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Article: Utility of routine pre-operative chest X-rays

TitleUtility of routine pre-operative chest X-rays
Authors
Issue Date1996
PublisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/708511/description#description
Citation
Asian Journal Of Surgery, 1996, v. 19 n. 1, p. 41-44 How to Cite?
AbstractThis retrospective study aimed to determine the applicability in Asia of the 1995 Royal College of Radiologists guidelines on the use of routine pre-operative chest radiographs, and the yield and contribution of pre-operative chest x-rays to operative decision making. A total of 203 consecutive routine pre-operative chest radiographs were examined for abnormalities, which were categorised into significant and non-significant. The significant findings were reviewed to determine whether they were supported by available clinical data, and were also correlated with patients' ages. Radiographic and clinical data were analysed together to determine whether the significant abnormalities contributed to patient management. The majority of the patients were in American Society of Anesthesiologists (ASA) Classes 1 and 2, and underwent minor surgery under general anaesthesia. Chest radiographs were abnormal in 45.8% of patients and showed significant abnormalities in 25.6%. Half of the significant abnormalities were supported by clinical data, and there was a progressive increase in abnormalities with age. Three (1.5%) patients had suspected active tuberculosis, which was the only radiographic lesion considered to alter clinical management. Although the Royal College of Radiologists guidelines are generally applicable in the Asian region, a high index of clinical suspicion for active tuberculosis is recommended during the preoperative evaluation of patients in this area.
Persistent Identifierhttp://hdl.handle.net/10722/79384
ISSN
2015 Impact Factor: 0.912
2015 SCImago Journal Rankings: 0.427

 

DC FieldValueLanguage
dc.contributor.authorKhong, PLen_HK
dc.contributor.authorPeh, WCGen_HK
dc.contributor.authorIrwin, MGen_HK
dc.contributor.authorGunawardene, WMSen_HK
dc.contributor.authorLuk, KDKen_HK
dc.date.accessioned2010-09-06T07:54:05Z-
dc.date.available2010-09-06T07:54:05Z-
dc.date.issued1996en_HK
dc.identifier.citationAsian Journal Of Surgery, 1996, v. 19 n. 1, p. 41-44en_HK
dc.identifier.issn1015-9584en_HK
dc.identifier.urihttp://hdl.handle.net/10722/79384-
dc.description.abstractThis retrospective study aimed to determine the applicability in Asia of the 1995 Royal College of Radiologists guidelines on the use of routine pre-operative chest radiographs, and the yield and contribution of pre-operative chest x-rays to operative decision making. A total of 203 consecutive routine pre-operative chest radiographs were examined for abnormalities, which were categorised into significant and non-significant. The significant findings were reviewed to determine whether they were supported by available clinical data, and were also correlated with patients' ages. Radiographic and clinical data were analysed together to determine whether the significant abnormalities contributed to patient management. The majority of the patients were in American Society of Anesthesiologists (ASA) Classes 1 and 2, and underwent minor surgery under general anaesthesia. Chest radiographs were abnormal in 45.8% of patients and showed significant abnormalities in 25.6%. Half of the significant abnormalities were supported by clinical data, and there was a progressive increase in abnormalities with age. Three (1.5%) patients had suspected active tuberculosis, which was the only radiographic lesion considered to alter clinical management. Although the Royal College of Radiologists guidelines are generally applicable in the Asian region, a high index of clinical suspicion for active tuberculosis is recommended during the preoperative evaluation of patients in this area.en_HK
dc.languageengen_HK
dc.publisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/708511/description#descriptionen_HK
dc.relation.ispartofAsian Journal of Surgeryen_HK
dc.titleUtility of routine pre-operative chest X-raysen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1015-9584&volume=19&spage=41&epage=44&date=1996&atitle=Utility+of+routine+pre-operative+chest+X-raysen_HK
dc.identifier.emailKhong, PL:plkhong@hkucc.hku.hken_HK
dc.identifier.emailIrwin, MG:mgirwin@hku.hken_HK
dc.identifier.emailLuk, KDK:hcm21000@hku.hken_HK
dc.identifier.authorityKhong, PL=rp00467en_HK
dc.identifier.authorityIrwin, MG=rp00390en_HK
dc.identifier.authorityLuk, KDK=rp00333en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.scopuseid_2-s2.0-0030068905en_HK
dc.identifier.hkuros12657en_HK
dc.identifier.hkuros22333-
dc.identifier.volume19en_HK
dc.identifier.issue1en_HK
dc.identifier.spage41en_HK
dc.identifier.epage44en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridKhong, PL=7006693233en_HK
dc.identifier.scopusauthoridPeh, WCG=7101824984en_HK
dc.identifier.scopusauthoridIrwin, MG=7202411076en_HK
dc.identifier.scopusauthoridGunawardene, WMS=6602656509en_HK
dc.identifier.scopusauthoridLuk, KDK=7201921573en_HK

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