Routine Pre-Operative Chest Radiography. 1977 Compared with 1955 at Peterborough District General Hospital

Loder, R. E.

doi:10.1097/00132586-197910000-00062

Cited by 4 publications

(5 citation statements)

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“…Eleven studies were in adults, 18,20,21,23,33,[36][37][38]40,45,46 four of the studies were in children, 28,[30][31][32] four were in both adults and children, 27,41,44,47 and in the remainder of the studies the age of the study population was not specified. 24,26,29,34,35,39,42,43,48 Of the 28 studies, all measured abnormality rates, 18 measured impact on clinical management, 18,20,21,27,28,[30][31][32]34,35,[37][38][39][40]42,45,47,48 and six measured the number of relevant adverse events (for example, respiratory complications) in patients with an abnormal test finding. 20,23,…”

Section: Characteristics Of Identified Studiesmentioning

confidence: 99%

Routine preoperative testing: a systematic review of the evidence.

Munro

Booth²,

Nicholl³

1997

Health Technology Assessment

255

114

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Section: Characteristics Of Identified Studiesmentioning

confidence: 99%

Routine preoperative testing: a systematic review of the evidence.

Munro

Booth²,

Nicholl³

1997

Health Technology Assessment

255

114

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“…The radiologist must develop a routine, which ensures that all areas of the radiographs are scrutinized. As far as detection of abnormalities on a chest radiograph, the yield has been stated to be between 0.3% and 16.6% 10–12. In this study, the yield was 0.3%.…”

Section: Discussionmentioning

confidence: 54%

“…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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“…Delahunt & Turnbull (1980) found 63 unpredicted abnormalities in 1792 blood and X-ray tests in routine surgical cases, none of which affected the care of the patient. Seymour et al (1982) and Loder (1978) support the use of routine chest radiography in elderly patients, citing their value in detecting unsuspected disease and their value as a baseline. However, the National Study by the Royal College of Radiologists (1979), involving 10,619 preoperative chest films, found that preoperative chest radiography had no effect on preoperative decision making regardless of the abnormality detected.…”

Section: Discussionmentioning

confidence: 99%

Rational preoperative evaluation

Muskett¹,

McGreevy²

1986

Postgraduate Medical Journal

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Summary:Clinical data from two hundred consecutive patients undergoing surgical procedures at the Salt Lake City VA Hospital form the basis of this study. Results of nine commonly ordered preoperative tests (blood count, differential, electrolytes, chemistry panel, urinalysis, prothrombin time, partial thromboplastin time, electrocardiogram, and chest X-ray) were matched with the preoperative history and physical examination and the outcome of surgery in each patient. Each test was examined by (1) the frequency with which it was ordered, (2) the frequency with which it was abnormal, and (3) the frequency with which the abnormal result affected preoperative care. A prevalence ofmedical illness was found in this population, with 47.5% having a major cardiovascular diagnosis, 35.5% a metabolic or endocrine disease, and 28% a major pulmonary diagnosis.A total of 1271 tests were performed, with 477 (35.5%) showing some abnormality. However, only 76 (5.9%) changed the patient's management before surgery. All but five of these abnormalities were predictable from the clinical evaluation and these five were minor. The overall postoperative complication rate was 9%. No complication was attributed to the omission ofa preoperative test. No surgical cases were cancelled during the study period based solely on a preoperative test. We conclude that many preoperative tests can be safely eliminated by ordering only those based on a specific abnormality in the history or physical examination, resulting in more cost-effective surgical care.

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Routine Pre-Operative Chest Radiography. 1977 Compared with 1955 at Peterborough District General Hospital

Cited by 4 publications

References 0 publications

Routine preoperative testing: a systematic review of the evidence.

Routine preoperative testing: a systematic review of the evidence.

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

Rational preoperative evaluation

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