Comparison of sonographic findings between pediatric patients with mediastinitis and without mediastinitis after cardiovascular surgery
Purpose To compare the sonographic findings between pediatric patients with/without mediastinitis after cardiovascular surgery. Methods We included 18 pediatric patients with suspected mediastinitis after cardiovascular surgery who underwent ultrasound. They were divided into two groups according to...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Hosokawa, Takahiro [verfasserIn] Tanami, Yutaka [verfasserIn] Sato, Yumiko [verfasserIn] Ko, Yoshihiro [verfasserIn] Nomura, Koji [verfasserIn] Oguma, Eiji [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2020 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Journal of medical ultrasonics - Tōkyō : Springer, 1997, 47(2020), 4 vom: 13. Juni, Seite 625-633 |
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| Übergeordnetes Werk: |
volume:47 ; year:2020 ; number:4 ; day:13 ; month:06 ; pages:625-633 |
| Links: |
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| DOI / URN: |
10.1007/s10396-020-01029-3 |
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| Katalog-ID: |
SPR042034957 |
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| 520 | |a Purpose To compare the sonographic findings between pediatric patients with/without mediastinitis after cardiovascular surgery. Methods We included 18 pediatric patients with suspected mediastinitis after cardiovascular surgery who underwent ultrasound. They were divided into two groups according to the presence of mediastinitis, confirmed by positive bacterial culture from the mediastinum (number with/without mediastinitis = 5/13). The following sonographic findings were compared between the groups: (1) increased parasternal fat echogenicity and (2) retrosternal mediastinal fluid collection. Additionally, sex, age, and the interval between surgery and ultrasound examination were also compared. Fisher’s exact and Mann–Whitney U tests were used for statistical comparisons. Results A significant difference was observed between patients with and without mediastinitis in the presence of increased fat echogenicity around the sternum (present/absent with mediastinitis vs. present/absent without mediastinitis: 5/0 vs. 3/10, respectively; P = 0.007) and retrosternal mediastinal fluid collection (5/0 vs. 2/11, respectively; P = 0.002). There was no significant difference in sex (male/female; 3/2 vs. 6/7; P > 0.999); age (months; 12.6 ± 9.4 (range, 1–22) vs. 6.9 ± 5.4 (range, 1–21); P = 0.336); and interval between surgery and ultrasound examination (days; 12.8 ± 7.2 (range, 6–20) vs. 19.1 ± 14.9 (range, 1–45); P = 0.443). Conclusion Although our cohort was small, none of the patients without increased parasternal fat echogenicity or mediastinal fluid collection was diagnosed with mediastinitis. These sonographic findings may help identify the possible presence of mediastinitis. Ultrasound may be the modality of first choice to evaluate pediatric patients for mediastinitis after cardiovascular surgery. | ||
| 650 | 4 | |a Cardiovascular surgery |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Hematoma |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Mediastinitis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Sonography |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Ultrasound |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Tanami, Yutaka |e verfasserin |4 aut | |
| 700 | 1 | |a Sato, Yumiko |e verfasserin |4 aut | |
| 700 | 1 | |a Ko, Yoshihiro |e verfasserin |4 aut | |
| 700 | 1 | |a Nomura, Koji |e verfasserin |4 aut | |
| 700 | 1 | |a Oguma, Eiji |e verfasserin |4 aut | |
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10.1007/s10396-020-01029-3 doi (DE-627)SPR042034957 (SPR)s10396-020-01029-3-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.09 bkl 44.64 bkl Hosokawa, Takahiro verfasserin aut Comparison of sonographic findings between pediatric patients with mediastinitis and without mediastinitis after cardiovascular surgery 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To compare the sonographic findings between pediatric patients with/without mediastinitis after cardiovascular surgery. Methods We included 18 pediatric patients with suspected mediastinitis after cardiovascular surgery who underwent ultrasound. They were divided into two groups according to the presence of mediastinitis, confirmed by positive bacterial culture from the mediastinum (number with/without mediastinitis = 5/13). The following sonographic findings were compared between the groups: (1) increased parasternal fat echogenicity and (2) retrosternal mediastinal fluid collection. Additionally, sex, age, and the interval between surgery and ultrasound examination were also compared. Fisher’s exact and Mann–Whitney U tests were used for statistical comparisons. Results A significant difference was observed between patients with and without mediastinitis in the presence of increased fat echogenicity around the sternum (present/absent with mediastinitis vs. present/absent without mediastinitis: 5/0 vs. 3/10, respectively; P = 0.007) and retrosternal mediastinal fluid collection (5/0 vs. 2/11, respectively; P = 0.002). There was no significant difference in sex (male/female; 3/2 vs. 6/7; P > 0.999); age (months; 12.6 ± 9.4 (range, 1–22) vs. 6.9 ± 5.4 (range, 1–21); P = 0.336); and interval between surgery and ultrasound examination (days; 12.8 ± 7.2 (range, 6–20) vs. 19.1 ± 14.9 (range, 1–45); P = 0.443). Conclusion Although our cohort was small, none of the patients without increased parasternal fat echogenicity or mediastinal fluid collection was diagnosed with mediastinitis. These sonographic findings may help identify the possible presence of mediastinitis. Ultrasound may be the modality of first choice to evaluate pediatric patients for mediastinitis after cardiovascular surgery. Cardiovascular surgery (dpeaa)DE-He213 Hematoma (dpeaa)DE-He213 Mediastinitis (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 Tanami, Yutaka verfasserin aut Sato, Yumiko verfasserin aut Ko, Yoshihiro verfasserin aut Nomura, Koji verfasserin aut Oguma, Eiji verfasserin aut Enthalten in Journal of medical ultrasonics Tōkyō : Springer, 1997 47(2020), 4 vom: 13. Juni, Seite 625-633 (DE-627)382926986 (DE-600)2139920-7 1613-2254 nnns volume:47 year:2020 number:4 day:13 month:06 pages:625-633 https://dx.doi.org/10.1007/s10396-020-01029-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.09 ASE 44.64 ASE AR 47 2020 4 13 06 625-633 |
| spelling |
10.1007/s10396-020-01029-3 doi (DE-627)SPR042034957 (SPR)s10396-020-01029-3-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.09 bkl 44.64 bkl Hosokawa, Takahiro verfasserin aut Comparison of sonographic findings between pediatric patients with mediastinitis and without mediastinitis after cardiovascular surgery 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To compare the sonographic findings between pediatric patients with/without mediastinitis after cardiovascular surgery. Methods We included 18 pediatric patients with suspected mediastinitis after cardiovascular surgery who underwent ultrasound. They were divided into two groups according to the presence of mediastinitis, confirmed by positive bacterial culture from the mediastinum (number with/without mediastinitis = 5/13). The following sonographic findings were compared between the groups: (1) increased parasternal fat echogenicity and (2) retrosternal mediastinal fluid collection. Additionally, sex, age, and the interval between surgery and ultrasound examination were also compared. Fisher’s exact and Mann–Whitney U tests were used for statistical comparisons. Results A significant difference was observed between patients with and without mediastinitis in the presence of increased fat echogenicity around the sternum (present/absent with mediastinitis vs. present/absent without mediastinitis: 5/0 vs. 3/10, respectively; P = 0.007) and retrosternal mediastinal fluid collection (5/0 vs. 2/11, respectively; P = 0.002). There was no significant difference in sex (male/female; 3/2 vs. 6/7; P > 0.999); age (months; 12.6 ± 9.4 (range, 1–22) vs. 6.9 ± 5.4 (range, 1–21); P = 0.336); and interval between surgery and ultrasound examination (days; 12.8 ± 7.2 (range, 6–20) vs. 19.1 ± 14.9 (range, 1–45); P = 0.443). Conclusion Although our cohort was small, none of the patients without increased parasternal fat echogenicity or mediastinal fluid collection was diagnosed with mediastinitis. These sonographic findings may help identify the possible presence of mediastinitis. Ultrasound may be the modality of first choice to evaluate pediatric patients for mediastinitis after cardiovascular surgery. Cardiovascular surgery (dpeaa)DE-He213 Hematoma (dpeaa)DE-He213 Mediastinitis (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 Tanami, Yutaka verfasserin aut Sato, Yumiko verfasserin aut Ko, Yoshihiro verfasserin aut Nomura, Koji verfasserin aut Oguma, Eiji verfasserin aut Enthalten in Journal of medical ultrasonics Tōkyō : Springer, 1997 47(2020), 4 vom: 13. Juni, Seite 625-633 (DE-627)382926986 (DE-600)2139920-7 1613-2254 nnns volume:47 year:2020 number:4 day:13 month:06 pages:625-633 https://dx.doi.org/10.1007/s10396-020-01029-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.09 ASE 44.64 ASE AR 47 2020 4 13 06 625-633 |
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10.1007/s10396-020-01029-3 doi (DE-627)SPR042034957 (SPR)s10396-020-01029-3-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.09 bkl 44.64 bkl Hosokawa, Takahiro verfasserin aut Comparison of sonographic findings between pediatric patients with mediastinitis and without mediastinitis after cardiovascular surgery 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To compare the sonographic findings between pediatric patients with/without mediastinitis after cardiovascular surgery. Methods We included 18 pediatric patients with suspected mediastinitis after cardiovascular surgery who underwent ultrasound. They were divided into two groups according to the presence of mediastinitis, confirmed by positive bacterial culture from the mediastinum (number with/without mediastinitis = 5/13). The following sonographic findings were compared between the groups: (1) increased parasternal fat echogenicity and (2) retrosternal mediastinal fluid collection. Additionally, sex, age, and the interval between surgery and ultrasound examination were also compared. Fisher’s exact and Mann–Whitney U tests were used for statistical comparisons. Results A significant difference was observed between patients with and without mediastinitis in the presence of increased fat echogenicity around the sternum (present/absent with mediastinitis vs. present/absent without mediastinitis: 5/0 vs. 3/10, respectively; P = 0.007) and retrosternal mediastinal fluid collection (5/0 vs. 2/11, respectively; P = 0.002). There was no significant difference in sex (male/female; 3/2 vs. 6/7; P > 0.999); age (months; 12.6 ± 9.4 (range, 1–22) vs. 6.9 ± 5.4 (range, 1–21); P = 0.336); and interval between surgery and ultrasound examination (days; 12.8 ± 7.2 (range, 6–20) vs. 19.1 ± 14.9 (range, 1–45); P = 0.443). Conclusion Although our cohort was small, none of the patients without increased parasternal fat echogenicity or mediastinal fluid collection was diagnosed with mediastinitis. These sonographic findings may help identify the possible presence of mediastinitis. Ultrasound may be the modality of first choice to evaluate pediatric patients for mediastinitis after cardiovascular surgery. Cardiovascular surgery (dpeaa)DE-He213 Hematoma (dpeaa)DE-He213 Mediastinitis (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 Tanami, Yutaka verfasserin aut Sato, Yumiko verfasserin aut Ko, Yoshihiro verfasserin aut Nomura, Koji verfasserin aut Oguma, Eiji verfasserin aut Enthalten in Journal of medical ultrasonics Tōkyō : Springer, 1997 47(2020), 4 vom: 13. Juni, Seite 625-633 (DE-627)382926986 (DE-600)2139920-7 1613-2254 nnns volume:47 year:2020 number:4 day:13 month:06 pages:625-633 https://dx.doi.org/10.1007/s10396-020-01029-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.09 ASE 44.64 ASE AR 47 2020 4 13 06 625-633 |
| allfieldsGer |
10.1007/s10396-020-01029-3 doi (DE-627)SPR042034957 (SPR)s10396-020-01029-3-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.09 bkl 44.64 bkl Hosokawa, Takahiro verfasserin aut Comparison of sonographic findings between pediatric patients with mediastinitis and without mediastinitis after cardiovascular surgery 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To compare the sonographic findings between pediatric patients with/without mediastinitis after cardiovascular surgery. Methods We included 18 pediatric patients with suspected mediastinitis after cardiovascular surgery who underwent ultrasound. They were divided into two groups according to the presence of mediastinitis, confirmed by positive bacterial culture from the mediastinum (number with/without mediastinitis = 5/13). The following sonographic findings were compared between the groups: (1) increased parasternal fat echogenicity and (2) retrosternal mediastinal fluid collection. Additionally, sex, age, and the interval between surgery and ultrasound examination were also compared. Fisher’s exact and Mann–Whitney U tests were used for statistical comparisons. Results A significant difference was observed between patients with and without mediastinitis in the presence of increased fat echogenicity around the sternum (present/absent with mediastinitis vs. present/absent without mediastinitis: 5/0 vs. 3/10, respectively; P = 0.007) and retrosternal mediastinal fluid collection (5/0 vs. 2/11, respectively; P = 0.002). There was no significant difference in sex (male/female; 3/2 vs. 6/7; P > 0.999); age (months; 12.6 ± 9.4 (range, 1–22) vs. 6.9 ± 5.4 (range, 1–21); P = 0.336); and interval between surgery and ultrasound examination (days; 12.8 ± 7.2 (range, 6–20) vs. 19.1 ± 14.9 (range, 1–45); P = 0.443). Conclusion Although our cohort was small, none of the patients without increased parasternal fat echogenicity or mediastinal fluid collection was diagnosed with mediastinitis. These sonographic findings may help identify the possible presence of mediastinitis. Ultrasound may be the modality of first choice to evaluate pediatric patients for mediastinitis after cardiovascular surgery. Cardiovascular surgery (dpeaa)DE-He213 Hematoma (dpeaa)DE-He213 Mediastinitis (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 Tanami, Yutaka verfasserin aut Sato, Yumiko verfasserin aut Ko, Yoshihiro verfasserin aut Nomura, Koji verfasserin aut Oguma, Eiji verfasserin aut Enthalten in Journal of medical ultrasonics Tōkyō : Springer, 1997 47(2020), 4 vom: 13. Juni, Seite 625-633 (DE-627)382926986 (DE-600)2139920-7 1613-2254 nnns volume:47 year:2020 number:4 day:13 month:06 pages:625-633 https://dx.doi.org/10.1007/s10396-020-01029-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.09 ASE 44.64 ASE AR 47 2020 4 13 06 625-633 |
| allfieldsSound |
10.1007/s10396-020-01029-3 doi (DE-627)SPR042034957 (SPR)s10396-020-01029-3-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.09 bkl 44.64 bkl Hosokawa, Takahiro verfasserin aut Comparison of sonographic findings between pediatric patients with mediastinitis and without mediastinitis after cardiovascular surgery 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To compare the sonographic findings between pediatric patients with/without mediastinitis after cardiovascular surgery. Methods We included 18 pediatric patients with suspected mediastinitis after cardiovascular surgery who underwent ultrasound. They were divided into two groups according to the presence of mediastinitis, confirmed by positive bacterial culture from the mediastinum (number with/without mediastinitis = 5/13). The following sonographic findings were compared between the groups: (1) increased parasternal fat echogenicity and (2) retrosternal mediastinal fluid collection. Additionally, sex, age, and the interval between surgery and ultrasound examination were also compared. Fisher’s exact and Mann–Whitney U tests were used for statistical comparisons. Results A significant difference was observed between patients with and without mediastinitis in the presence of increased fat echogenicity around the sternum (present/absent with mediastinitis vs. present/absent without mediastinitis: 5/0 vs. 3/10, respectively; P = 0.007) and retrosternal mediastinal fluid collection (5/0 vs. 2/11, respectively; P = 0.002). There was no significant difference in sex (male/female; 3/2 vs. 6/7; P > 0.999); age (months; 12.6 ± 9.4 (range, 1–22) vs. 6.9 ± 5.4 (range, 1–21); P = 0.336); and interval between surgery and ultrasound examination (days; 12.8 ± 7.2 (range, 6–20) vs. 19.1 ± 14.9 (range, 1–45); P = 0.443). Conclusion Although our cohort was small, none of the patients without increased parasternal fat echogenicity or mediastinal fluid collection was diagnosed with mediastinitis. These sonographic findings may help identify the possible presence of mediastinitis. Ultrasound may be the modality of first choice to evaluate pediatric patients for mediastinitis after cardiovascular surgery. Cardiovascular surgery (dpeaa)DE-He213 Hematoma (dpeaa)DE-He213 Mediastinitis (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 Tanami, Yutaka verfasserin aut Sato, Yumiko verfasserin aut Ko, Yoshihiro verfasserin aut Nomura, Koji verfasserin aut Oguma, Eiji verfasserin aut Enthalten in Journal of medical ultrasonics Tōkyō : Springer, 1997 47(2020), 4 vom: 13. Juni, Seite 625-633 (DE-627)382926986 (DE-600)2139920-7 1613-2254 nnns volume:47 year:2020 number:4 day:13 month:06 pages:625-633 https://dx.doi.org/10.1007/s10396-020-01029-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.09 ASE 44.64 ASE AR 47 2020 4 13 06 625-633 |
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Enthalten in Journal of medical ultrasonics 47(2020), 4 vom: 13. Juni, Seite 625-633 volume:47 year:2020 number:4 day:13 month:06 pages:625-633 |
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Enthalten in Journal of medical ultrasonics 47(2020), 4 vom: 13. Juni, Seite 625-633 volume:47 year:2020 number:4 day:13 month:06 pages:625-633 |
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Cardiovascular surgery Hematoma Mediastinitis Sonography Ultrasound |
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Hosokawa, Takahiro @@aut@@ Tanami, Yutaka @@aut@@ Sato, Yumiko @@aut@@ Ko, Yoshihiro @@aut@@ Nomura, Koji @@aut@@ Oguma, Eiji @@aut@@ |
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Methods We included 18 pediatric patients with suspected mediastinitis after cardiovascular surgery who underwent ultrasound. They were divided into two groups according to the presence of mediastinitis, confirmed by positive bacterial culture from the mediastinum (number with/without mediastinitis = 5/13). The following sonographic findings were compared between the groups: (1) increased parasternal fat echogenicity and (2) retrosternal mediastinal fluid collection. Additionally, sex, age, and the interval between surgery and ultrasound examination were also compared. Fisher’s exact and Mann–Whitney U tests were used for statistical comparisons. Results A significant difference was observed between patients with and without mediastinitis in the presence of increased fat echogenicity around the sternum (present/absent with mediastinitis vs. present/absent without mediastinitis: 5/0 vs. 3/10, respectively; P = 0.007) and retrosternal mediastinal fluid collection (5/0 vs. 2/11, respectively; P = 0.002). There was no significant difference in sex (male/female; 3/2 vs. 6/7; P > 0.999); age (months; 12.6 ± 9.4 (range, 1–22) vs. 6.9 ± 5.4 (range, 1–21); P = 0.336); and interval between surgery and ultrasound examination (days; 12.8 ± 7.2 (range, 6–20) vs. 19.1 ± 14.9 (range, 1–45); P = 0.443). Conclusion Although our cohort was small, none of the patients without increased parasternal fat echogenicity or mediastinal fluid collection was diagnosed with mediastinitis. These sonographic findings may help identify the possible presence of mediastinitis. 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Hosokawa, Takahiro |
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Hosokawa, Takahiro ddc 610 bkl 44.09 bkl 44.64 misc Cardiovascular surgery misc Hematoma misc Mediastinitis misc Sonography misc Ultrasound Comparison of sonographic findings between pediatric patients with mediastinitis and without mediastinitis after cardiovascular surgery |
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610 ASE 44.09 bkl 44.64 bkl Comparison of sonographic findings between pediatric patients with mediastinitis and without mediastinitis after cardiovascular surgery Cardiovascular surgery (dpeaa)DE-He213 Hematoma (dpeaa)DE-He213 Mediastinitis (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 |
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ddc 610 bkl 44.09 bkl 44.64 misc Cardiovascular surgery misc Hematoma misc Mediastinitis misc Sonography misc Ultrasound |
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Hosokawa, Takahiro Tanami, Yutaka Sato, Yumiko Ko, Yoshihiro Nomura, Koji Oguma, Eiji |
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Hosokawa, Takahiro |
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comparison of sonographic findings between pediatric patients with mediastinitis and without mediastinitis after cardiovascular surgery |
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Comparison of sonographic findings between pediatric patients with mediastinitis and without mediastinitis after cardiovascular surgery |
| abstract |
Purpose To compare the sonographic findings between pediatric patients with/without mediastinitis after cardiovascular surgery. Methods We included 18 pediatric patients with suspected mediastinitis after cardiovascular surgery who underwent ultrasound. They were divided into two groups according to the presence of mediastinitis, confirmed by positive bacterial culture from the mediastinum (number with/without mediastinitis = 5/13). The following sonographic findings were compared between the groups: (1) increased parasternal fat echogenicity and (2) retrosternal mediastinal fluid collection. Additionally, sex, age, and the interval between surgery and ultrasound examination were also compared. Fisher’s exact and Mann–Whitney U tests were used for statistical comparisons. Results A significant difference was observed between patients with and without mediastinitis in the presence of increased fat echogenicity around the sternum (present/absent with mediastinitis vs. present/absent without mediastinitis: 5/0 vs. 3/10, respectively; P = 0.007) and retrosternal mediastinal fluid collection (5/0 vs. 2/11, respectively; P = 0.002). There was no significant difference in sex (male/female; 3/2 vs. 6/7; P > 0.999); age (months; 12.6 ± 9.4 (range, 1–22) vs. 6.9 ± 5.4 (range, 1–21); P = 0.336); and interval between surgery and ultrasound examination (days; 12.8 ± 7.2 (range, 6–20) vs. 19.1 ± 14.9 (range, 1–45); P = 0.443). Conclusion Although our cohort was small, none of the patients without increased parasternal fat echogenicity or mediastinal fluid collection was diagnosed with mediastinitis. These sonographic findings may help identify the possible presence of mediastinitis. Ultrasound may be the modality of first choice to evaluate pediatric patients for mediastinitis after cardiovascular surgery. |
| abstractGer |
Purpose To compare the sonographic findings between pediatric patients with/without mediastinitis after cardiovascular surgery. Methods We included 18 pediatric patients with suspected mediastinitis after cardiovascular surgery who underwent ultrasound. They were divided into two groups according to the presence of mediastinitis, confirmed by positive bacterial culture from the mediastinum (number with/without mediastinitis = 5/13). The following sonographic findings were compared between the groups: (1) increased parasternal fat echogenicity and (2) retrosternal mediastinal fluid collection. Additionally, sex, age, and the interval between surgery and ultrasound examination were also compared. Fisher’s exact and Mann–Whitney U tests were used for statistical comparisons. Results A significant difference was observed between patients with and without mediastinitis in the presence of increased fat echogenicity around the sternum (present/absent with mediastinitis vs. present/absent without mediastinitis: 5/0 vs. 3/10, respectively; P = 0.007) and retrosternal mediastinal fluid collection (5/0 vs. 2/11, respectively; P = 0.002). There was no significant difference in sex (male/female; 3/2 vs. 6/7; P > 0.999); age (months; 12.6 ± 9.4 (range, 1–22) vs. 6.9 ± 5.4 (range, 1–21); P = 0.336); and interval between surgery and ultrasound examination (days; 12.8 ± 7.2 (range, 6–20) vs. 19.1 ± 14.9 (range, 1–45); P = 0.443). Conclusion Although our cohort was small, none of the patients without increased parasternal fat echogenicity or mediastinal fluid collection was diagnosed with mediastinitis. These sonographic findings may help identify the possible presence of mediastinitis. Ultrasound may be the modality of first choice to evaluate pediatric patients for mediastinitis after cardiovascular surgery. |
| abstract_unstemmed |
Purpose To compare the sonographic findings between pediatric patients with/without mediastinitis after cardiovascular surgery. Methods We included 18 pediatric patients with suspected mediastinitis after cardiovascular surgery who underwent ultrasound. They were divided into two groups according to the presence of mediastinitis, confirmed by positive bacterial culture from the mediastinum (number with/without mediastinitis = 5/13). The following sonographic findings were compared between the groups: (1) increased parasternal fat echogenicity and (2) retrosternal mediastinal fluid collection. Additionally, sex, age, and the interval between surgery and ultrasound examination were also compared. Fisher’s exact and Mann–Whitney U tests were used for statistical comparisons. Results A significant difference was observed between patients with and without mediastinitis in the presence of increased fat echogenicity around the sternum (present/absent with mediastinitis vs. present/absent without mediastinitis: 5/0 vs. 3/10, respectively; P = 0.007) and retrosternal mediastinal fluid collection (5/0 vs. 2/11, respectively; P = 0.002). There was no significant difference in sex (male/female; 3/2 vs. 6/7; P > 0.999); age (months; 12.6 ± 9.4 (range, 1–22) vs. 6.9 ± 5.4 (range, 1–21); P = 0.336); and interval between surgery and ultrasound examination (days; 12.8 ± 7.2 (range, 6–20) vs. 19.1 ± 14.9 (range, 1–45); P = 0.443). Conclusion Although our cohort was small, none of the patients without increased parasternal fat echogenicity or mediastinal fluid collection was diagnosed with mediastinitis. These sonographic findings may help identify the possible presence of mediastinitis. Ultrasound may be the modality of first choice to evaluate pediatric patients for mediastinitis after cardiovascular surgery. |
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| score |
7.398798 |