Original contributionGuidelines for the selective ordering of admission chest radiography in adult obstructive airway disease
References (17)
- et al.
The value of chest roentgenograms in acute asthma in adults
Chest
(1981) - et al.
Value of chest radiographs in acute severe asthma
Clin Radiol
(1981) - et al.
Acute asthma—Admission chest radiography in hospitalized adult patients
Chest
(1991) - et al.
The value of routine admission chest radiographs in adult asthmatics
Ann Emerg Med
(1989) - et al.
Evaluation of high-yield criteria for chest radiography in acute exacerbation of chronic obstructive pulmonary disease
Ann Emerg Med
(1993) The need for chest roentgenograms in adults with acute respiratory illness: Clinical predictors
Arch Intern Med
(1986)- et al.
Routine chest radiographs in exacerbations of acute obstructive pulmonary disease
Arch Intern Med
(1989) - et al.
Emergency room radiography of asthma: An efficacy study
Radiology
(1982)
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2016, Immunology and Allergy Clinics of North AmericaCitation Excerpt :Tsai and colleagues6 have suggested guidelines for the selected performance of chest radiographs in patients admitted with acute exacerbations of obstructive airway disease, proposing that patients who are otherwise uncomplicated do not benefit from routine admission chest radiography. According to this proposition, patients with one or more of the following criteria are classified as “complicated” and should receive an admission chest radiograph: a clinical diagnosis of chronic obstructive pulmonary disease (as defined by the American Thoracic Society); a history of fever or temperature more than 37.8°C; clinical or ECG evidence of heart disease; history of intravenous drug abuse; seizures; immunosuppression; evidence of other lung disease; or prior thoracic surgery.6 In a prospective study, the investigators showed that management was more likely to be changed on the basis of chest radiography in patients who met these criteria.6
Presented at the American College of Emergency Physicians Scientific Assembly in Seattle, Washington, September 1992.