{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T23:03:15Z","timestamp":1762297395898,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emerg Med J"],"published-print":{"date-parts":[[2008,12]]},"abstract":"<jats:sec>\n                  <jats:title>Aim:<\/jats:title>\n                  <jats:p>To determine the prevalence and nature of chest radiographic abnormalities in patients presenting to the emergency department (ED) with suspected acute coronary syndrome but without signs or symptoms of other pathology.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods:<\/jats:title>\n                  <jats:p>A retrospective study was undertaken of patients presenting to a tertiary referral ED between July 2005 and June 2006. Inclusion criteria were age \u2a7e18 years and suspected acute coronary syndrome (as defined). Exclusion criteria were any signs or symptoms consistent with other cardio\/pulmonary pathology (as defined). The study end points were the proportion of patients who had a chest radiograph, the proportion who had an abnormal chest radiograph, the nature of the abnormality and whether the radiograph changed management.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results:<\/jats:title>\n                  <jats:p>Of 158 patients who met the entrance criteria, 130 (82.2%, 95% CI 75.2% to 87.7%) underwent chest radiography. In 40 patients (30.8%, 95% CI 23.1% to 39.6%) an abnormality was reported by the radiologist, although most were of no consequence (eg, previous sternotomy). In three patients there was documented evidence that the chest radiograph altered management (one was treated for pulmonary oedema, one for pneumonia and one was investigated further for suspicious hilar nodes). In a further two patients (one with middle lobe collapse and consolidation and one with pulmonary oedema) the chest radiograph may have changed management, although this was not documented.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion:<\/jats:title>\n                  <jats:p>In the patient group examined, chest radiography resulted in a low yield of unexpected chest pathology. Routine chest radiography for this group is questionable and needs further investigation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/emj.2008.059725","type":"journal-article","created":{"date-parts":[[2008,11,25]],"date-time":"2008-11-25T13:33:24Z","timestamp":1227620004000},"page":"807-810","source":"Crossref","is-referenced-by-count":4,"title":["Routine chest radiography in uncomplicated suspected acute coronary syndrome rarely yields significant pathology"],"prefix":"10.1136","volume":"25","author":[{"given":"J J L","family":"Ng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D McD","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2008,11,25]]},"reference":[{"key":"2025090501520080000_25.12.807.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2005.08.007"},{"key":"2025090501520080000_25.12.807.2","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X06295358"},{"key":"2025090501520080000_25.12.807.3","doi-asserted-by":"crossref","unstructured":"Goldman L Cook EF Brand DA . A computer protocol to predict myocardial infarction in emergency department patients with chest pain, N Engl J Med 1988;318:797\u2013803.","DOI":"10.1056\/NEJM198803313181301"},{"key":"2025090501520080000_25.12.807.4","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1111\/j.1553-2712.2001.tb00187.x","article-title":"Combination of Goldman risk and initial cardiac troponin I for emergency department chest pain patients risk stratification.","volume":"8","author":"Limkakeng","year":"2001","journal-title":"Acad Emerg Med"},{"key":"2025090501520080000_25.12.807.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2005.04.016"},{"key":"2025090501520080000_25.12.807.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(95)70342-X"},{"key":"2025090501520080000_25.12.807.7","doi-asserted-by":"publisher","DOI":"10.1177\/014107688808101104"},{"key":"2025090501520080000_25.12.807.8","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1148\/radiology.138.2.7455106","article-title":"An assessment of the contribution of chest radiography in outpatients with acute chest complaints: a prospective study.","volume":"138","author":"Benacerral","year":"1981","journal-title":"Radiology"},{"key":"2025090501520080000_25.12.807.9","first-page":"989","article-title":"Diabetes mellitus II: routine chest radiography.","volume":"68","author":"Hamed","year":"1991","journal-title":"East Afr Med J"},{"key":"2025090501520080000_25.12.807.10","doi-asserted-by":"crossref","unstructured":"Hubbell FA Greenfield S Tyler JL . The impact of routine admission chest X-ray films on patient care N Engl J Med 1985;312:209\u201313.","DOI":"10.1056\/NEJM198501243120404"},{"key":"2025090501520080000_25.12.807.11","doi-asserted-by":"crossref","unstructured":"Hubbell FA Ziemba SE Fine MJ . The value of baseline chest radiograph reports in the care of elderly patients in an emergency department Am J Med Sci 1993;305:145\u20139.","DOI":"10.1097\/00000441-199303000-00003"},{"key":"2025090501520080000_25.12.807.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0303-8467(98)00067-5"}],"container-title":["Emergency Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/emj.2008.059725","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T08:52:10Z","timestamp":1757062330000},"score":1,"resource":{"primary":{"URL":"https:\/\/emj.bmj.com\/lookup\/doi\/10.1136\/emj.2008.059725"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,11,25]]},"references-count":12,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2008,11,25]]},"published-print":{"date-parts":[[2008,12]]}},"alternative-id":["10.1136\/emj.2008.059725"],"URL":"https:\/\/doi.org\/10.1136\/emj.2008.059725","relation":{},"ISSN":["1472-0205","1472-0213"],"issn-type":[{"type":"print","value":"1472-0205"},{"type":"electronic","value":"1472-0213"}],"subject":[],"published":{"date-parts":[[2008,11,25]]}}}