Validation of a Decision Rule and Derivation of a Modified Rule to Obtain Chest Radiograph in Patients with Nontraumatic Chest Pain in the Emergency Department
المؤلفون المشاركون
Boutros, Nabil
Jeanmonod, Donald
Jeanmonod, Rebecca
Weller, Karl
Reiter, Mark
Newsom, Case
المصدر
Advances in Emergency Medicine
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-06-12
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Objectives.
We sought to validate and refine a decision rule for chest X-ray (CXR) utilization in nontraumatic chest pain (CP) patients presenting to the emergency department (ED).
Methods.
Retrospective review of ED patients presenting with CP who had CXR performed during three nonconsecutive months was performed.
The presence of 18 variables derived from history and exam was ascertained.
Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the original rule were calculated.
Refinement using additional variables was performed.
Results.
967 patient charts were reviewed.
89.9% of CXR were normal, 5.2% had insignificant findings, and 5.1% had significant findings.
Application of the criteria had a sensitivity/specificity of 74%/59% and a PPV/ NPV of 9%/98%.
Rule modification to obtain CXR for age ≥ 65 years, history of congestive heart failure and alcohol abuse, and exam findings of decreased breath sounds, fever, and tachypnea maintained sensitivity while improving specificity to 69%.
Conclusions.
Most CP patients have normal CXRs.
Narrowing a decision rule to obtain CXR in patients with age ≥ 65 years, history of congestive heart failure and alcohol abuse, and exam findings of decreased breath sounds, fever, and tachypnea maintain sensitivity while improving specificity and NPV.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Newsom, Case& Jeanmonod, Rebecca& Weller, Karl& Boutros, Nabil& Reiter, Mark& Jeanmonod, Donald. 2014. Validation of a Decision Rule and Derivation of a Modified Rule to Obtain Chest Radiograph in Patients with Nontraumatic Chest Pain in the Emergency Department. Advances in Emergency Medicine،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-456677
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Newsom, Case…[et al.]. Validation of a Decision Rule and Derivation of a Modified Rule to Obtain Chest Radiograph in Patients with Nontraumatic Chest Pain in the Emergency Department. Advances in Emergency Medicine No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-456677
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Newsom, Case& Jeanmonod, Rebecca& Weller, Karl& Boutros, Nabil& Reiter, Mark& Jeanmonod, Donald. Validation of a Decision Rule and Derivation of a Modified Rule to Obtain Chest Radiograph in Patients with Nontraumatic Chest Pain in the Emergency Department. Advances in Emergency Medicine. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-456677
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-456677
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر