{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:30:21Z","timestamp":1787761821925,"version":"build-2784847793"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aim:<\/jats:title>\n                    <jats:p>This study aimed to determine the diagnostic performance and utility of chest radiography in relation to chest computed tomography (CT) in nontraumatic respiratory emergency patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>Patients presenting to the emergency department with respiratory complaints due to nontraumatic pathologies and who had consecutive chest XR and chest CT assessments with an interval of fewer than 6 hours were enrolled in the study (n = 561).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The two methods were determined to be consistent with moderate agreement in detecting pleural effusion (k = 0.576,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), pneumothorax (k = 0.567,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), increased cardiothoracic ratio (k =0.472,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), and pneumonic consolidation (k = 0.465,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). The consistency rate was significantly higher in patients aged &lt;40 years (95.5% in \u226430 years and 90.9% in 31\u201340 years) as compared to older patients (81.8%, 68.2%, and 72.7% in 41\u201360 years, 61\u201380 years, and &gt;80 years, respectively;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001 for each). The consistency rate was also higher for posteroanterior (PA) chest XR views than for anteroposterior (AP) chest XR views (72.7% vs. 68.2%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.005) and for high- and moderate-quality chest XR views than for poor-quality views (72.7% and 77.3% vs. 70.5%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The consistency between the chest XR and CT was more likely in patients aged &lt;40 years and for PA and moderate-to-high quality chest XR views, as compared to older patients and AP and poor-quality views, respectively. We suggest that an upright position PA chest X-ray with high imaging quality may be the first choice, especially in patients aged &lt;40 years admitted to the emergency department with respiratory symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njcp.njcp_458_22","type":"journal-article","created":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T07:51:01Z","timestamp":1683877861000},"page":"438-446","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["The Diagnostic Performance and Utility of Chest XR in Relation to Chest CT in Nontraumatic Respiratory Emergency Patients"],"prefix":"10.4103","volume":"26","author":[{"given":"MK","family":"Cevherta\u015f","sequence":"first","affiliation":[{"name":"Clinic of Emergency Medicine, Buca Seyfi Demirsoy Training and Research Hospital, \u0130zmir, 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