Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/10718
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dc.contributor.authorNg, J J Len
dc.contributor.authorTaylor, David McDen
dc.date.accessioned2015-05-16T00:15:31Z
dc.date.available2015-05-16T00:15:31Z
dc.date.issued2008-12-01en
dc.identifier.citationEmergency Medicine Journal : Emj; 25(12): 807-10en
dc.identifier.govdoc19033495en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/10718en
dc.description.abstractTo determine the prevalence and nature of chest radiographic abnormalities in patients presenting to the emergency department (ED) with suspected acute coronary syndrome but without signs or symptoms of other pathology.A retrospective study was undertaken of patients presenting to a tertiary referral ED between July 2005 and June 2006. Inclusion criteria were age > or = 18 years and suspected acute coronary syndrome (as defined). Exclusion criteria were any signs or symptoms consistent with other cardio/pulmonary pathology (as defined). The study end points were the proportion of patients who had a chest radiograph, the proportion who had an abnormal chest radiograph, the nature of the abnormality and whether the radiograph changed management.Of 158 patients who met the entrance criteria, 130 (82.2%, 95% CI 75.2% to 87.7%) underwent chest radiography. In 40 patients (30.8%, 95% CI 23.1% to 39.6%) an abnormality was reported by the radiologist, although most were of no consequence (eg, previous sternotomy). In three patients there was documented evidence that the chest radiograph altered management (one was treated for pulmonary oedema, one for pneumonia and one was investigated further for suspicious hilar nodes). In a further two patients (one with middle lobe collapse and consolidation and one with pulmonary oedema) the chest radiograph may have changed management, although this was not documented.In the patient group examined, chest radiography resulted in a low yield of unexpected chest pathology. Routine chest radiography for this group is questionable and needs further investigation.en
dc.language.isoenen
dc.subject.otherAcute Coronary Syndrome.epidemiology.radiographyen
dc.subject.otherAdulten
dc.subject.otherAgeden
dc.subject.otherChest Pain.epidemiology.etiology.radiographyen
dc.subject.otherEmergency Service, Hospital.utilizationen
dc.subject.otherEpidemiologic Methodsen
dc.subject.otherFemaleen
dc.subject.otherHumansen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherRadiography, Thoracic.utilizationen
dc.subject.otherVictoria.epidemiologyen
dc.titleRoutine chest radiography in uncomplicated suspected acute coronary syndrome rarely yields significant pathology.en
dc.typeJournal Articleen
dc.identifier.journaltitleEmergency medicine journal : EMJen
dc.identifier.affiliationEmergency Department, Austin Health, Studley Road, Heidelberg, Victoria, Australia 3084.en
dc.identifier.doi10.1136/emj.2008.059725en
dc.description.pages807-10en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/19033495en
dc.type.austinJournal Articleen
local.name.researcherTaylor, David McD
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.openairetypeJournal Article-
crisitem.author.deptEmergency-
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