Source:http://linkedlifedata.com/resource/pubmed/id/10713868
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
2000-4-7
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pubmed:abstractText |
A prospective multicentre pilot study was undertaken in 20 Italian hospitals to assess the influence of a routine pre-operative chest radiograph on anaesthetic management and to characterise which patients might benefit from it. A total of 6111 patients undergoing elective surgery and submitted for routine pre-operative chest radiograph were enrolled. Abnormal preoperative chest radiographs were reported in 1116 patients (18.3%). Pre-operative chest radiograph altered the anaesthetic management (i.e. useful pre-operative chest radiograph) in 313 patients (5.1%). Male sex, age > 60 years, ASA classes > or = 3, respiratory diseases, and the presence of two or more co-existing diseases were significantly related to the probability of a useful pre-operative chest radiograph using multivariate analysis (P < 0.01). The classification of the surgical intervention and, of the co-existing diseases, the presence of cardiac disease had a very low influence when determining the probability that a pre-operative chest radiograph would be useful. A simple equation includes the effects of all the variables studied and allows calculation of the probability of a useful pre-operative chest radiograph. This study indicates that in healthy, female, < or = 60-year-old patients, submitted for standard surgery, the probability of a useful pre-operative chest radiograph ranges from 0.2% to 3.5% according to the hospital. The probability increases in male or elderly subjects, or in the presence of co-existing respiratory diseases, or in ASA classes > or = 3, but there is a wide variation between hospitals.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0265-0215
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
16
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
749-60
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:10713868-Anesthesia, Inhalation,
pubmed-meshheading:10713868-Female,
pubmed-meshheading:10713868-Humans,
pubmed-meshheading:10713868-Italy,
pubmed-meshheading:10713868-Logistic Models,
pubmed-meshheading:10713868-Male,
pubmed-meshheading:10713868-Middle Aged,
pubmed-meshheading:10713868-Multivariate Analysis,
pubmed-meshheading:10713868-Pilot Projects,
pubmed-meshheading:10713868-Preoperative Care,
pubmed-meshheading:10713868-Prospective Studies,
pubmed-meshheading:10713868-Radiography, Thoracic,
pubmed-meshheading:10713868-Risk Factors
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pubmed:year |
1999
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pubmed:articleTitle |
Usefulness of routine pre-operative chest radiography for anaesthetic management: a prospective multicentre pilot study.
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pubmed:affiliation |
Department of Anaesthesia and Intensive Care, Cattinara Hospital.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Multicenter Study
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