Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 9592,
    "title": "Utility of Chest Radiography in Emergency Department Patients Presenting with Syncope",
    "subtitle": null,
    "abstract": "Background: Syncope has myriad etiologies, ranging from benign to immediately life threatening. This frequently leads to over testing. Chest x-rays are among these commonly performed tests despite their uncertain diagnostic yield. \n \nObjectives: To quantify the distribution of normal and abnormal chest x-rays in patients presenting with a chief complaint of syncope, stratified by those who did or did not have an adverse event at thirty days.\n \n Methods: Prospective cohort of consecutive patients presenting to an urban tertiary care academic medical center with a chief complaint of syncope from 2003-2006.  The frequency and findings for each CXR were reviewed, as well as ED and hospital discharge diagnoses as well as thirty-day outcome.\n \n Results: There were 575 total subjects, 39.7% were male, and the mean age was 57.2 (SD 24.6).  Of the 575 total subjects, 403 (70.1%) had chest x-rays performed, and 116 (20.2%) had an adverse event after their syncope.  Of the 116 people who had an adverse event, 15 (12.9%) had a positive CXR, 81 (69.8%) had a normal CXR, and 20 (17.2%) did not have a CXR as part of the initial evaluation.  Among the 459 people who did not have an adverse event 3 (0.7%) had a positive CXR, 304 (66.2%) had a normal CXR, and 152 (33.1%) did not have a CXR performed.\n \n Conclusions:  Among patient who had an adverse event after their syncope, the majority of patients had a normal CXR.  More data is needed to validate this conclusion.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "syncope, chest x-ray, cardiology"
        }
    ],
    "section": "Healthcare Utilization",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/28x614g2",
    "frozenauthors": [
        {
            "first_name": "Matthew",
            "middle_name": "L",
            "last_name": "Wong",
            "name_suffix": "",
            "institution": "Beth Israel Deaconess Medical Center\nHarvard Medical School",
            "department": "None"
        },
        {
            "first_name": "David",
            "middle_name": "",
            "last_name": "Chiu",
            "name_suffix": "",
            "institution": "Beth Israel Deaconess Medical Center\nHarvard Medical School",
            "department": "None"
        },
        {
            "first_name": "Nathan",
            "middle_name": "",
            "last_name": "Shapiro",
            "name_suffix": "",
            "institution": "Beth Israel Deaconess Medical Center\nHarvard Medical School",
            "department": "None"
        },
        {
            "first_name": "Shamai",
            "middle_name": "A",
            "last_name": "Grossman",
            "name_suffix": "",
            "institution": "Beth Israel Deaconess Medical Center\nHarvard Medical School",
            "department": "None"
        }
    ],
    "date_submitted": "2016-01-26T15:26:32Z",
    "date_accepted": "2016-01-26T15:26:32Z",
    "date_published": "2016-11-02T20:35:25Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/9592/galley/5342/download/"
        }
    ]
}