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Volume 20, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603
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Abstract

Background

The chest X-ray (CXR) remains a widely used examination in the evaluation of patients with fever, to diagnose or rule out pneumonia. Recently, a study by our group suggested that it has no diagnostic value in patients with fever without respiratory signs and/or symptoms.

Objective

The objective of this study is to validate the results of our previous study.

Design

A retrospective study was conducted in two hospitals in the Netherlands.

Patients

All patients that were referred to the internal medicine emergency department between May 2018 and May 2019 with a suspected infection defined as fever (temperature ≥38°C) or hypothermia (temperature <36°C) or CRP ≥100µg/mL.

Main Measures

We defined our primary outcome as the number of newly diagnosed pneumonia by CXR in cases of suspected infection with no obvious site of infection and nor localizing symptoms or signs.

Key Results

We included 1052 patients, of which 106 did not have respiratory signs or symptoms. In this group, none of the CXRs (95% CI 0-2.36%) showed an infiltrate. Combined with our previous study, 176 CXRs were performed in patients with no respiratory signs or symptoms. None (95% CI 0-1.42%) showed an infiltrate.

Conclusion

Our results confirm that a CXR has no diagnostic value in the workup of fever without localizing signs or symptoms.

© 2024 The Author(s). Published by Bentham Science Publisher.
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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2024-01-01
2025-04-24

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/content/journals/cmir/10.2174/1573405619666230313101934
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Diagnostic Value of Chest X-Ray in Febrile Patients without Localizing Signs or Symptoms at the Emergency Department
Curr. Med. Imaging 20, e130323214562 (2024); https://doi.org/10.2174/1573405619666230313101934
/content/journals/cmir/10.2174/1573405619666230313101934
/content/journals/cmir/10.2174/1573405619666230313101934
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  • Article Type:     Research Article
Keyword(s): Chest X-ray; Diagnostic value; Emergency department; Fever; Pneumonia; Sepsis

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