Performance measurement through audit, feedback, and profiling as tools for improving clinical care.

abstract：STUDY OBJECTIVE:To analyze the cough response to three airway challenges in order to clarify whether the recording of the provoked coughs would be beneficial in the management of asthma. DESIGN:A prospective study. SETTING:University hospital. PARTICIPANTS:Fifteen healthy subjects, 16 steroid-naïve subjects with ast...

journal_title：Chest

authors： Koskela HO,Kontra KM,Purokivi MK,Randell JT

更新日期：2005-11-01 00:00:00

abstract：STUDY OBJECTIVE:Our objective was to determine if the hemosiderin content of BAL macrophages allows us to draw any differential diagnostic conclusions in a variety of lung diseases. PATIENTS AND STUDY DESIGN:One hundred one patients who underwent BAL for different diagnostic reasons were studied prospectively. MAIN R...

journal_title：Chest

authors： Grebski E,Hess T,Hold G,Speich R,Russi E

更新日期：1992-12-01 00:00:00

abstract：:There are many complementary techniques for mediastinal staging of lung cancer. It is increasingly apparent that the accuracy of mediastinal staging depends not only on which test is used but also on technical factors of how the procedure is performed. This article reviews data regarding such technical factors and pro...

journal_title：Chest

authors： Detterbeck F,Puchalski J,Rubinowitz A,Cheng D

更新日期：2010-02-01 00:00:00

abstract：STUDY OBJECTIVES:To determine if persistent airway tissue mast cells are associated with treatment failure when patients discontinue inhaled corticosteroids (ICS). DESIGN:Double-blind, randomized, placebo-controlled trial. SETTING:Multicenter, tertiary referral centers. PATIENTS OR PARTICIPANTS:Forty-five subjects w...

journal_title：Chest

authors： Kraft M,Martin RJ,Lazarus SC,Fahy JV,Boushey HA,Lemanske RF Jr,Szefler SJ,Asthma Clinical Research Network.

更新日期：2003-07-01 00:00:00

abstract：:We studied eight patients with miliary tuberculosis (TB). In all instances, tuberculomatous lesions were demonstrated in the aspirated bone marrow. We conclude that the bone marrow aspiration has great value in diagnosing miliary TB because it provides sufficient material to permit examination of serial sections as ne...

journal_title：Chest

authors： Kinoshita M,Ichikawa Y,Koga H,Sumita S,Oizumi K

更新日期：1994-09-01 00:00:00

abstract：:In previous research, we have demonstrated the value of using necropsy "surprise" lung cancer cases, in those in whom lung cancer was not suspected during life, to estimate the size and composition of the "reservoir" of undetected lung cancer in the general population. The current research was done to determine the ch...

journal_title：Chest

authors： Chan CK,Wells CK,McFarlane MJ,Feinstein AR

更新日期：1989-08-01 00:00:00

abstract：BACKGROUND:Clinical practice guidelines recommend enteral over parenteral nutrition in critical illness and do not recommend early initiation. Few data are available on parenteral nutrition use or timing of initiation in the ICU or how this use may have changed over time. METHODS:We used the Project IMPACT database to...

journal_title：Chest

authors： Gershengorn HB,Kahn JM,Wunsch H

更新日期：2014-03-01 00:00:00

abstract：:Health systems confronting the coronavirus disease 2019 (COVID-19) pandemic must plan for surges in ICU demand and equitably distribute resources to maximize benefit for critically ill patients and the public during periods of resource scarcity. For example, morbidity and mortality could be mitigated by a proactive re...

journal_title：Chest

authors： Prekker ME,Brunsvold ME,Bohman JK,Fischer G,Gram KL,Litell JM,Saavedra-Romero R,Hick JL

更新日期：2020-08-01 00:00:00

abstract：:Cardiac tamponade, a potentially lethal complication following cardiac surgery, may present either early or late postoperatively and may be difficult to diagnose due to atypical clinical, hemodynamic, or echocardiographic findings. To determine the frequency and clinical features of postoperative cardiac tamponade, we...

journal_title：Chest

authors： Russo AM,O'Connor WH,Waxman HL

更新日期：1993-07-01 00:00:00

abstract：:A tracheoesophageal fistula was successfully closed with a fibrin adhesive applied by means of a fiberoptic bronchoscope, instead of by esophagoscopy. To facilitate closure of the fistula, the technique was combined with decontamination of the oral cavity, to avoid bacterial contamination. The procedure is proposed as...

journal_title：Chest

authors： Antonelli M,Cicconetti F,Vivino G,Gasparetto A

更新日期：1991-08-01 00:00:00

abstract：:The spectrum of pathogens and the microbiologic investigations used to obtain a diagnosis in 178 patients with severe pneumonia (88 percent requiring intermittent positive-pressure ventilation) are reviewed. Ninety-five patients had primary pneumonia, 31 had nosocomial pneumonia, 24 were immunocompromised patients, an...

journal_title：Chest

authors： Potgieter PD,Hammond JM

更新日期：1992-01-01 00:00:00

abstract：:We developed a Rapid Tuberculosis Screening Program for use in women who have not had prenatal care. All patients who presented for delivery without a documented tuberculin skin test (TBN-ST) were given a symptom questionnaire. Those who had a positive response to any of the questions received a chest roentgenogram to...

journal_title：Chest

authors： Metersky ML,Catanzaro A

更新日期：1993-02-01 00:00:00

abstract：:Plug closure of patent ductus arteriosus without thoracotomy is reliable and can be a good alternative to surgical closure for selected patients. We report our experiences with plug closure in 87 consecutive patients (age range, 3 to 38 years). Closure was successful in 83 patients (95 percent). There has been no mort...

journal_title：Chest

authors： Kitamura S,Sato K,Naito Y,Shimizu Y,Fujino M

更新日期：1976-11-01 00:00:00

abstract：STUDY OBJECTIVES:To assess the clinical utility of flexible bronchoscopy (FB) in the evaluation of patients with chronic cough and normal or nonlocalizing chest radiographic findings. DESIGN:Retrospective chart review. SETTING:Tertiary referral center. PATIENTS:Forty-eight patients with chronic cough and no other cl...

journal_title：Chest

authors： Barnes TW,Afessa B,Swanson KL,Lim KG

更新日期：2004-07-01 00:00:00

abstract：:The preponderance of evidence indicates that high airway pressure is not by itself injurious to the lung. Rather, overdistention of the lung appears to be the fundamental mechanism underlying VALI. The physician must bear in mind the factors (ie, flow-resistive pressure losses, respiratory muscle activity, and abnorma...

journal_title：Chest

authors： Manning HL

更新日期：1994-01-01 00:00:00

abstract：:Passive smoking has been shown to adversely affect the health of infants and children. Black children and adults appear to be more susceptible to a variety of tobacco smoke health hazards for unknown reason. The objectives of this study were as follows: (1) to correlate the number of cigarettes reported to have been s...

journal_title：Chest

authors： Knight JM,Eliopoulos C,Klein J,Greenwald M,Koren G

更新日期：1996-02-01 00:00:00

abstract：:The respiratory pattern during wakefulness and sleep was characterized in a 70-year-old woman with respiratory dyskinesia. During wakefulness, both respiratory frequency and tidal volume exhibited an irregularly irregular pattern. In addition, wide fluctuations occurred in the position of the rib cage and abdomen at e...

journal_title：Chest

authors： Kuna ST,Awan R

更新日期：1986-11-01 00:00:00

abstract：STUDY OBJECTIVES:The effect of therapy using a cervicomandibular support collar (CMSC) to manage obstructive sleep apnea (OSA) was compared with standard therapy, nasal continuous positive airway pressure (nCPAP). DESIGN:Subjects received treatment with CMSC or nCPAP each for 1 month in random order. The study was ana...

journal_title：Chest

authors： Skinner MA,Kingshott RN,Jones DR,Taylor DR

更新日期：2004-01-01 00:00:00

abstract：:In order to assess the long-term clinical benefits of palliative Nd:YAG laser photoresection, we studied 69 patients with obstructing exophytic tracheobronchial lesions treated with this modality between Oct 25, 1984 and May 8, 1989. In 55 patients, there was greater than 75 percent restoration of the luminal caliber ...

journal_title：Chest

authors： Ross DJ,Mohsenifar Z,Koerner SK

更新日期：1990-09-01 00:00:00

abstract：:Numerous clinical trials of chemotherapy for tuberculosis conducted throughout the world over the past 4 decades have established 2 basic principles of treatment: effective treatment requires the initial concomitant administration of at least 2 drugs to which the patient's organisms are susceptible; and cure of tuber...

journal_title：Chest

authors： Snider DE Jr,Cohn DL,Davidson PT,Hershfield ES,Smith MH,Sutton FD Jr

更新日期：1985-02-01 00:00:00

abstract：:The clinical spectrum of mitochondrial diseases has expanded dramatically in the last decade. Abnormalities of mitochondrial function are now thought to participate in a number of common adult diseases, ranging from exercise intolerance to aging. This review outlines the common presentations of mitochondrial disease i...

journal_title：Chest

authors： Clay AS,Behnia M,Brown KK

更新日期：2001-08-01 00:00:00

abstract：:Two-dimensional echocardiography showed myocardial thickening in 3 of 16 acute myocarditis patients in childhood. In all 3 cases, this myocardial thickening was transient and diminished within 3 weeks. This myocardial thickening was most marked at a few days after the onset; the interventricular septal thickness for e...

journal_title：Chest

authors： Nakagawa M,Hamaoka K

更新日期：1993-12-01 00:00:00

abstract：:To evaluate whether epithelial damage of airways in asthma could be related to diminished levels of the low molecular weight bronchial leukocyte proteinase inhibitor (BLPI) in airways, we determined BLPI in bronchial washings of 13 asthma patients and 13 healthy subjects, using a sensitive enzyme-linked immunoassay. T...

journal_title：Chest

authors： Ochnio JJ,Abboud RT,Lam S,Johal SS,Smith CE,Johnson DA

更新日期：1988-05-01 00:00:00

abstract：:Quantitation of apneas and hypopneas is routinely included in studies of epidemiology, diagnosis, and treatment of sleep-disordered breathing (SDB). The definition of apnea appears clear-cut in the sleep literature. In contrast, the literature contains remarkable variety in both recording techniques and definitions of...

journal_title：Chest

authors： Moser NJ,Phillips BA,Berry DT,Harbison L

更新日期：1994-02-01 00:00:00

abstract：:Primary pulmonary hypertension (PPH) is a serious pulmonary vascular disease occurring mostly in adult women. Although its occurrence in families was reported within a few years after the original clinical report, PPH was formerly believed rarely to have a genetic basis. Recent progress has not only clarified a basic ...

journal_title：Chest

authors： Loyd JE

更新日期：2002-12-01 00:00:00

abstract：:OSA has emerged as a highly prevalent public health problem that imposes important mid- and long-term consequences, namely cardiovascular, metabolic, cognitive, and cancer-related alterations. OSA is characterized by increased upper airway resistance, alveolar hypoventilation, and recurrent upper airway obstruction du...

journal_title：Chest

authors： Farré N,Farré R,Gozal D

更新日期：2018-10-01 00:00:00

abstract：BACKGROUND:Pulmonary hypertension (PH) is a common complication of sarcoidosis that is associated with increased mortality. The pathogenesis of PH in sarcoidosis is uncertain, and the role of pulmonary arterial hypertension (PAH)-specific therapies remains to be determined. METHODS:We conducted a retrospective study o...

journal_title：Chest

authors： Barnett CF,Bonura EJ,Nathan SD,Ahmad S,Shlobin OA,Osei K,Zaiman AL,Hassoun PM,Moller DR,Barnett SD,Girgis RE

更新日期：2009-06-01 00:00:00

abstract：BACKGROUND:Altitude-induced pulmonary hypertension has been suggested to cause left ventricular (LV) diastolic dysfunction due to ventricular interaction. In this study, we evaluate the effects of exercise- and altitude-induced increase in pulmonary artery pressures on LV diastolic function in an interventional setting...

journal_title：Chest

authors： Bernheim AM,Kiencke S,Fischler M,Dorschner L,Debrunner J,Mairbäurl H,Maggiorini M,Brunner-La Rocca HP

更新日期：2007-08-01 00:00:00

abstract：:Fiberglass inhalation seems to produce a minimal tissue response in the lungs, and the reaction is one of macrophagic mobilization and is characteristic of the pulmonary response to those nonfibrogenic dusts classified as nuisance dusts. In order to merit the designation of a nuisance dust, the pulmonary response must...

journal_title：Chest

authors：

更新日期：1976-02-01 00:00:00

abstract：:The role of thoracic radiation therapy in the management of limited-stage small cell lung cancer (SCLC) is reviewed. Although chest irradiation has been used to treat SCLC for over four decades, its standard role in the management of limited-stage disease was established only during the last decade. Multiple prospecti...

journal_title：Chest

authors： Kumar P

更新日期：1997-10-01 00:00:00