Abstract：
BACKGROUND:We investigated physician rationale for and against performing routine erythrocyte sedimentation rate (ESR) tests during hospital admissions. METHODS:A comparative, descriptive, prospective study among 82 physicians in 15 departments of internal medicine from two University Medical Centers - A and B - in Israel was conducted between July and August 2004. Reasons for physicians' use of ESR were examined using a confidential questionnaire. A panel of four experts reviewed the need to perform an ESR test in 100 patients' files from center B. The main outcome measures were the use of ESR in routine hospital admissions and reasons for use. RESULTS:Forty-four vs. zero physicians from medical centers B and A, respectively, routinely perform ESR tests for all admitted patients (p<0.001). According to the experts, in only 10-30% of the 67 new patients could ESR tests have been of some value. Reasons for performing ESR routinely were as follows: to identify severe and "hidden" diseases (21/44, 47.7%); because it is crucial for all patients, both new and returning (10/44, 22.7%); because it is a guideline from department head (6/44, 13.6%); it is recommended in the literature (5/44, 11.4%); don't know why (2/44, 4.5%); defensive medicine (1/44, 2.3%); and other (6/44, 13.6%). CONCLUSION:Routine use of ESR tests on admission can be explained by old habits and by an unconscious concern about liability, i.e., unconscious defensive medicine.
journal_name
Eur J Intern Medjournal_title
European journal of internal medicineauthors
Asher E,Parag Y,Zeller L,Yerushalmi R,Reuveni Hdoi
10.1016/j.ejim.2006.07.021subject
Has Abstractpub_date
2007-01-01 00:00:00pages
35-8issue
1eissn
0953-6205issn
1879-0828pii
S0953-6205(06)00248-2journal_volume
18pub_type
杂志文章abstract：BACKGROUND/OBJECTIVES:There is some evidence to suggest that exercise systolic blood pressure (SBP) may be associated with future risk of stroke in subjects without a history of coronary artery disease (CAD). However, the value of an exaggerated exercise SBP response (EESBPR) for predicting stroke in patients referred ...
journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2014.05.013
更新日期：2014-07-01 00:00:00
abstract：:The purpose of this study is to determine the relationship between heat stroke and ischemic heart disease (IHD), in a nationwide population using a longitudinal approach. We retrospectively examined the data from the National Health Insurance Research Database (NHIRD) in Taiwan, for patients examined between 2000 and ...
journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2018.09.019
更新日期：2019-01-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
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更新日期：2008-11-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2020.02.028
更新日期：2020-07-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章,评审
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更新日期：2009-09-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章,评审
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更新日期：2009-05-01 00:00:00
abstract：OBJECTIVE:To assess security of "blind" percutaneous liver biopsy as an ambulatory procedure. MATERIAL AND METHODS:Defining inclusion criteria, surveillance protocol, data from ultrasonography done 6 h after procedure and complications. RESULTS:We analysed 192 percutaneous liver biopsies done between 2000-2007. There...
journal_title：European journal of internal medicine
pub_type： 杂志文章
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更新日期：2009-09-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章,评审
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更新日期：2020-08-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
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更新日期：2004-10-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
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更新日期：2020-02-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ejim.2015.02.020
更新日期：2015-04-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2006.07.003
更新日期：2006-11-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/s0953-6205(00)00066-2
更新日期：2000-04-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2010.03.017
更新日期：2010-08-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/s0953-6205(02)00129-2
更新日期：2002-10-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2009.05.002
更新日期：2009-09-01 00:00:00
abstract：BACKGROUND:We aimed to evaluate the presence of nocturnal hypotension (NHP) in ischemic stroke (IS) survivors using ambulatory blood pressure (BP) monitoring (ABPM). METHODS:We included fifty consecutive patients presenting at our outpatient clinic for review and who had been discharged for IS in the previous six mont...
journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2011.03.004
更新日期：2011-10-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2013.04.009
更新日期：2013-09-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2006.03.001
更新日期：2006-08-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章,评审
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journal_title：European journal of internal medicine
pub_type： 杂志文章,多中心研究
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更新日期：2013-06-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
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更新日期：2017-03-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/s0953-6205(00)00131-x
更新日期：2001-02-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章,评审
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更新日期：2018-03-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 临床试验,杂志文章
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更新日期：2009-07-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
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更新日期：2020-06-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2015.12.019
更新日期：2016-04-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
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更新日期：2012-10-01 00:00:00
abstract：:In recent years, new concepts of educational theory and practice have stimulated new approaches to medical education in many countries. For various reasons, medical education in Ireland has been slow to change such that there are now increasing concerns about educational standards. In addition, Ireland currently produ...
journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2006.09.001
更新日期：2007-03-01 00:00:00
abstract：BACKGROUND:Although experimental models have shown that statins could alleviate glomerular damage and decrease urinary protein excretion, the renal effects of statins remain unclear. A case-control study was conducted using data from Taiwan's National Health Insurance system. METHODS:An end-stage renal disease (ESRD) ...
journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2016.02.012
更新日期：2016-06-01 00:00:00
