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Cardiology in the young · Aug 2009
Is a routine chest X-ray indicated before discharge following paediatric cardiac surgery?
- Kerstin Bosse and Thomas Krasemann.
- Department of Paediatric Cardiology, Evelina Children's Hospital, London, UK.
- Cardiol Young. 2009 Aug 1;19(4):370-1.
UnlabelledIn many paediatric cardiosurgical units, a chest X-ray is routinely performed before discharge. We sought to evaluate the clinical impact of such routine radiographs in the management of children after cardiac surgery. Of 100 consecutive children, a chest X-ray was performed in 71 prior to discharge. Of these, 38 were clinically indicated, while 33 were performed as a routine. Therapeutic changes were instituted on the basis of the X-ray in 4 patients, in all of whom the imaging had been clinically indicated. No therapeutic changes followed those radiographs performed on a routine basis.ConclusionRoutine chest radiographs can be omitted prior to discharging patients after paediatric heart surgery.
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