当前位置： SCI文献检索 > REVISTA MEDICA DE CHILE期刊下所有文献 > [Predictive value of history and physical examination for the diagnosis of community-acquired pneumonia in adults].

[Predictive value of history and physical examination for the diagnosis of community-acquired pneumonia in adults].

Abstract：

BACKGROUND:Community-acquired pneumonia in adults is a serious health problem in the ambulatory care setting. AIM:To define clinical variables associated with the presence of pneumonia in adult patients presenting with fever or respiratory symptoms to the emergency department. MATERIAL AND METHODS:Prospective study carried out in the emergency department from the Catholic University Hospital in Santiago, Chile. Three hundred twenty-five patients (53+/-22 years) presenting fever or acute respiratory symptoms were included. After obtaining a clinical history and physical examination, the physician established a tentative diagnosis. Subsequently, a definitive diagnosis was made with the chest X rays. RESULTS:Thirty-four percent of the patients had pneumonia. The clinical diagnosis of pneumonia before X-ray examination was variable among emergency physicians (positive likelihood ratio: 1.5-4.8) and showed only moderate sensitivity (79%) and specificity (66%). The clinical variables significantly associated with the presence of pneumonia were: advanced age (over 75 years), cardiovascular disease, fever, chills, sputum production, orthopnea, altered mental status, cyanosis, dullness on percussion, bronchial breath sounds, crackles, any abnormal vital sign (heart rate>or=100 beats/min, respiratory rate>or=20 breaths/min or temperature>or=38 degrees C) and oxygen saturation below 90% breathing air. CONCLUSIONS:Clinical judgment prior to observation of chest X rays had moderate sensitivity and specificity for the diagnosis of pneumonia. There were no individual clinical findings, or combination of findings, that could confirm or exclude the diagnosis of pneumonia for a patient suspected of having this illness.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Saldías P F,Cabrera T D,de Solminihac L I,Hernández A P,Gederlini G A,Díaz F A

doi

10.4067/s0034-98872007000200001

subject

Has Abstract

pub_date

2007-02-01 00:00:00

pages

143-52

issue

2

eissn

0034-9887

issn

0717-6163

pii

S0034-98872007000200001

journal_volume

135

pub_type

杂志文章

相关文献

REVISTA MEDICA DE CHILE文献大全
  • [Reference values for the 6-minutes walking test in healthy subjects 20-80 years old].

    abstract：BACKGROUND:the six minute walking distance test (6MWD) is widely used to evaluate exercise capacity in several diseases due to its simplicity and low cost. AIM:to establish reference values for 6MWD in healthy Chilean individuals. MATERIAL AND METHODS:we studied 175 healthy volunteers aged 20-80 years (98 women) with...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：/S0034-98872010000900006

    authors： Osses A R,Yáñez V J,Barría P P,Palacios M S,Dreyse D J,Díaz P O,Lisboa B C

    更新日期：2010-09-01 00:00:00

  • [Posterior reversible encephalopathy as the first manifestation of Guillain-Barré syndrome. Report of one case].

    abstract：BACKGROUND:We report a 56 year old male hypertensive, who presented with a posterior reversible encephalopathy syndrome (PRES) as an initial manifestation of Guillain-Barré syndrome (GBS). His first symptoms were right hemiparesis and hemihypoesthesia, followed by headache, dizziness, dysarthria and a general feeling o...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/S0034-98872012001000012

    authors： Urrutia L S,Venegas R E,Figueroa V C,Carrizo C C

    更新日期：2012-10-01 00:00:00

  • [Structured clinical examinations with simulated patients during internal medicine clerkship].

    abstract：BACKGROUND:Practice is essential in clinical training and can be carried out with simulations. The medical school of the University of Chile performs Objective Structured Clinical Examinations (OSCE) using standardized simulated patients for interns. AIM:To report the experience with OSCE in an environment with a high...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/S0034-98872020000600810

    authors： Bozzo Navarrete S,Arancibia Salvo C,Contreras Reyes D,Pérez González L

    更新日期：2020-06-01 00:00:00

  • [Colonic perforation secondary to ileocecal tuberculosis. Report of one case].

    abstract：:We report a 44 years old male, presenting with an eight months history of right lower quadrant pain, diarrhea and weight loss. Colonoscopy showed a proliferative and ulcerated lesion in the cecum, with necrotic areas. Barium enema showed an extensive irregular stenosis with rigidity of cecum and ascending colon. The e...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Bannura G,Valencia C,Fernández W

    更新日期：1999-06-01 00:00:00

  • [Cultural and trivial knowledge among Chilean university students].

    abstract：BACKGROUND:Culture is defined by the Webster's dictionary as acquaintance with and taste in fine arts, humanities, and broad aspects of science as distinguished from vocational and technical skills. AIM:To assess the general cultural knowledge of university students. MATERIAL AND METHODS:A test containing 58 question...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：/S0034-98872010000300005

    authors： Vargas C NA,Pinochet T D,Juárez E P

    更新日期：2010-03-01 00:00:00

  • [Subcortical dementia in HTLV-I tropical spastic paraparesis. Study of 43 cases].

    abstract：BACKGROUND:Central nervous system damage associated to HTLV-I does not limit itself to the spinal cord, but also involves subcortical structures, producing cognitive impairment and behavioral changes which eventually could conform a new form of subcortical dementia. AIM:To study cognitive changes in patients with HTLV...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Cartier L,Gormaz A

    更新日期：1999-04-01 00:00:00

  • [Subcorneal pustular dermatosis: report of one case].

    abstract：BACKGROUND:We report a 35-year-old female patient with a one year history of a pustular and painful erythematous dermatitis, located in great folds, pubis and abdomen. She was evaluated in primary health care, receiving antifungal treatment, antimicrobials, topical and systemic non-steroidal anti-inflammatory drugs, wi...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章,评审

    doi：10.4067/S0034-98872012000500012

    authors： Valenzuela Y,Ramírez C,Bellolio E

    更新日期：2012-05-01 00:00:00

  • [Risk factors for non communicable chronic diseases among workers of a financial company].

    abstract：BACKGROUND:The epidemic of cardiovascular diseases in Chile, requires the development of strategies in health promotion and prevention. AIM:To assess the prevalence of risk factors for chronic non communicable diseases among workers of a financial company in Metropolitan Santiago. MATERIAL AND METHODS:Assessment of 2...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/s0034-98872005000800008

    authors： Fagalde Mdel P,del Solar JA,Guerrero M,Atalah E

    更新日期：2005-08-01 00:00:00

  • [Human papilloma virus (HPV) typing in preneoplastic and neoplastic lesions of the uterine cervix in the IX region-Chile].

    abstract：BACKGROUND:Uterine cervical cancer (UCC) is an important public health problem in Chile. Although HPV infection has been established as the main cause of UCC, little is known of its frequency and distribution in our population. AIM:To determine the presence and frequency of viral genotypes in uterine cervical specimen...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Melo A,Montenegro S,Hooper T,Capurro I,Roa JC,Roa I

    更新日期：2003-12-01 00:00:00

  • [Application of a system of serological surveillance of Chagas disease in a region of high chagasic endemia. I. Prevalence of Trypanosoma cruzi infection in Salamanca].

    abstract：:A serologic study for prevalence of Chagas infection was performed in Salamanca, Northern Chile. Indirect immunofluorescence and indirect hemagglutination reactions were used in samples from 1529 females and 698 males representing 10% of the population. A total of 499 positive results were obtained. The incidence of i...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Lorca M,Reyes V,Muñoz P,Tassara R,Canales M,Mercado R,Atías A

    更新日期：1991-04-01 00:00:00

  • [Acute severe pancreatitis. Analysis of mortality and morbidity].

    abstract：:Sixty-three patients with severe acute pancreatitis have been studied. Pancreatitis was associated with biliary tract disease in 23 patients (36.5%) and with alcoholism in 21 (33.3%). It occurred post-operatively in 9, and was associated with other conditions in 10. We evaluated the Ranson prognostic signs (RPS) with ...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Martínez J,Zúñiga A,Guzmán S,Llanos O,Rahmer A,Troncoso P,Escobar M

    更新日期：1991-06-01 00:00:00

  • [Legalization of medically assisted death: its potential impact on the development of palliative care].

    abstract：:In Chile, there are four bills to legalize euthanasia, an act which public surveys report as supported by most of the population. At the legislative, healthcare and social level, there is an active debate about euthanasia, the rights of terminally ill patients and the context of Palliative Care (PC) in the country. Ch...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/S0034-98872020000500665

    authors： Dittborn B M,Micolich V C

    更新日期：2020-05-01 00:00:00

  • [HIV infection: recommendations for the management of asymptomatic adults and of various clinical syndromes].

    abstract：:This paper presents recommendations on the care of HIV infected adults based upon the authors' personal experience with close to 700 patients in a multiprofessional pilot center. This medical care has 5 main objectives: 1) Promotion of good health (through standard recommendation of hygiene, health habits and regular ...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章,评审

    doi：

    authors： Wolff M,Northland R

    更新日期：1996-08-01 00:00:00

  • [The value of cerebral biopsy in patients with AIDS and extensive cerebral lesions].

    abstract：:We performed cerebral biopsy in 4 patients with AIDS and evidence of expanding intracerebral lesions. Three patients had cerebral toxoplasmosis and the fourth had Chagas encephalitis. No patient developed complications. We feel that cerebral biopsy is warranted and safe in patients with AIDS and intracerebral lesions ...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Torrealba G,Acuña G,Tagle P,Tapia J,Huete I

    更新日期：1990-12-01 00:00:00

  • [Prevalence of psychiatric disorders in men and women hospitalized in a internal medicine service of a hospital of Santiago, Chile].

    abstract：BACKGROUND:Mental disorders may interfere, aggravate or mimic medical conditions. AIM:To study the prevalence of psychiatric disorders among patients hospitalized in a medical ward of a general hospital. PATIENTS AND METHODS:A structured interview for DSM-III, devised for "non patients", was applied to 203 men and 20...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Hernández G,Ibáñez C,Kimelman M,Orellana G,Montino O,Núñez C

    更新日期：2001-11-01 00:00:00

  • [Evolutionary perspective of eating disorders].

    abstract：BACKGROUND:Evolutionary theory has contributed with physiological, psychological and behavioral explanations to the comprehension and treatment of eating disorders (ED). The aim of this review is to analyze the relationship between ED and the attachment theory and natural selection based hypotheses (famine flight, repr...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章,评审

    doi：10.4067/S0034-98872012000400015

    authors： Behar A R

    更新日期：2012-04-01 00:00:00

  • [Effects of smoking on plasma antimüllerian hormone concentrations among infertile women].

    abstract：BACKGROUND:Smoking may hamper female fertility, probably modifying ovarian reserve. Antimüllerian hormone (AMH) is an accurate marker for ovarian reserve. AIM:To look for an association between smoking status and plasma AMH concentration. PATIENTS AND METHODS:A cohort of 141 infertile women in a university setting in...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/S0034-98872013000100003

    authors： Fuentes A,Escalona J,Céspedes P,Repetto V,Iñiguez G

    更新日期：2013-01-01 00:00:00

  • [Reference values of growth hormone binding protein (GHBP) for a normal pediatric population].

    abstract：UNLABELLED:Circulating concentrations of the high affinity growth hormone binding protein (GHBP) may be a marker of GH receptor density as well as GH sensitivity. GOAL:To determine values of GHBP for a normal Chilean pediatric population. METHODS:We determined GHBP levels in 73 males and 73 females between 4 to 15.5 ...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Salazar TE,Méricq MV,Espinoza M,Iñiguez G,de Carvallo P,Cassorla F

    更新日期：2001-04-01 00:00:00

  • [Significance of Helicobacter pylori infection in the pathogenesis and natural history of peptic ulcer].

    abstract：:Recent studies strongly suggest that Helicobacter pylori might have a significant role in the pathogenesis and rate of recurrence of peptic duodenal ulcer. Various factors, such as the existence of ulcerogenic strains of the bacteria and susceptible subjects, might explain the fact that not more than 10% of the patien...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Accatino L

    更新日期：1993-01-01 00:00:00

  • [Cervical polyadenopathy due to Kikuchi and Fujimoto disease].

    abstract：:Kikuchi and Fujimoto disease is a benign subacute necrotizing lymphadenitis, probably associated to a viral infection, that affects mostly young Asian women. We report a 19 years old women, with a vast familiar history of thyroid disease (three uncles with papillary thyroid carcinoma and one with a Hashimoto thyroidit...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： López JM,Alvarez M,Cárdenas IE,Gallegos M

    更新日期：1997-03-01 00:00:00

  • [Laugier-Hunziker syndrome in a patient with Sjögren’s syndrome: Report of one case].

    abstract：:Laugier-Hunziker syndrome is a rare benign idiopathic condition characterized by acquired macular pigmentation of lips and buccal mucosa, often accompanied with melanonychia. The main concern with this condition is to rule out other differential diagnosis with systemic repercussions and similar hyperpigmentation patte...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/S0034-98872016000500017

    authors： Fajre X,Aspillaga M,McNab M,Navarrete J,Sanhueza V,Benedetto J

    更新日期：2016-05-01 00:00:00

  • [Community acquired pneumonia in a hospitalized community: etiological study].

    abstract：BACKGROUND:Community-acquired pneumonia (CAP) that requires hospitalization, is a common and serious disease. A permanent assessment in specialized centers, to define therapeutic guidelines according to local epidemiological factors, is mandatory. AIM:To study the etiology of CAP requiring hospital admission. PATIENT...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Fernández M,Zagolin M,Ruiz M,Martínez MA,Díaz JC

    更新日期：2003-05-01 00:00:00

  • [Causes of blindness and disability pensions in the eastern metropolitan area of Santiago].

    abstract：:Between June 1983 and September 1987, 2799 disability pensions were given in the East Santiago Area, population 676,269. Of them, 222 (7.9%) were due to ophthalmological causes. Blindness as defined by the WHO was present in 57 cases. It was caused by myopia (33%), glaucoma (21%), diabetic retinopathy (9.8%), retinal ...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Schweikart A,Charlin R,Stoppel J,Jara R,Maul de la Puente E

    更新日期：1991-05-01 00:00:00

  • [Prevention and treatment of obesity since childhood: strategy to decrease the non transmissible chronic diseases in adult].

    abstract：:The prevalence of obesity among children and teenagers is increasing by 1.5% per year, probably due to a higher consumption of highly caloric foods and to physical inactivity. Hypercholesterolemia, increased insulin levels and high blood pressure of childhood obesity, precede atherosclerosis, coronary artery disease, ...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章,评审

    doi：

    authors： Burrows R

    更新日期：2000-01-01 00:00:00

  • [KRAS gene mutation in colorectal cancer].

    abstract：BACKGROUND:KRAS oncogene is involved in colorectal carcinogenesis in 22 to 45% of cases. AIM:To determine the frequency, types and distribution of KRAS mutations in colorectal cancer. MATERIAL AND METHODS:KRAS mutations studies were carried out in primary tumors and metastases of colo-rectal cancer from 56 women aged...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/S0034-98872013000900009

    authors： Roa I,Sánchez T,Majlis A,Schalper K

    更新日期：2013-09-01 00:00:00

  • [Commercial reagents in the diagnosis of Chagas' disease].

    abstract：:The great diversity of commercially available products for the serologic diagnosis of Chagas disease led us to conduct a study of these products in comparison with the indirect immunofluorescence test. Percent agreement between methods ranged from 79 to 100%, the details for each product being given in the text. Bette...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Astorga B,Herskovic P

    更新日期：1990-10-01 00:00:00

  • [Prevalence of obesity among Chilean women in childbearing ages].

    abstract：BACKGROUND:Women in childbearing ages (WCBA) represent a strategic intervention group to reverse the global trend of increasing obesity. AIM:To conduct a review of studies reporting obesity prevalence in WCBA in Chile in the last 25 years. MATERIAL AND METHODS:To describe obesity prevalence, we used three approaches,...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章,评审

    doi：10.4067/S0034-98872014001100011

    authors： Araya B M,Padilla O,Garmendia ML,Atalah E,Uauy R

    更新日期：2014-11-01 00:00:00

  • [Psychiatric diagnosis: label, disorder, comorbidity].

    abstract：:This editorial emphasizes the descriptive character of two of the most widely employed psychiatric diagnostic systems currently in use: DSM-IV and ICD-10. While they cannot be deemed atheoretical, they strive for neutrality and propose a nomenclature devoid of derogatory connotations. It is contended that the lowered ...

    journal_title：Revista medica de Chile

    pub_type： 社论

    doi：

    authors： Stepke FL

    更新日期：2000-07-01 00:00:00

  • [Predictive value of clinical features and nocturnal oximetry for the detection of obstructive sleep apnea syndrome].

    abstract：BACKGROUND:Obstructive sleep apnea syndrome (OSA) is an important cause of morbidity and mortality in adults. AIM:To evaluate the diagnostic value of clinical features and oximetric data to screen for obstructive sleep apnea before performing polysomnograpy or respiratory polygraphy. MATERIAL AND METHODS:We studied 3...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：/S0034-98872010000800001

    authors： Saldías P F,Jorquera A J,Díaz P O

    更新日期：2010-08-01 00:00:00

  • [Etiology and biomarkers of systemic inflammation in mild to moderate COPD exacerbations].

    abstract：BACKGROUND:The etiology of acute exacerbations of chronic obstructive pulmonary disease (COPD) is heterogeneous and still under discussion. Inflammation increases during exacerbation of COPD. The identification of inflammatory changes will increase our knowledge and potentially guide therapy. AIM:To identify which inf...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：/S0034-98872012000100002

    authors： Saldías PF,Díaz PO,Dreyse DJ,Gaggero BA,Sandoval AC,Lisboa BC

    更新日期：2012-01-01 00:00:00