Chest
Clinical InvestigationsEfficacy of Chest Radiography in a Respiratory Intensive Care Unit: A Prospective Study
Section snippets
Materials and Methods
The Intermountain Respiratory Intensive Care Unit (IRICU) at LDS Hospital is a three-bed primary and referral facility staffed with onsite residents and pulmonary fellows and oncall pulmonary intensivists. The IRICU is designed to treat patients in whom the primary threat to life is respiratory or ventilatory failure. The most frequent clinical problems encountered in this setting include adult respiratory distress syndrome, pneumonia, pulmonary embolism, chronic obstructive pulmonary disease
Results
Thirteen-hundred and fifty-four technically adequate chest radiographic films of 167 patients were analyzed from November, 1980 to January, 1983. One-hundred and twenty-two (9 percent) were repeated because they were judged to be technically inadequate for interpretation due to motion, improper exposure, or inadequate patient positioning. All those repeated were judged to be adequate for interpretation. One-hundred and twenty-five others were deleted from the data base due to incomplete data
Discussion
The use of routine screening chest radiography for detection of lung cancer10, tuberculosis11, or other cardiopulmonary diseases12 has been demonstrated to be of little use in asymptomatic individuals. Similarly, routine radiographic chest examination was found to have a low yield of abnormalities in patients without suspected chest diseases1, as well as in young patients with acute chest complaints but no hemoptysis or abnormality on physical examination2. The increasing cost of medical care
ACKNOWLEDGMENTS
The authors thank the nursing staff of the Intermountain Respiratory Intensive Care Unit and the pulmonary fellows of the University of Utah. We also thank Jerri Duncan-Goff for assistance in preparation of the manuscript.
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Dr. Bekemeyer was a research fellow of the American Lung Association at the time these studies were done.
Presented in part at the 50th Annual Scientific Assembly, American College of Chest Physicians, Dallas, October 8-12, 1984.
Manuscript received December 14; revision accepted May 7.