当前位置： SCI文献检索 > RESPIRATORY MEDICINE期刊下所有文献 > A decision tree for differentiating tuberculous from malignant pleural effusions.

A decision tree for differentiating tuberculous from malignant pleural effusions.

Abstract：

OBJECTIVE:To improve physicians' ability to discriminate tuberculous from malignant pleural effusions through a simple clinical algorithm that avoids pleural biopsy. DESIGN:We retrospectively compared the clinical and pleural fluid features of 238 adults with pleural effusion who satisfied diagnostic criteria for tuberculosis (n=64) or malignancy (n=174) at one academic center (derivation cohort). Then, we built a decision tree model to predict tuberculosis using the C4.5 algorithm. The model was validated with an independent sample set from another center that included 74 tuberculous and 293 malignant effusions (validation cohort). RESULTS:Among 12 potential predictor variables, the classification tree analysis selected four discriminant parameters (age>35 years, pleural fluid adenosine deaminase>38U/L, temperature>or=37.8 degrees C, and pleural fluid LDH>320U/L) from the derivation cohort. The generated flowchart had 92.2% sensitivity, 98.3% specificity, and an area under the ROC curve of 0.976 for diagnosing tuberculosis. The corresponding operating characteristics for the validation cohort were 85.1%, 96.9% and 0.958. CONCLUSIONS:Applying a decision tree analysis that contains simple clinical and laboratory data can help in the differential diagnosis of tuberculous and malignant pleural effusions.

journal_name

Respir Med

journal_title

Respiratory medicine

authors

Porcel JM,Alemán C,Bielsa S,Sarrapio J,Fernández de Sevilla T,Esquerda A

doi

10.1016/j.rmed.2008.03.001

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

1159-64

issue

8

eissn

0954-6111

issn

1532-3064

pii

S0954-6111(08)00097-8

journal_volume

102

pub_type

杂志文章,多中心研究

相关文献

RESPIRATORY MEDICINE文献大全
  • Acid and non-acid gastro-esophageal refluxes in children with chronic pulmonary diseases.

    abstract：OBJECTIVES:Acid gastro-esophageal reflux has been shown associated with chronic pulmonary diseases. The role of non-acid refluxes in these children is still unknown. Therefore we investigated the prevalence of acid and non-acid refluxes, and their association with desaturations, in children with chronic pulmonary sympt...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2006.09.006

    authors： Thilmany C,Beck-Ripp J,Griese M

    更新日期：2007-05-01 00:00:00

  • Resting and ADL-induced dynamic hyperinflation explain physical inactivity in COPD better than FEV1.

    abstract：BACKGROUND:Physical activity and health status deteriorate early in the course of chronic obstructive pulmonary disease (COPD). This can only partially be explained by the degree of airflow limitation. Changes in (resting and dynamic) lung volumes are known to be associated with functional impairments and thus might in...

    journal_title：Respiratory medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.rmed.2013.02.017

    authors： Lahaije AJ,van Helvoort HA,Dekhuijzen PN,Vercoulen JH,Heijdra YF

    更新日期：2013-06-01 00:00:00

  • Agreement between spirometry and tracheal auscultation in assessing bronchial responsiveness in asthmatic children.

    abstract：:We have recently found that changes in lung sounds correspond well with a 20% fall in the forced expiratory volume in 1 s (FEV1) after methacholine challenge in asthmatic children. Up to now, little was known about the agreement between a 20% fall in FEV1 and a change in lung sounds after repeated bronchial challenge....

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/s0954-6111(99)90298-6

    authors： Sprikkelman AB,Schouten JP,Lourens MS,Heymans HS,van Aalderen WM

    更新日期：1999-02-01 00:00:00

  • Dental caries is associated with lower respiratory tract infections: A population-based cohort study.

    abstract：INTRODUCTION:Dental caries and respiratory tract infections are among the most common infectious diseases worldwide and they both are appearing in the respiratory system. However, their relations are still unclear. This study investigated the association of dental caries on the risk of lower respiratory tract infection...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2019.09.002

    authors： Mehtonen IT,Rantala AK,Hugg TT,Jaakkola MS,Jaakkola JJK

    更新日期：2019-01-01 00:00:00

  • Efficacy of theophylline in people with stable chronic obstructive pulmonary disease: a systematic review and meta-analysis.

    abstract：OBJECTIVES:To determine the efficacy of oral theophylline compared with placebo in people with stable chronic obstructive pulmonary disease (COPD). METHODS:Systematic review of randomized-controlled trials comparing oral theophylline with placebo for a minimum of 7 days in people with stable COPD. RESULTS:Twenty rand...

    journal_title：Respiratory medicine

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.rmed.2004.10.009

    authors： Ram FS,Jardin JR,Atallah A,Castro AA,Mazzini R,Goldstein R,Lacasse Y,Cendon S

    更新日期：2005-02-01 00:00:00

  • The single breath nitrogen test and mortality--A 38 years follow up.

    abstract：BACKGROUND:Spirometry data predict mortality, but are less sensitive to detect dysfunction in small airways as compared to the slope of phase III (the N2 slope) of the single breath nitrogen test. The association between the N2 slope and mortality has been studied with conflicting results. In the present study the prog...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2016.01.002

    authors： Olofson J,Bake B,Bergman B,Svärdsudd K

    更新日期：2016-03-01 00:00:00

  • Alpha1-antitrypsin deficiency - diagnostic testing and disease awareness in Germany and Italy.

    abstract：BACKGROUND:Alpha1-antitrypsin (AAT) deficiency, although largely under-diagnosed, is the underlying cause of approximately 1% of COPD cases. Lack of awareness leads to long delays in diagnostic testing. Subsequently, lifestyle and treatment choices with potentially positive effects on prognosis may be postponed. METHO...

    journal_title：Respiratory medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.rmed.2013.04.023

    authors： Greulich T,Ottaviani S,Bals R,Lepper PM,Vogelmeier C,Luisetti M,Ferrarotti I

    更新日期：2013-09-01 00:00:00

  • Trends in 30-day readmission rates after COPD hospitalization, 2006-2012.

    abstract：BACKGROUND:Reduction in 30-day readmission rate after chronic obstructive pulmonary disease (COPD)-related hospitalization is a national objective. However, little is known about trends in readmission rates in recent years, particularly in priority populations defined by the Agency for Healthcare Research and Quality (...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2017.07.058

    authors： Goto T,Faridi MK,Gibo K,Toh S,Hanania NA,Camargo CA Jr,Hasegawa K

    更新日期：2017-09-01 00:00:00

  • Clinical features of primary ciliary dyskinesia in Cyprus with emphasis on lobectomized patients.

    abstract：BACKGROUND:Despite the manifestations of primary ciliary dyskinesia (PCD) in early life, the diagnosis is often much delayed. Since 1998 in Cyprus, we have established the only national diagnostic and clinical referral center for PCD. OBJECTIVE:To review the phenotypic features at presentation of PCD patients in Cypru...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2015.01.015

    authors： Yiallouros PK,Kouis P,Middleton N,Nearchou M,Adamidi T,Georgiou A,Eleftheriou A,Ioannou P,Hadjisavvas A,Kyriacou K

    更新日期：2015-03-01 00:00:00

  • Population-based estimates of transbronchial lung biopsy utilization and complications.

    abstract：BACKGROUND:Little is known about trends in the utilization or complication rates of transbronchial lung biopsy, particularly in community hospitals. METHODS:We used the Healthcare Cost and Utilization Project Florida State Inpatient and State Ambulatory Surgical Databases to assess trends in transbronchial lung biopsy...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2012.08.008

    authors： Tukey MH,Wiener RS

    更新日期：2012-11-01 00:00:00

  • A randomized study comparing ciclesonide and fluticasone propionate in patients with moderate persistent asthma.

    abstract：OBJECTIVE:To compare the effects of once-daily ciclesonide and twice-daily fluticasone propionate in patients with moderate persistent asthma. METHODS:Patients aged 12-75 years with moderate bronchial asthma entered a 1-4 week run-in period. For inclusion into the 12-week, randomized, open-label treatment period, pati...

    journal_title：Respiratory medicine

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.rmed.2007.03.001

    authors： Boulet LP,Bateman ED,Voves R,Müller T,Wolf S,Engelstätter R

    更新日期：2007-08-01 00:00:00

  • Impact of Aspergillus precipitating antibody test results on clinical outcomes of patients with Mycobacterium avium complex lung disease.

    abstract：BACKGROUND AND OBJECTIVE:Chronic pulmonary aspergillosis (CPA) is associated with mortality in patients with Mycobacterium avium complex lung disease (MAC-LD). However, the clinical significance of the positivity of Aspergillus precipitating antibody (APAb), a serodiagnostic test for pulmonary aspergillosis (PA), at th...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2020.105955

    authors： Shirai T,Furuuchi K,Fujiwara K,Nakamoto K,Tanaka Y,Ishii H,Yoshiyama T,Yoshimori K,Takizawa H,Sasaki Y,Kurashima A,Ohta K,Morimoto K

    更新日期：2020-05-01 00:00:00

  • Airways resistance and lung volume before and after bronchodilator therapy in symptomatic preterm infants.

    abstract：:Preterm infants who are symptomatic at follow-up frequently have a high airways resistance (RAW) and a low functional residual capacity to thoracic gas volume ratio (FRC:TGV). The aim of this study was to assess the effect of bronchodilator therapy on these lung function abnormalities. Thirty-four infants who had recu...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/0954-6111(94)90057-4

    authors： Yuksel B,Greenough A

    更新日期：1994-04-01 00:00:00

  • Increased angiogenic factors in exhaled breath condensate of children with severe asthma - New markers of disease progression?

    abstract：:Asthma progression is associated with airway remodeling and neo-vascularization. However, role of angiogenesis in these changes remains unclear and available data still incomplete. In this pilot study we verify usefulness of proteome profiler assay in screening of angiogenesis-related factors in exhaled breath condens...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2016.08.005

    authors： Grzela K,Litwiniuk M,Krejner A,Zagorska W,Grzela T

    更新日期：2016-09-01 00:00:00

  • Short-term effects of montelukast in stable patients with moderate to severe COPD.

    abstract：:This study aims to investigate the possibility of additional value of leukotriene receptor antagonist (LTA) on dyspnea score, arterial blood gases (ABG), pulmonary function tests (PFTs), and quality of life (St. George QoL) in chronic obstructive pulmonary disease (COPD) patients. In this randomized, prospective, sing...

    journal_title：Respiratory medicine

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/j.rmed.2004.09.008

    authors： Celik P,Sakar A,Havlucu Y,Yuksel H,Turkdogan P,Yorgancioglu A

    更新日期：2005-04-01 00:00:00

  • Differences in COPD care among doctors who control the disease: general practitioner vs. pneumologist.

    abstract：AIM:To assess the role of doctors who patients report as responsible of their disease, in moderate-severe chronic obstructive pulmonary disease (COPD), describing characteristics of patients and treatments use according to each type of doctor, and relating it to the way of access to hospital at the time of an exacerbat...

    journal_title：Respiratory medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.rmed.2005.04.021

    authors： Garcia-Aymerich J,Escarrabill J,Marrades RM,Monsó E,Barreiro E,Antó JM,EFRAM Investigators.

    更新日期：2006-02-01 00:00:00

  • The role of inspiratory flow in selection and use of inhaled therapy for patients with chronic obstructive pulmonary disease.

    abstract：:Inhalation therapy is the mainstay of chronic obstructive pulmonary disease management, and inhaler selection can have a profound impact on drug delivery and medication adherence, as well as on treatment outcomes. Although multiple delivery systems, such as pressurized metered-dose inhalers, dry powder inhalers, slow-...

    journal_title：Respiratory medicine

    pub_type： 杂志文章,评审

    doi：10.1016/j.rmed.2019.105857

    authors： Mahler DA

    更新日期：2020-01-01 00:00:00

  • The prevalence of preferential nasal breathing in adults.

    abstract：:The prevalence of preferential nasal breathing was studied in an awake adult population. One hundred and ninety-four people consented to gentle manual compression of the nostrils. They were advised to 'breathe in and out', but no further information regarding breathing was given to avoid influencing the patient. One h...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/0954-6111(93)90026-v

    authors： Ward KA,Nicholls DP,Stanford CF

    更新日期：1993-05-01 00:00:00

  • Non-invasive imaging in a rare case of main pulmonary artery aneurysm.

    abstract：:Report of an incidental chest X-ray finding of a large vessel dilation at the root of the ascending aorta in a 65-year-old female patient while pre-operative routine diagnostic. Due to prior allergic reaction to iodine contrast agent, non-invasive imaging was performed with magnetic resonance imaging (MRI), where the ...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2007.10.023

    authors： Ritter CO,Weininger M,Machann M,Beissert M,Hahn D,Kenn W

    更新日期：2008-05-01 00:00:00

  • Humidity influences exercise capacity in subjects with exercise-induced bronchoconstriction (EIB).

    abstract：RATIONALE:Exercise-induced bronchoconstriction (EIB) increases in cold and dry air and decreases in humid air in subjects with asthma. Few reports have reported on the effect of humid environment upon exercise capacity in subjects with EIB. OBJECTIVE:The primary aim of the present study was to examine the effect of ch...

    journal_title：Respiratory medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.rmed.2005.12.001

    authors： Stensrud T,Berntsen S,Carlsen KH

    更新日期：2006-09-01 00:00:00

  • Idiopathic chronic cough and organ-specific autoimmune diseases: a case-control study.

    abstract：:The marked female predominance in cases of idiopathic chronic cough and its association with mild chronic lymphocytic airway inflammation suggests an underlying autoimmune process. We set out to test the hypothesis that idiopathic chronic cough is associated with other organ-specific autoimmune diseases in a case cont...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2003.10.005

    authors： Birring SS,Murphy AC,Scullion JE,Brightling CE,Browning M,Pavord ID

    更新日期：2004-03-01 00:00:00

  • Beclometasone dipropionate extrafine aerosol versus fluticasone propionate in children with asthma.

    abstract：:Beclometasone dipropionate (BDP) extrafine is a hydrofluoroalkane-based, chlorofluorocarbon (CFC)-free inhalation aerosol. This study was conducted to determine whether BDP extrafine and CFC-fluticasone proprionate (FP) aerosols were equivalent in terms of efficacy and tolerability in children with symptomatic mild-to...

    journal_title：Respiratory medicine

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.rmed.2006.11.020

    authors： van Aalderen WM,Price D,De Baets FM,Price J

    更新日期：2007-07-01 00:00:00

  • Subcutaneous emphysema secondary to pulmonary cavity in absence of pneumothorax or pneumomediastinum.

    abstract：:Subcutaneous emphysema is a common condition occurring after chest injury. It may also be observed in association with pneumothorax or pneumomediastinum as a result of pathological changes in the respiratory tract. Spontaneous subcutaneous emphysema in absence of pneumothorax or pneumomediastinum is rare. We report a ...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2006.04.024

    authors： Pandey D,Jaret P,Sharma R,Sharma A,Thakur S

    更新日期：2007-02-01 00:00:00

  • Changes in airway hyperresponsiveness following smoking cessation: comparisons between Mch and AMP.

    abstract：BACKGROUND:Given the observed association between smoking, inflammation and airway hyperresponsiveness (AHR) one may predict that smoking cessation may improve AHR. However, only a few studies have investigated the effect of smoking on AHR and their results appear to be conflicting depending on the stimulus used in the...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2007.09.004

    authors： Piccillo G,Caponnetto P,Barton S,Russo C,Origlio A,Bonaccorsi A,Di Maria A,Oliveri C,Polosa R

    更新日期：2008-02-01 00:00:00

  • Prospective evaluation of pneumonia severity index in hospitalised patients with community-acquired pneumonia.

    abstract：:The aim of the present study was to investigate whether the pneumonia severity index (PSI) could adequately predict the severity of community-acquired pneumonia (CAP) and could be used as a severity of illness classification system. Furthermore, reasons that may influence the decision to admit low risk patients were a...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2004.02.022

    authors： van der Eerden MM,de Graaff CS,Bronsveld W,Jansen HM,Boersma WG

    更新日期：2004-09-01 00:00:00

  • The relation of rhinitis to recurrent cough and wheezing: a longitudinal study.

    abstract：BACKGROUND:Recurrent cough can be a clinical manifestation of rhinitis. However, it remains unclear if the association between rhinitis and recurrent cough among children is independent of asthma. OBJECTIVE:The aim of the present study was to determine, in a large longitudinal cohort, whether rhinitis is significantly...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2005.03.025

    authors： Sherrill DL,Guerra S,Minervini MC,Wright AL,Martinez FD

    更新日期：2005-11-01 00:00:00

  • Prognostic assessment in COPD: health related quality of life and the BODE index.

    abstract：RATIONALE:COPD is a debilitating disease with increasing mortality worldwide. The BODE index evaluates disease severity and the St George's Respiratory Questionnaire (SGRQ) measures health status. OBJECTIVE:To identify the relationship between BODE index and the SGRQ and to test the predictive value of both tools agai...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2011.01.007

    authors： Marin JM,Cote CG,Diaz O,Lisboa C,Casanova C,Lopez MV,Carrizo SJ,Pinto-Plata V,Dordelly LJ,Nekach H,Celli BR

    更新日期：2011-06-01 00:00:00

  • Efficacy and safety of indacaterol in patients with chronic obstructive pulmonary disease aged over 65 years: A pooled analysis.

    abstract：BACKGROUND:Although the prevalence of chronic obstructive pulmonary disease (COPD) increases with age, no specific therapeutic approaches are available till date for the elderly population. AIM:To assess the efficacy and safety of once-daily indacaterol 150 and 300 μg in elderly patients with moderate to severe COPD. ...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2017.05.010

    authors： Girodet PO,Jasnot JY,Le Gros V,Decuypère L,Cao W,Devouassoux G

    更新日期：2017-07-01 00:00:00

  • Does dipyrone have any effect on respiratory function in COPD patients?

    abstract：OBJECTIVE:Dipyrone (Novalgin) is an effective analgesic, antipyretic agent also with spasmolytic effects on various types of smooth muscles. It has recently been reported that dipyrone relaxes tracheal smooth muscle of guinea pig. In this present study, we aimed to investigate whether this and previously reported in vi...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2005.09.002

    authors： Gulmez SE,Tulunay FC,Beder S,Kayacan O,Karnak D

    更新日期：2006-05-01 00:00:00

  • Aerosol delivery of nebulised budesonide in young children with asthma.

    abstract：BACKGROUND:Lung deposition of inhaled steroids, likely to be of benefit in the anti-inflammatory treatment of asthma in young children, is low. This is explained by age specific anatomical and physiological characteristics as well as poor cooperation with aerosol therapy. However, total lung deposition and the ratio of...

    journal_title：Respiratory medicine

    pub_type： 杂志文章

    doi：10.1016/j.rmed.2009.04.029

    authors： Schueepp KG,Devadason SG,Roller C,Minocchieri S,Moeller A,Hamacher J,Wildhaber JH

    更新日期：2009-11-01 00:00:00