ; Original Article ; Pneumoperitoneum ; Prognosis ; Prospective Studies ; Radiology ; Thorax ; Ulcers</subject><ispartof>Emergency radiology, 2023-02, Vol.30 (1), p.99-106</ispartof><rights>The Author(s), under exclusive licence to American Society of Emergency Radiology (ASER) 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s), under exclusive licence to American Society of Emergency Radiology (ASER).</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-348ff988c18699d498312a949d53dbb3911a48e7812d8e4ff6fa342d0c99dc043</cites><orcidid>0000-0003-2744-5010</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10140-022-02111-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10140-022-02111-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36515771$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abosayed, Amir K.</creatorcontrib><creatorcontrib>Dayem, Ahmad Yahia Abdel</creatorcontrib><creatorcontrib>Shafik, Ismail</creatorcontrib><creatorcontrib>Mashhour, Abdrabou N.</creatorcontrib><creatorcontrib>Farahat, Mohamed Ahmed</creatorcontrib><creatorcontrib>Refaat, Ahmed</creatorcontrib><title>Prognostic value of free air under diaphragm on chest radiographs in correlation with peritoneal soiling intraoperatively</title><title>Emergency radiology</title><addtitle>Emerg Radiol</addtitle><addtitle>Emerg Radiol</addtitle><description>Purpose
Gastrointestinal perforation is a significant injury that originates mainly from gastrointestinal ulcers. It is associated with a high rate of morbidity and mortality. The height of the column of the air under the diaphragm can be used to estimate the amount of peritoneal soiling due to viscus perforation. This study aimed to determine the correlation between this estimate and the incidence of morbidity and mortality.
Methods
To achieve this aim, a prospective cohort study was conducted on 83 patients at Kasr al ainy hospital who, between March 2021 and March 2022, presented to the emergency department with free air under the diaphragm at chest X-ray and required surgical intervention for a perforated viscus. For each case, the amount of peritoneal soiling and the amount of air under the diaphragm as determined by a chest X-ray were recorded.
Results
The mean air under the diaphragm in a plain erect chest X-ray was 1.78 ± 1.92 cm, and the mean amount of peritoneal soiling was 1201.83 ± 948.99 CC. There are positive correlations between the amount of air under the diaphragm as shown on an X-ray and the size of the perforation (
p
= 0.034), the amount of peritoneal soiling (
p
= 0.003), and the mortality (
p
= 0.013).
Conclusion
There was a statistically significant correlation between air under the diaphragm according to X-ray and the amount of peritoneal soiling in patients with a perforated viscus. This measure can be used as a sensitive tool to predict morbidity and mortality as more free air in the chest X-ray is associated with significant mortality. These results may enhance the decision making using sensitive and available tool of diagnosis.</description><subject>Decision making</subject><subject>Diaphragm</subject><subject>Emergency medical services</subject><subject>Emergency Medicine</subject><subject>Humans</subject><subject>Imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Original Article</subject><subject>Pneumoperitoneum</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Radiology</subject><subject>Thorax</subject><subject>Ulcers</subject><issn>1438-1435</issn><issn>1070-3004</issn><issn>1438-1435</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kU1vFDEMhiMEoqXlD3BAkbhwGYiTzExyRBUflSrBoT1H2Ukym2p2sjgzrfbfY7rlQxw4OI7sx68tvYy9AvEOhOjfVxCgRSOkpACAxjxhp6CVaehpn_71P2Evar0VQnS2M8_ZiepaaPseTtnhG5ZxLnXJA7_z0xp5STxhjNxn5OscIvKQ_X6LftzxMvNhG-vC0YdcRqR65ZmKBTFOfskE3Odly_cR81Lm6CdeS57yPBK2oC_UIOwuTodz9iz5qcaXj_mM3Xz6eH3xpbn6-vny4sNVMyjZLY3SJiVrzACmszZoaxRIb7UNrQqbjbIAXpvYG5DBRJ1Sl7zSMoiB6EFodcbeHnX3WL6vdLzb5TrEafJzLGt1sm91K6TogdA3_6C3ZcWZriOqMy0tsS1R8kgNWGrFmNwe887jwYFwP41xR2McGeMejHGGhl4_Sq-bXQy_R345QYA6ApVa8xjxz-7_yP4Ay-SaFw</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Abosayed, Amir K.</creator><creator>Dayem, Ahmad Yahia Abdel</creator><creator>Shafik, Ismail</creator><creator>Mashhour, Abdrabou N.</creator><creator>Farahat, Mohamed Ahmed</creator><creator>Refaat, Ahmed</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2744-5010</orcidid></search><sort><creationdate>20230201</creationdate><title>Prognostic value of free air under diaphragm on chest radiographs in correlation with peritoneal soiling intraoperatively</title><author>Abosayed, Amir K. ; Dayem, Ahmad Yahia Abdel ; Shafik, Ismail ; Mashhour, Abdrabou N. ; Farahat, Mohamed Ahmed ; Refaat, Ahmed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-348ff988c18699d498312a949d53dbb3911a48e7812d8e4ff6fa342d0c99dc043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Decision making</topic><topic>Diaphragm</topic><topic>Emergency medical services</topic><topic>Emergency Medicine</topic><topic>Humans</topic><topic>Imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Original Article</topic><topic>Pneumoperitoneum</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Radiology</topic><topic>Thorax</topic><topic>Ulcers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abosayed, Amir K.</creatorcontrib><creatorcontrib>Dayem, Ahmad Yahia Abdel</creatorcontrib><creatorcontrib>Shafik, Ismail</creatorcontrib><creatorcontrib>Mashhour, Abdrabou N.</creatorcontrib><creatorcontrib>Farahat, Mohamed Ahmed</creatorcontrib><creatorcontrib>Refaat, Ahmed</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Emergency radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abosayed, Amir K.</au><au>Dayem, Ahmad Yahia Abdel</au><au>Shafik, Ismail</au><au>Mashhour, Abdrabou N.</au><au>Farahat, Mohamed Ahmed</au><au>Refaat, Ahmed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prognostic value of free air under diaphragm on chest radiographs in correlation with peritoneal soiling intraoperatively</atitle><jtitle>Emergency radiology</jtitle><stitle>Emerg Radiol</stitle><addtitle>Emerg Radiol</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>30</volume><issue>1</issue><spage>99</spage><epage>106</epage><pages>99-106</pages><issn>1438-1435</issn><issn>1070-3004</issn><eissn>1438-1435</eissn><abstract>Purpose
Gastrointestinal perforation is a significant injury that originates mainly from gastrointestinal ulcers. It is associated with a high rate of morbidity and mortality. The height of the column of the air under the diaphragm can be used to estimate the amount of peritoneal soiling due to viscus perforation. This study aimed to determine the correlation between this estimate and the incidence of morbidity and mortality.
Methods
To achieve this aim, a prospective cohort study was conducted on 83 patients at Kasr al ainy hospital who, between March 2021 and March 2022, presented to the emergency department with free air under the diaphragm at chest X-ray and required surgical intervention for a perforated viscus. For each case, the amount of peritoneal soiling and the amount of air under the diaphragm as determined by a chest X-ray were recorded.
Results
The mean air under the diaphragm in a plain erect chest X-ray was 1.78 ± 1.92 cm, and the mean amount of peritoneal soiling was 1201.83 ± 948.99 CC. There are positive correlations between the amount of air under the diaphragm as shown on an X-ray and the size of the perforation (
p
= 0.034), the amount of peritoneal soiling (
p
= 0.003), and the mortality (
p
= 0.013).
Conclusion
There was a statistically significant correlation between air under the diaphragm according to X-ray and the amount of peritoneal soiling in patients with a perforated viscus. This measure can be used as a sensitive tool to predict morbidity and mortality as more free air in the chest X-ray is associated with significant mortality. These results may enhance the decision making using sensitive and available tool of diagnosis.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>36515771</pmid><doi>10.1007/s10140-022-02111-8</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2744-5010</orcidid></addata></record> |
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| ispartof | Emergency radiology, 2023-02, Vol.30 (1), p.99-106 |
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| language | eng |
| recordid | cdi_proquest_miscellaneous_2754502071 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Decision making Diaphragm Emergency medical services Emergency Medicine Humans Imaging Medicine Medicine & Public Health Morbidity Mortality Original Article Pneumoperitoneum Prognosis Prospective Studies Radiology Thorax Ulcers |
| title | Prognostic value of free air under diaphragm on chest radiographs in correlation with peritoneal soiling intraoperatively |
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