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Related Experiment Videos

Medical imaging in asthma.

D N Blair, L Coppage, C Shaw

    Journal of Thoracic Imaging
    |March 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    In adults with asthma, chest X-rays rarely change management, even with abnormalities. This study suggests clinical criteria should guide X-ray use in emergency settings for asthma patients.

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    Area of Science:

    • Pulmonology
    • Emergency Medicine
    • Radiology

    Background:

    • Asthma is a common condition involving airway hyperreactivity.
    • Radiographic findings in adult asthmatics have questionable predictive value for management.
    • Clinical criteria may help select patients for chest radiography.

    Purpose of the Study:

    • To evaluate the utility of chest radiographs in adult asthma patients presenting to an emergency service.
    • To determine the incidence of clinically significant radiographic abnormalities in this population.

    Main Methods:

    • Retrospective review of 563 adult asthma patients at Yale Emergency Room.
    • Analysis of radiographic findings and their impact on patient management.
    • Categorization of radiographic findings into uncomplicated and complicated asthma.

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    Main Results:

    • One-third of adult asthma patients received chest radiographs.
    • 50% of patients receiving radiographs were over 50 years old.
    • Only 3% of radiographs revealed abnormalities that altered patient management.

    Conclusions:

    • Chest radiography has limited utility in guiding management for adult asthma patients in the emergency setting.
    • Clinical assessment should be prioritized to determine the need for chest X-rays in asthma exacerbations.
    • Further research into specific clinical criteria for radiographic imaging in asthma is warranted.