The chest X-ray and childhood acute asthma.

Australian clinical review Pub Date : 1993-01-01
K P Dawson, N Capaldi
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Abstract

Data from the medical records of 100 children who had a chest X-ray versus 100 children who did not during an attack of acute asthma were compared. No evidence could be found to suggest that the two groups varied in terms of age, sex, severity of the presenting illness, or in the clinical measures of pulse rate, respiratory rate, wheeze and accessory muscle use. It appeared that the X-ray request was an action not based on sound clinical judgement. Cost savings and a reduction in radiation exposure can be made by eliminating unnecessary chest X-ray requests.

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胸片和儿童急性哮喘。
研究人员比较了100名在急性哮喘发作期间接受胸部x光检查的儿童和100名未接受胸部x光检查的儿童的医疗记录数据。没有证据表明两组患者在年龄、性别、疾病严重程度或脉搏率、呼吸率、喘息和副肌使用等临床指标上存在差异。看来x光检查的要求并不是基于合理的临床判断。通过消除不必要的胸部x光检查,可以节省成本并减少辐射暴露。
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