Indications for pulmonary function testing.

Abstract:

STUDY OBJECTIVE:To critically assess original studies evaluating the role of preoperative pulmonary function testing in predicting postoperative outcomes. DESIGN:MEDLINE search of English-language articles from 1966 to 1987 using the following medical subjects headings respiratory function tests, lung, lung diseases, and preoperative care. MEASUREMENTS AND MAIN RESULTS:Relevant studies were subdivided by operative site. We included only studies for which we could determine pre- and post-test probabilities of morbidity, mortality, sensitivity, and specificity. Preoperative pulmonary function testing was found to have measureable benefit in predicting outcome in lung resection candidates. In selected patients, split perfusion lung scanning and pulmonary exercise testing appeared to be useful. Confirmation of these reports is necessary before these preoperative tests can be routinely recommended. In studies of upper abdominal surgery, spirometry and arterial blood gas analysis did not consistently have measureable benefit in identifying patients at increased risk for postoperative pneumonia, prolonged hospitalization, and death. Studies of preoperative testing for other patients, including those having coronary artery bypass grafting, lacked adequate data for meaningful analysis. CONCLUSIONS:Preoperative pulmonary function testing helps clinicians to make decisions on management of lung resection candidates. Although many studies of patients before abdominal surgery have focused on the utility of preoperative pulmonary function testing, methodologic difficulties undermine the validity of their conclusions. The impact of testing on care of other preoperative patients is even less clear because of poor study design and insufficient data. Therefore, further investigation is necessary before a consensus can be reached on the role of preoperative pulmonary function testing in evaluating patients before all surgical procedures except lung resection.

journal_name

Ann Intern Med

authors

Zibrak JD,O'Donnell CR,Marton K

doi

10.7326/0003-4819-112-10-763

subject

Has Abstract

pub_date

1990-05-15 00:00:00

pages

763-71

issue

10

eissn

0003-4819

issn

1539-3704

journal_volume

112

pub_type

杂志文章,meta分析
  • Increased lung water and ascites after massive cocaine overdosage in mice and improved survival related to beta-adrenergic blockage.

    abstract:STUDY OBJECTIVE:To determine the effect of massive cocaine intoxication on lung water and ascites accumulation and the effect of beta- and alpha-adrenergic blockade on survival in massive cocaine intoxication in the mouse. DESIGN:The effect of massive cocaine intoxication on lung water, ascitic fluid accumulation, and...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-110-3-202

    authors: Robin ED,Wong RJ,Ptashne KA

    更新日期:1989-02-01 00:00:00

  • Syndromes of Vibrio vulnificus infections. Clinical and epidemiologic features in Florida cases, 1981-1987.

    abstract:STUDY OBJECTIVE:To describe the clinical and epidemiologic features of Vibrio vulnificus infections. DESIGN:Case series based on notifiable disease report forms and patient medical records. SETTING:Cases reported to the Florida Department of Health and Rehabilitative Services from 1981 to 1987. PATIENTS:Sixty-two pa...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-109-4-318

    authors: Klontz KC,Lieb S,Schreiber M,Janowski HT,Baldy LM,Gunn RA

    更新日期:1988-08-15 00:00:00

  • A nosocomial outbreak of multidrug-resistant tuberculosis.

    abstract:BACKGROUND:An outbreak of seven cases (in six patients and one health care worker, all of whom had AIDS) of multidrug-resistant tuberculosis occurred in a hospital in Chicago. The hospital had a respirator-fit testing program but no acid-fast bacilli isolation rooms. OBJECTIVE:To identify risk factors for transmission...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-127-1-199707010-00006

    authors: Kenyon TA,Ridzon R,Luskin-Hawk R,Schultz C,Paul WS,Valway SE,Onorato IM,Castro K

    更新日期:1997-07-01 00:00:00

  • Prevalence of neutropenia in the U.S. population: age, sex, smoking status, and ethnic differences.

    abstract:BACKGROUND:Benign reductions in neutrophil counts may be more common at certain ages and in certain ethnic groups and may be affected by sex and smoking status. OBJECTIVE:To determine differences in neutrophil counts in the U.S. population according to ethnicity, age, sex, and smoking status. DESIGN:Population-based,...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-146-7-200704030-00004

    authors: Hsieh MM,Everhart JE,Byrd-Holt DD,Tisdale JF,Rodgers GP

    更新日期:2007-04-03 00:00:00

  • ESPACOMP Medication Adherence Reporting Guideline (EMERGE).

    abstract::Research on assessing or managing medication adherence applies approaches from observational, interventional, and implementation science that spans many disciplines and demands coherent conceptualization, valid methods, appropriate analyses, and complete and accurate reporting. To ensure such reporting, the European S...

    journal_title:Annals of internal medicine

    pub_type: 指南,杂志文章

    doi:10.7326/M18-0543

    authors: De Geest S,Zullig LL,Dunbar-Jacob J,Helmy R,Hughes DA,Wilson IB,Vrijens B

    更新日期:2018-07-03 00:00:00

  • Severe candidal infections: clinical perspective, immune defense mechanisms, and current concepts of therapy.

    abstract::Disseminated candidiasis has become an important infection, particularly in immunocompromised and postoperative patients. Although serologic tests may, in some settings, facilitate a premortem diagnosis, the disease is usually diagnosed by comprehensive clinical evaluation. Detection of the relatively newly recognized...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-89-1-91

    authors: Edwards JE Jr,Lehrer RI,Stiehm ER,Fischer TJ,Young LS

    更新日期:1978-07-01 00:00:00

  • Psychological care of adults with rheumatoid arthritis.

    abstract::Physicians treating patients with chronic rheumatoid arthritis spend a considerable amount of time dealing with the psychological and social aspects of the disease. The patients' reaction to the disease can be related to age, experience, personality, and environment at work and at home. Common problems include loss of...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-96-3-344

    authors: Rogers MP,Liang MH,Partridge AJ

    更新日期:1982-03-01 00:00:00

  • Health care information and the protection of personal privacy: ethical and legal considerations.

    abstract::During the early 1990s, the U.S. government addressed the issue of providing universal health care to all its citizens. Although this issue has not been completely resolved, centralization of electronic data and sharing of health care information among insurers and providers have been pursued. The emergence of electro...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-127-8_part_2-199710151-00050

    authors: Gostin L

    更新日期:1997-10-15 00:00:00

  • The prevalence of tuberculosis and positive tuberculin skin tests in a steroid-treated asthmatic population.

    abstract::The prevalence of active tuberculosis and positive tuberculin skin tests was assessed in 132 corticosteroid-treated asthmatics for an evaluation period that represented 620 corticosteroid-years of therapy. There was no evidence of active tuberculosis in any of these patients. Positive intermediate-strength tuberculin ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-84-3-261

    authors: Schatz M,Patterson R,Kloner R,Falk J

    更新日期:1976-03-01 00:00:00

  • Pyrogenic reactions after inadvertent infusion of endotoxin during cardiac catheterizations.

    abstract::In April 1976 the attack rate of chills and fever with or without falls in blood pressure increased in association with cardiac catheterizations. Fevers were associated with coronary angiography and right and left heart catheterizations. Blood cultures were negative, and reactions did not correlate with amounts of con...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-93-1-32

    authors: Reyes MP,Ganguly S,Fowler M,Brown WJ,Gatmaitan BG,Friedman C,Lerner AM

    更新日期:1980-07-01 00:00:00

  • NIH conference. New insights into common variable immunodeficiency.

    abstract::Common variable immunodeficiency (CVI) is a heterogenous immunodeficiency syndrome characterized by hypogammaglobulinemia, recurrent bacterial infections, and various immunologic abnormalities. In addition to recurrent infections, patients with this syndrome also have an increased incidence of autoimmune disease and m...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-118-9-199305010-00011

    authors: Sneller MC,Strober W,Eisenstein E,Jaffe JS,Cunningham-Rundles C

    更新日期:1993-05-01 00:00:00

  • Prevention of intravascular catheter-related infections.

    abstract:PURPOSE:To review the literature on prevention of intravascular catheter-related infections. DATA SOURCES:The MEDLINE database, conference proceedings, and bibliographies of review articles and book chapters were searched for relevant articles. Primary authors were contacted directly if data were incomplete. STUDY SE...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,meta分析

    doi:10.7326/0003-4819-132-5-200003070-00009

    authors: Mermel LA

    更新日期:2000-03-07 00:00:00

  • The long-term therapeutic management of epilepsy.

    abstract:OBJECTIVE:To provide a rational strategy for the evaluation and long-term management of epilepsy. DATA SOURCES:Articles written between 1964 and 1993, obtained from a MEDLINE search on epilepsy-related topics as well as from the author's personal files, major reference books on antiepileptic drugs, and references iden...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-120-5-199403010-00010

    authors: French J

    更新日期:1994-03-01 00:00:00

  • Care of the Patient Using Cannabis.

    abstract::The past 2 decades have seen a revolution in legal access to cannabis, driven largely by activists and business interests. As a result, the population of cannabis users nationwide-especially daily users-has grown significantly. An estimated 4.5-7 million persons in the United States now meet criteria for cannabis use ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/AITC202011030

    authors: Williams AR,Hill KP

    更新日期:2020-11-03 00:00:00

  • Relapsing polychondritis.

    abstract::Relapsing polychondritis, an uncommon, chronic, multisystem disorder characterized by recurrent episodes of inflammation of cartilaginous tissues, can be life-threatening, debilitating, and difficult to diagnose. This review is based on the authors' experience with 36 patients with relapsing polychondritis who were fo...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-129-2-199807150-00011

    authors: Trentham DE,Le CH

    更新日期:1998-07-15 00:00:00

  • Hypomagnesemia and impaired parathyroid hormone secretion in chronic renal disease.

    abstract::Severe hypocalcemia secondary to magnesium depletion has been described in numerous patients with gastrointestinal disorders. The development of profound hypomagnesemia in chronic renal disease is a rare finding. We studied three patients with advanced renal failure and magnesium depletion. Severe hypocalcemia also wa...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-88-2-206

    authors: Mennes P,Rosenbaum R,Martin K,Slatopolsky E

    更新日期:1978-02-01 00:00:00

  • Sudden cardiac death: management of high-risk patients.

    abstract::Sudden cardiac death remains a leading cause of death in the United States, accounting for more than 350,000 deaths each year, and the survival rate of victims remains low. Most survivors face a significant risk for recurrence. The typical substrate is chronic--abnormal myocardium with fibrosis (often from previous my...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-114-6-499

    authors: Akhtar M,Garan H,Lehmann MH,Troup PJ

    更新日期:1991-03-15 00:00:00

  • In the clinic. Hypothyroidism.

    abstract::The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including PIER (Physicians' Information and Education Resource) and MKSAP (Medical Knowledge and Self Assessment Program). Annals of Internal Medicine editors develop In the Clinic f...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-151-11-200912010-01006

    authors: McDermott MT

    更新日期:2009-12-01 00:00:00

  • Prospective evaluation of cardiac risk indices for patients undergoing noncardiac surgery.

    abstract:BACKGROUND:Prediction of perioperative cardiac complications is important in the medical management of patients undergoing noncardiac surgery. Several indices have been developed to aid prediction, but their performance has not been systematically compared. OBJECTIVE:To compare four existing methods for predicting per...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.7326/0003-4819-133-5-200009050-00011

    authors: Gilbert K,Larocque BJ,Patrick LT

    更新日期:2000-09-05 00:00:00

  • Smoking cessation after acute myocardial infarction: effects of a nurse-managed intervention.

    abstract:STUDY OBJECTIVE:To determine the effect of a nurse-managed intervention for smoking cessation in patients who have had a myocardial infarction. DESIGN:Randomized, with a 6-month treatment period and a 6-month follow-up. SETTING:Kaiser Foundation hospitals in Redwood City, Santa Clara, Hayward, and San Jose, Californi...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.7326/0003-4819-113-2-118

    authors: Taylor CB,Houston-Miller N,Killen JD,DeBusk RF

    更新日期:1990-07-15 00:00:00

  • Association between medications that relax the lower esophageal sphincter and risk for esophageal adenocarcinoma.

    abstract:BACKGROUND:The incidence of esophageal adenocarcinoma is increasing rapidly. Gastroesophageal reflux is a strong risk factor for this disease. The increase in incidence of esophageal adenocarcinoma coincided with the introduction of medications that promote reflux by relaxing the lower esophageal sphincter (LES), such ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-133-3-200008010-00007

    authors: Lagergren J,Bergström R,Adami HO,Nyrén O

    更新日期:2000-08-01 00:00:00

  • Lymphomatoid papulosis: a T-cell dyscrasia with a propensity to transform into malignant lymphoma.

    abstract:OBJECTIVE:To describe the diagnostic difficulties, response to therapy, and clinical features of lymphomatoid papulosis and the cumulative frequency of transformation to lymphoma. DESIGN:Case series. SETTING:University hospitals. METHODS:The records of 21 patients with lymphomatoid papulosis who were seen from 1986 ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-122-3-199502010-00009

    authors: Cabanillas F,Armitage J,Pugh WC,Weisenburger D,Duvic M

    更新日期:1995-02-01 00:00:00

  • Community-based urine screening for Chlamydia trachomatis with a ligase chain reaction assay.

    abstract:BACKGROUND:Urine tests for Chlamydia trachomatis permit expansion of screening beyond traditional clinic environments. Prevention of infection in teenagers is a high priority. OBJECTIVE:To define the prevalence of C. trachomatis among teenagers by using the ligase chain reaction assay on urine specimens and to evaluat...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-127-9-199711010-00004

    authors: Marrazzo JM,White CL,Krekeler B,Celum CL,Lafferty WE,Stamm WE,Handsfield HH

    更新日期:1997-11-01 00:00:00

  • Test performance of positron emission tomography and computed tomography for mediastinal staging in patients with non-small-cell lung cancer: a meta-analysis.

    abstract:PURPOSE:To compare the diagnostic accuracy of computed tomography (CT) and positron emission tomography (PET) with 18-fluorodeoxyglucose (FDG) for mediastinal staging in patients with non-small-cell lung cancer and to determine whether test results are conditionally dependent (the sensitivity and specificity of FDG-PET...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.7326/0003-4819-139-11-200311180-00013

    authors: Gould MK,Kuschner WG,Rydzak CE,Maclean CC,Demas AN,Shigemitsu H,Chan JK,Owens DK

    更新日期:2003-12-02 00:00:00

  • Healing skills for medical practice.

    abstract::It is well recognized that physicians' relationships with their patients can have healing effects, but the skills in this area of medical practice are understudied. This article reports on research designed to identify a core set of healing skills. The authors interviewed 50 practitioners, who were identified by their...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-149-10-200811180-00006

    authors: Churchill LR,Schenck D

    更新日期:2008-11-18 00:00:00

  • "Unexplained" somatic symptoms, functional syndromes, and somatization: do we need a paradigm shift?

    abstract::Medically unexplained functional or somatization symptoms are somatic disorders that are not adequately explained by physical disease processes. The way in which these disorders have been understood and managed has varied over the history of medicine. However, only in the past 100 years has the "mental" explanation pr...

    journal_title:Annals of internal medicine

    pub_type: 历史文章,杂志文章,评审

    doi:10.7326/0003-4819-134-9_part_2-200105011-00018

    authors: Sharpe M,Carson A

    更新日期:2001-05-01 00:00:00

  • Plasma high-density lipoproteins and ischemic heart disease: studies in a large kindred with familial hypercholesterolemia.

    abstract::The expression of ischemic heart disease was studied in a large kindred with familial hypercholesterolemia. Tendon xanthomas, multiple generation transmission, and the appearance of bimodality in the distributions of total and low-density lipoprotein cholesterol were found. The segregation ratio was 0.9 in females and...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-89-6-871

    authors: Streja D,Steiner G,Kwiterovich PO Jr

    更新日期:1978-12-01 00:00:00

  • Exogenous insulin administration and cardiovascular risk in non-insulin-dependent and insulin-dependent diabetes mellitus.

    abstract:PURPOSE:It is currently unknown whether intensive insulin treatment of diabetes decreases the risk for cardiovascular complications by lowering glucose levels or increases the risk by postulated direct atherogenic effects. This article reviews published data from two long-term, randomized clinical trials that compared ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,meta分析

    doi:10.7326/0003-4819-124-1_part_2-199601011-00005

    authors: Genuth S

    更新日期:1996-01-01 00:00:00

  • Cholesterol agonistics.

    abstract::Considerable evidence links elevated blood cholesterol levels to the development of atherosclerosis. The National Cholesterol Education Program (NCEP) has recently published revised guidelines for detecting and treating hypercholesterolemia in adults. Included in these guidelines is the recommendation that all adults ...

    journal_title:Annals of internal medicine

    pub_type: 评论,杂志文章,评审

    doi:10.7326/0003-4819-124-5-199603010-00008

    authors: LaRosa JC

    更新日期:1996-03-01 00:00:00

  • The clinical behavior of localized and multicentric Castleman disease.

    abstract:BACKGROUND:Castleman disease, an unusual condition of unknown cause consisting of a massive proliferation of lymphoid tissue, remains a clinicopathologic diagnosis. Three histologic variants (hyaline vascular, plasma-cell, and mixed) and two clinical types (localized and multicentric) of Castleman disease have been des...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-128-8-199804150-00010

    authors: Herrada J,Cabanillas F,Rice L,Manning J,Pugh W

    更新日期:1998-04-15 00:00:00