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한방병원 입원 시 관례적 흉부 X선 검사의 유용성

The Utility of Routine Chest X-Ray on Korean Medicine Hospital Admission

  • 최인우 (대전대학교 한의과대학 심계내과학교실) ;
  • 유호룡 (대전대학교 한의과대학 심계내과학교실)
  • Choi, In-woo (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Yoo, Ho-ryong (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University)
  • 투고 : 2021.08.31
  • 심사 : 2021.10.04
  • 발행 : 2021.09.30

초록

Objective: This study was designed to analyze the utility of routine chest X-ray on Korean medicine hospital admission. Methods: The chest X-ray reports and medical records of 618 patients who were admitted to Daejeon Korean Medicine Hospital from May 1, 2021 to June 30, 2021 were retrospectively reviewed. Results: Of the 618 patients newly hospitalized from May 1, 2021 to June 30, 2021, 560 patients (excluding readmission) were analyzed. The mean age of 560 patients was 53.26±17.20 years. There were 52 patients with abnormal findings, and their mean age was 69.62±15.59 years. Many of these patients had chest symptoms and a history of chest disease. There was no case that showed a significant diagnostic result by chest X-ray examination. Conclusion: The diagnostic usefulness of routine chest X-rays in Korean medicine hospital admission is low. But this does not mean that there is no need to perform routine chest X-rays upon admission.

키워드

참고문헌

  1. 대한흉부영상의학회. X선 흉부영상진단. 3판. 파주: 군자출판사; 2019, p. 1.
  2. Expert Panel on Thoracic Imaging; McComb BL, Chung JH, Crabtree TD, Heitkamp DE, Iannettoni MD, Jokerst C, et al. ACR Appropriateness Criteria® routine chest radiography. J Thorac Imaging 2016;31(2):W13-5. https://doi.org/10.1097/RTI.0000000000000200
  3. Fine B, Dhanoa D. Imaging appropriateness criteria -why Canadian family physicians should care. Can Fam Physician 2014;60(3):217-8.
  4. Annual physical examination practices by province/territory in Canada. Mississauga (ON): The College of Family Physicians of Canada; 2013. Available: www.cfpc.ca/uploadedFiles/Health_Policy/CFPC_Policy_Papers_and_Endorsements/ CFPC_Policy_Papers/CFPC%20PT%20Annual%20Exam.pdf (accessed 2017 Apr. 24).
  5. Tigges S, Roberts DL, Vydareny KH, Schulman DA. Routine chest radiography in a primary care setting. Radiology 2004;233(2):575-8. https://doi.org/10.1148/radiol.2332031796
  6. Mauri D, Kamposioras K, Proiskos A, Xilomenos A, Peponi C, Dambrosio M, et al. Old habits die hard: chest radiography for screening purposes in primary care. Am J Manag Care 2006;12(11):650-6.
  7. Chest x-ray. Toronto: Ministry of Health and Long-Term Care. Available: www.health.gov.on.ca/en/pro/programs/phys_services/docs/chest_x_ray_is_ea_en.pdf(accessed 2017 Jan. 2).
  8. 2020년 결핵환자 신고현황. 질병관리본부. 2021.
  9. 2020 감염병 감시연보. 질병관리본부. 2021.
  10. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 2020;382:1708-20. https://doi.org/10.1056/NEJMoa2002032
  11. Davidson PT. Routine Screening for Tuberculosis on Hospital Admission. Chest 1988;94(2):228-30. https://doi.org/10.1378/chest.94.2.228
  12. Sagel SS, Evens RG, Forrest JV, Bramson RT. Efficacy of Routine Screening and Lateral Chest Radiographs in a Hospital-Based Population. New England Journal of Medicine 1974;291(19):1001-4. https://doi.org/10.1056/NEJM197411072911904
  13. Hubbell FA, Greenfield S, Tyler JL, Chetty K, Wyle FA. The Impact of Routine Admission Chest X-Ray Films on Patient Care. New England Journal of Medicine 1985;312(4):209-13. https://doi.org/10.1056/NEJM198501243120404
  14. Verma, V, Vasudevan V, Jinnur P, Nallagatla S, Majumdar A, Arjomand F, et al. The utility of routine admission chest X-ray films on patient care. European Journal of Internal Medicine 2011;22(3):286-8. https://doi.org/10.1016/j.ejim.2010.12.007