TY - JOUR
T1 - ACR Appropriateness Criteria® on Acute Respiratory Illness
AU - Washington, Lacey
AU - Khan, Arfa
AU - Mohammed, Tan Lucien
AU - Batra, Poonam V.
AU - Gurney, Jud W.
AU - Haramati, Linda B.
AU - Jeudy, Jean
AU - MacMahon, Heber
AU - Rozenshtein, Anna
AU - Vydareny, Kay H.
AU - Kaiser, Larry
AU - Raoof, Suhail
PY - 2009/10
Y1 - 2009/10
N2 - In a patient with acute respiratory illness (cough, sputum production, chest pain, and/or dyspnea), the need for chest imaging depends on the severity of illness, age of the patient, clinical history, physical and laboratory findings, and other risk factors. Chest radiographs seem warranted when one or more of the following are present: age ≥ 40; dementia; a positive physical examination; hemoptysis; associated abnormalities (leukocytosis, hypoxemia); or other risk factors, including coronary artery disease, congestive heart failure, or drug-induced acute respiratory failure. Chest CT may be warranted in complicated cases of severe pneumonia and in febrile neutropenic patients with normal or nonspecific chest radiographic findings. Literature on the indications and usefulness of radiologic studies for acute respiratory illness in different clinical settings is reviewed.
AB - In a patient with acute respiratory illness (cough, sputum production, chest pain, and/or dyspnea), the need for chest imaging depends on the severity of illness, age of the patient, clinical history, physical and laboratory findings, and other risk factors. Chest radiographs seem warranted when one or more of the following are present: age ≥ 40; dementia; a positive physical examination; hemoptysis; associated abnormalities (leukocytosis, hypoxemia); or other risk factors, including coronary artery disease, congestive heart failure, or drug-induced acute respiratory failure. Chest CT may be warranted in complicated cases of severe pneumonia and in febrile neutropenic patients with normal or nonspecific chest radiographic findings. Literature on the indications and usefulness of radiologic studies for acute respiratory illness in different clinical settings is reviewed.
KW - Appropriateness criteria
KW - diagnostic imaging
KW - pneumonia
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U2 - 10.1016/j.jacr.2009.06.022
DO - 10.1016/j.jacr.2009.06.022
M3 - Review article
C2 - 19800586
AN - SCOPUS:70349445413
SN - 1546-1440
VL - 6
SP - 675
EP - 680
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 10
ER -