Abstract:
:In an effort to characterize the effectiveness of cardiology consultation, the outcomes of consultants' recommendations for diagnostic actions and cardiac drugs were quantitatively examined in 394 cases. Drug recommendations were made more frequently (49 percent) than diagnostic recommendations (38 percent) and were associated with a higher rate of concordance (82 percent to 64 percent). Recommendations to start therapy with a drug, especially an antihypertensive or an antianginal, were associated with a lower concordance rate than recommendations to continue or discontinue drug therapy. Consultees' responses to recommendations for diagnostic action did not vary significantly according to the type of action suggested. Nonconcordance with diagnostic suggestions was particularly high when a service made a large number of consult requests. Concordance was increased if the consultant left a follow-up note. Consultees' responses to drug and diagnostic recommendations were independent of one another. The study represents the first systematic assessment of cardiology consultation activities and provides a methodology for subsequent studies.
journal_name
Chestjournal_title
Chestauthors
Mackenzie TB,Popkin MK,Callies AL,Jorgensen CR,Cohn JNdoi
10.1378/chest.79.1.16subject
Has Abstractpub_date
1981-01-01 00:00:00pages
16-22issue
1eissn
0012-3692issn
1931-3543pii
S0012-3692(16)61524-6journal_volume
79pub_type
杂志文章相关文献
CHEST文献大全abstract:STUDY OBJECTIVE:Lung transplantation is now available for patients with cystic fibrosis (CF) and end-stage lung disease. While pulmonary graft function is often considered the major priority following transplantation, the nonpulmonary complications of this systemic disease also continue. We examined the GI complication...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.123.1.37
更新日期:2003-01-01 00:00:00
abstract::A 55-year-old woman had bilateral hilar lymphadenopathy and retinouveitis. Microscopic examination of a biopsy specimen from a mediastinal lymph node revealed noncaseating epithelioid cell granulomas. Since granulomatous diseases of infectious origin and sarcoid reaction were reasonably excluded, she was diagnosed as ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.95.1.228
更新日期:1989-01-01 00:00:00
abstract::Simultaneous hemodynamic and blood gas measurements were performed in 26 hypertensive adults, who were cigarette smokers, before and after a 30-minute infusion of saralasin (5 microgram/kg/min) which is a highly specific competitive antagonist of angiotensin II (AII). The arterial pressure fell in nine, rose in seven ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.75.4.492
更新日期:1979-04-01 00:00:00
abstract::Pulmonary rejection and infection are the most important complications after lung transplantation. To evaluate the diagnostic value of pulmonary function testing for early detection and discrimination of these complications, seven heart-lung recipients were examined. The diagnosis of each complication was confirmed by...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.102.3.864
更新日期:1992-09-01 00:00:00
abstract::Severe head injury often results in hypoxemia, but the pathophysiology of this phenomenon is unclear. We studied 24 patients hospitalized after severe head injury to determine whether the abnormality of oxygen transfer as measured by venous admixture (Qs/Qt) was associated with a reduction in functional residual capac...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.84.1.29
更新日期:1983-07-01 00:00:00
abstract::Patients with cystic fibrosis (CF) and advanced pulmonary disease have pulmonary limitation of exercise, often associated with arterial oxygen desaturation. Improving oxygenation during exercise by providing supplemental oxygen may improve exercise performance in these patients. To test this, we performed graded exerc...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.101.1.52
更新日期:1992-01-01 00:00:00
abstract:BACKGROUND:While the complexity of flexible bronchoscopy has increased, standard options for moderate sedation medications have not changed in three decades. There is a need to improve moderate sedation while maintaining safety. Remimazolam was developed to address shortcomings of current sedation strategies. METHODS:...
journal_title:Chest
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.chest.2018.09.015
更新日期:2019-01-01 00:00:00
abstract::Occupational exposure to aerosolized pentamidine has raised questions regarding transmission of tuberculosis and the effect of the drug itself. To estimate the exposure of a health care worker, we measured the ambient concentration of aerosolized pentamidine in field conditions in 36 m3 unventilated treatment room. Th...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.98.2.386
更新日期:1990-08-01 00:00:00
abstract::Colloid osmotic pressure (COP) was measured serially in 81 critically ill neonates with hyaline membrane disease (HMD) during the first five days of life, and these changes were correlated with the birth weight, gestational age, serum protein level, clinical status, and outcome. Colloid osmotic pressure correlated bet...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.83.5.776
更新日期:1983-05-01 00:00:00
abstract::A patient with ventricular inversion with normally related great vessels and double inlet left ventricle is presented. the patient also showed features of Down's syndrome. Association of ventricular inversion with normally related great vessels is rare and leads to a basic functional state like that of complete transp...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.67.1.98
更新日期:1975-01-01 00:00:00
abstract::Improved airway resistance following bronchodilator inhalation is not always accompanied by improvement in forced expiratory flow. We studied 241 patients with airways obstruction to learn whether changes in static lung volumes (vital capacity and function residual capacity measured by body plethysmography [FRCB]) wou...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.76.6.622
更新日期:1979-12-01 00:00:00
abstract::Takayasu's arteritis is a vasculitis characterized by inflammation and obliteration of large- and medium-sized arteries and has not been previously associated with interstitial pulmonary fibrosis. A patient with Takayasu's arteritis was shown to have interstitial pulmonary fibrosis and mesangial glomerulonephritis, su...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.89.4.605
更新日期:1986-04-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to examine the relationship between respiratory symptom intensity and quality and dynamic lung hyperinflation (DH) during induced bronchoconstriction in asthma. PATIENTS AND METHODS:Subjects with asthma (n = 116) underwent baseline spirometry and lung volume measurement follow...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.130.4.1072
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVE:To produce an improved, COPD-specific version of the St. George respiratory questionnaire (SGRQ-C). METHODS:Five different steps were required: (1) Rasch analysis of the responses of 893 COPD patients to the St. George respiratory questionnaire (SGRQ) identified weaker items to be removed; (2) a scoring algo...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.06-0702
更新日期:2007-08-01 00:00:00
abstract:STUDY OBJECTIVES:Autopsy evaluation of tracheobronchomalacia (TBM) in patients with Duchenne muscular dystrophy (DMD) who were receiving long-term ventilation through uncuffed tracheostomies. DESIGN:Necropsies were performed in seven patients with DMD who had received positive-pressure ventilation through uncuffed tra...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.123.4.1307
更新日期:2003-04-01 00:00:00
abstract::Antiphospholipid syndrome is an autoimmune disorder characterized by a hypercoagulable state, leading to arterial and venous thrombosis. We present a 23-year-old patient, suspected of having Budd-Chiari syndrome due to antiphospholipid syndrome, who developed severe and progressive hypoxemia, requiring prolonged mecha...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.13-2879
更新日期:2014-11-01 00:00:00
abstract::Solitary extramedullary plasmacytomas are uncommon neoplasms. They occur most frequently in the upper aerodigestive tract and account for 4% of the nonepithelial tumors in this site. The evolution of a plasmacytoma is unsteady and symptoms at presentation have included dystonia, dysphagia, oral pain, cough, and dyspne...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.109.6.1657
更新日期:1996-06-01 00:00:00
abstract::This study was designed to determine if there is residual airflow obstruction and/or airway hyperresponsiveness in adults with symptomatic asthma remission, and if age at remission or its duration influence these parameters. We studied 30 subjects, (20 men, 10 women, 28 atopics, aged 18 to 61 years; mean, 32 years) wi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.105.4.1024
更新日期:1994-04-01 00:00:00
abstract:BACKGROUND:The relationships among systolic pulmonary artery pressure (SPAP), diastolic pulmonary artery pressure (DPAP), and mean pulmonary artery pressure (MPAP) have been found to be constant in humans breathing air, at rest, while supine. It would be important for those studying the pulmonary circulation if this re...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.07-1367
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:An evidence-based approach is necessary for the localization and management of intraepithelial and microinvasive non-small cell lung cancer in the central airways. METHODS:Material appropriate to this topic was obtained by literature search of a computerized database. Recommendations were developed by the w...
journal_title:Chest
pub_type: 杂志文章,实务指引
doi:10.1378/chest.07-1377
更新日期:2007-09-01 00:00:00
abstract::The tendency toward "either/or" thinking (either cure or comfort) in traditional biomedical care paradigms does little to optimize care in advancing chronic illness. Calls for improved palliation in chronic lung disease mandate a review of related care gaps and current clinical practices. Although specialist palliativ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.14-2593
更新日期:2015-09-01 00:00:00
abstract::Atrial fibrillation remains a common and challenging problem following cardiac surgery. The American College of Chest Physicians, through the Health and Science Policy Committee, established a panel to develop a set of clinical practice guidelines for the management or prophylaxis of atrial fibrillation or flutter in ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.2_suppl.17s
更新日期:2005-08-01 00:00:00
abstract:BACKGROUND:Balloon pulmonary angioplasty (BPA) in chronic thromboembolic pulmonary hypertension (CTEPH) improves hemodynamics and exercise capacity. However, its effect on respiratory function is unclear. Our objective was to investigate the effect of BPA on respiratory function. METHODS:We enrolled patients with inop...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2016.10.002
更新日期:2017-03-01 00:00:00
abstract:STUDY OBJECTIVES:To determine whether an association exists between aortic calcification viewed on plain chest radiography and coronary artery disease. METHODS:Retrospective review of all chest radiographs obtained from consecutive patients undergoing coronary angiography at a primary cardiac center during 1999. Plain...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.121.5.1468
更新日期:2002-05-01 00:00:00
abstract::Spontaneous echo contrast is uncommon in pericardial effusion. We report the case of a patient with massive malignant pericardial effusion causing cardiac tamponade in which the intense spontaneous echo contrast was found in the effusion by echocardiography. It was suggested that both the heavy blood content and a lar...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.103.5.1600
更新日期:1993-05-01 00:00:00
abstract::Measurement of lung volumes is an integral part of complete pulmonary function testing. Some lung volumes can be measured during spirometry; however, measurement of the residual volume (RV), functional residual capacity (FRC), and total lung capacity (TLC) requires special techniques. FRC is typically measured by one ...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.11-2964
更新日期:2012-08-01 00:00:00
abstract::The aim of the study was to compare (1) the intensity of leg effort and dyspnea during exercise and (2) subjective limitations to performance in normal subjects, patients receiving medication for cardiac disorders, patients with pulmonary impairment, patients with pulmonary impairment who were also receiving cardiac m...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.110.5.1255
更新日期:1996-11-01 00:00:00
abstract:BACKGROUND:The coronavirus disease 2019 (COVID-19) pandemic has severely affected ICUs and critical care health-care providers (HCPs) worldwide. RESEARCH QUESTION:How do regional differences and perceived lack of ICU resources affect critical care resource use and the well-being of HCPs? STUDY DESIGN AND METHODS:Betw...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2020.09.070
更新日期:2020-09-11 00:00:00
abstract::It has been demonstrated that total parenteral nutrition (TPN) results in increased O2 consumption (VO2), CO2 production (VCO2) and minute ventilation (VE). TPN consists of a mixture of glucose and amino acids. The individual role of each of these nutrients in mediating these changes has not been well established. To ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.88.4.512
更新日期:1985-10-01 00:00:00
abstract:BACKGROUND:Lung transplantation is a good therapeutic option for end-stage lung disease. Data on thromboembolic complications following lung transplantation are scarce. STUDY OBJECTIVES:To evaluate the incidence of thromboembolic events following lung transplantation, and to determine their possible association with h...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.129.2.412
更新日期:2006-02-01 00:00:00