Routine Chest X-ray Films in a Veterans Hospital

Fink, Daniel

doi:10.1001/jama.1981.03310350044022

Cited by 25 publications

(4 citation statements)

References 7 publications

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“…For example, a 1981 study of 113 chest radiographs obtained at admission at a veteran's hospital revealed abnormal findings in 46% of cases, and the authors concluded that obtaining such radiographs is necessary in patient groups with a high prevalence of cardiovascular disease (26). However, data regarding whether the abnormalities were acute or chronic and whether the findings led to changes in patient care were not reported.…”

Section: Discussionmentioning

confidence: 99%

Routine Chest Radiography in a Primary Care Setting

Tigges

Roberts²,

Vydareny³

et al. 2004

Radiology

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Section: Discussionmentioning

confidence: 99%

Routine Chest Radiography in a Primary Care Setting

Tigges

Roberts²,

Vydareny³

et al. 2004

Radiology

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“…Advanced age alone has also been evaluated as a potential risk factor for thoracic radiograph abnormalities . Several human studies have identified an increasing prevalence of radiographic thoracic abnormalities with increasing age; however, many of these studies did not exclude patients with clinical evidence of chest disease . While not statistically significant, our results would indicate a trend that implies older dogs may be more likely to have abnormalities on the thoracic radiographs.…”

Section: Discussionmentioning

confidence: 52%

Evaluation of thoracic radiographs as a screening test for dogs and cats admitted to a tertiary‐care veterinary hospital for noncardiopulmonary disease

Keyserling

Buriko

Lyons

et al. 2017

Vet Radiology Ultrasound

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Thoracic radiographs are used as a screening tool for dogs and cats with a variety of disorders that have no clinical signs associated with thoracic structures. However, this practice has never been supported by an evidence-based study. The objective of this retrospective observational study was to determine if certain canine and feline populations have a higher proportion of radiographic abnormalities, and whether any of these abnormalities are associated with patient hospitalization and outcome. Patients were excluded if current or previous examinations revealed evidence of primary respiratory or cardiac disease, malignant neoplasia, or an abnormal breathing pattern consistent with pulmonary pathology. Any notable thoracic change in the radiology report was considered important and evaluated in this study. One hundred and sixty-six of these included patients were dogs and 65 were cats. Of the 166 dog radiographs evaluated, 120 (72.3%) had normal thoracic radiographs, while 46 (27.7%) had radiographic abnormalities. Of the sixty-five cats included, 36 (55.4%) had normal radiographs, while 29 (44.6%) had abnormal radiographs. Canine patients with abnormal radiographs had a significantly higher lactate level (P-value 0.0348) and feline patients with abnormal radiographs had a significantly lower packed cell volume (P-value 0.012). A large proportion of patients that had screening thoracic radiographs (32.5%) had documented abnormalities, but a relatively low percentage (6.5%) of our total population had their clinical plan changed as a consequence of detection of these abnormalities. Findings indicated that abnormal screening thoracic radiographs are more likely in dogs with an elevated lactate and cats with anemia, or a low normal hematocrit.

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“…Rucker et al 10. While Loder,12 and other researchers13–18 have shown that the practice of routine chest radiographs for psychiatric, surgical, general medical and obstetric patients has been criticized, mainly due to low incidence of positive findings among patients with no clinical suspicion of chest disease. Graat et al 19.…”

Section: Discussionmentioning

confidence: 99%

An audit of 3859 preadmission chest radiographs of apparently healthy students in a Nigerian Tertiary Institution

Ogbeide

Adeyekun

2011

Niger Med J

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Background:Chest radiographs are routinely requested as part of the medical screening process prior to admission to institutions. Literature on the yield of such an exercise is sparse especially in the Nigerian setting. This study was therefore carried out to assess the usefulness of routine chest radiography for students at the time of admission.Materials and Methods:This was a prospective study of 3859 chest X-rays taken at the department of radiology, University of Benin Teaching Hospital for one admission screening for the 2008/2009 academic year. The age and sex of the subjects were also recorded. The heart, lung fields and bony thorax were examined for any abnormality.Results:Out of the 3859 pre-admission chest radiographs studied, there were 1951 males or 50.56% and 1908 females or 49.44% subjects. The mean age for males was 21.15±3.Conclusion:This study has shown that pre-admission routine chest radiography in asymptomatic patients remains a relevant screening tool for medical fitness during admissions into institutions. However because of dangers of exposure to ionizing radiation, we advise that a detailed medical history and physical examination be done to restrict its use to only those subjects with signs and symptoms suggestive of disease.

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Routine Chest X-ray Films in a Veterans Hospital

Cited by 25 publications

References 7 publications

Routine Chest Radiography in a Primary Care Setting

Routine Chest Radiography in a Primary Care Setting

Evaluation of thoracic radiographs as a screening test for dogs and cats admitted to a tertiary‐care veterinary hospital for noncardiopulmonary disease

An audit of 3859 preadmission chest radiographs of apparently healthy students in a Nigerian Tertiary Institution

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