Guidelines for the selective ordering of admission chest radiography in adult obstructive airway disease
✍ Scribed by Timothy Wei Tsai; E John Gallagher; Gary Lombardi; Paul Gennis; Wallace Carter
- Publisher
- Elsevier Science
- Year
- 1993
- Tongue
- English
- Weight
- 463 KB
- Volume
- 22
- Category
- Article
- ISSN
- 1097-6760
No coin nor oath required. For personal study only.
✦ Synopsis
Study objective: To validate previously developed guidelines for the selective use of chest radiography in adults admitted for exacerbation of obstructive airway disease.
Design: Prospective, observational cohort study using criteria developed in a previous retrospective study.
Participants: Unselected convenience sample of 128 adults with obstructive airway disease who did not respond to standard emergency department treatment and required admission.
Setting: Municipal hospital ED and inpatient medical service.
Interventions: Patients were categorized as "complicated" or "uncomplicated" according to previously developed criteria. Management was recorded as altered if the patient's physician answered the question, "Did the chest radiography alter your management of this patient?" affirmatively.
The authors acknowledge the emergency medicine attendings, residents, and medicine housestaff for their participation in this study. They also acknowledge Carolyn Wells and James Jekel of the Yale University School of Medicine Robert Wood Johnson Clinical Scholars Program for assistance in the original design of the study.