This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (57)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Lloyd Rucker, MD; Elizabeth B. Frye, MD; Myrlene A. Staten, MD

JAMA. 1983;250(23):3209-3211.

Abstract
We proposed that clinical criteria could define a group of patients very unlikely to have abnormal preoperative chest roentgenograms. Nine hundred five surgical admissions were screened for the presence of clinical factors we thought would make those patients more likely to have abnormal preoperative chest roentgenograms. Of these, 368 had no risk factors. One patient (0.3%) of the 368 had an abnormal x-ray film, which did not affect the surgery. No material abnormalities were found in the remainder of the group without risk factors. Five hundred four patients had identifiable risk factors. Of these, 114 (22%) were found to have serious abnormalities on preoperative chest roentgenogram.

(JAMA 1983;250:3209-3211)

Author Affiliations
From the Division of General Internal Medicine, Department of Medicine, California College of Medicine, University of California, Irvine, Medical Center.

Footnotes
Reprint requests to University of California, Irvine, Medical Center, 101 City Dr S, Route 81, Orange, CA 92668 (Dr Rucker).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Assessing and Modifying the Risk of Postoperative Pulmonary Complications
Doyle
Chest 1999;115 :77S-81S.
ABSTRACT | FULL TEXT  

Setting Limits in Clinical Medicine
Murphy et al.
Arch Intern Med 1994;154:505-512.
ABSTRACT  

How Much Routine Preoperative Laboratory Testing Is Enough?
Velanovich
American Journal of Medical Quality 1993;8:145-151.
ABSTRACT  

Changing Physician Test Ordering in a University Hospital: An Intervention of Physician Participation, Explicit Criteria, and Feedback
Spiegel et al.
Arch Intern Med 1989;149:549-553.
ABSTRACT  

Influence of Spirometry and Chest Roentgenography on the Management of Pulmonary Outpatients
Owens et al.
Arch Intern Med 1987;147:1966-1969.
ABSTRACT  

The Value of Preoperative Screening Investigations in Otherwise Healthy Individuals
Turnbull and Buck
Arch Intern Med 1987;147:1101-1105.
ABSTRACT  

The Need for Chest Roentgenograms in Adults With Acute Respiratory Illness: Clinical Predictors
Heckerling
Arch Intern Med 1986;146:1321-1324.
ABSTRACT  

Diagnostic Decision: The Utility of Routine Chest Radiographs
TAPE and MUSHLIN
ANN INTERN MED 1986;104:663-670.
ABSTRACT