ISRN family medicine最新文献_第2页

Using NT-proBNP to Detect Chronic Heart Failure in Elderly Patients with Chronic Obstructive Pulmonary Disease. NT-proBNP检测老年慢性阻塞性肺疾病患者慢性心力衰竭

ISRN family medicine Pub Date : 2013-06-09 eCollection Date: 2013-01-01 DOI: 10.5402/2013/273864

Elzbieta Kaszuba, Bartlomiej Wagner, Håkan Odeberg, Anders Halling

{"title":"Using NT-proBNP to Detect Chronic Heart Failure in Elderly Patients with Chronic Obstructive Pulmonary Disease.","authors":"Elzbieta Kaszuba, Bartlomiej Wagner, Håkan Odeberg, Anders Halling","doi":"10.5402/2013/273864","DOIUrl":"https://doi.org/10.5402/2013/273864","url":null,"abstract":"Objective. To detect chronic heart failure in elderly patients with a registered diagnosis of chronic obstructive pulmonary disease (COPD) treated in Swedish primary health care using natriuretic peptide NT-proBNP. Design. A cross-sectional study. Setting. Two primary health care centres in southeastern Sweden each with about 9000 listed patients. Subjects. Patients aged 65 years and older with a registered diagnosis of COPD. Main Outcome Measures. Percentage of patients with elevated NT-proBNP, percentage of patients with abnormal left ventricular function assessed by echocardiography, and association between elevated NT-proBNP and symptoms, signs, and electrocardiography. Results. Using NT-proBNP threshold of 1200 pg/mL, we could detect and confirm chronic heart failure in 5.6% of the study population with concurrent COPD. An elevated level of NT-proBNP was only associated with nocturia and abnormal electrocardiography. Conclusions. We found considerably fewer cases of heart failure in patients with COPD than could be expected from the results of previous studies. Our study shows the need for developing improved strategies to enhance the validity of a suspected heart failure diagnosis in patients with COPD. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2013 ","pages":"273864"},"PeriodicalIF":0.0,"publicationDate":"2013-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4041248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32457908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Concurrent and convergent validity of the simple lifestyle indicator questionnaire. 简单生活方式指标问卷的并发效度和收敛效度。

ISRN family medicine Pub Date : 2013-06-01 eCollection Date: 2013-01-01 DOI: 10.5402/2013/529645

Marshall Godwin, Andrea Pike, Cheri Bethune, Allison Kirby, Adam Pike

{"title":"Concurrent and convergent validity of the simple lifestyle indicator questionnaire.","authors":"Marshall Godwin, Andrea Pike, Cheri Bethune, Allison Kirby, Adam Pike","doi":"10.5402/2013/529645","DOIUrl":"https://doi.org/10.5402/2013/529645","url":null,"abstract":"Lifestyle issues including physical activity, diet, smoking, alcohol consumption, and self-reported stress have all been shown to predispose people to higher risk of cardiovascular disease. This study provides further psychometrics on the Simple Lifestyle Indicator Questionnaire (SLIQ), a short, easy-to-use instrument which measures all these lifestyle characteristics as a single construct. One hundred and ninety-three individuals from St. John's, Newfoundland, and Labrador, Canada completed the SLIQ and reference standards for diet, exercise, stress, and alcohol consumption. The reference standards were a detailed Diet History Questionnaire (DHQ), the Social Readjustment Rating Scale (SRRS), the SF36 Health Status Questionnaire, and a survey of eight questions from a cardiovascular risk questionnaire. Physical activity score was compared with number of steps on a pedometer. Correlations between scores on the SLIQ and the reference standards were the SLIQ versus DHQ (r = 0.679, P = 0.001), SLIQ versus pedometer (r = 0.455, P = 0.002), SLIQ versus alcohol consumption (r = 0.665, P = 0.001), SLIQ versus SRRS (r = -0.264, P = 0.001), SLIQ versus eight-question risk score (r = 0.475, P = 0.001), and SLIQ versus Question 1 on SF36 (r = 0.303, P = 0.001). The SLIQ is sufficiently valid when compared to reference standards to be useful as a brief assessment of an individual's cardiovascular lifestyle in research and clinical settings. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2013 ","pages":"529645"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2013/529645","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32458362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 33

A parent-focused pilot intervention to increase parent health literacy and healthy lifestyle choices for young children and families. 一项以家长为重点的试点干预措施，旨在提高家长的健康素养，并为幼儿和家庭提供健康的生活方式选择。

ISRN family medicine Pub Date : 2013-05-12 eCollection Date: 2013-01-01 DOI: 10.5402/2013/619389

Sasha Fleary, Robert W Heffer, E Lisako McKyer, Aaron Taylor

{"title":"A parent-focused pilot intervention to increase parent health literacy and healthy lifestyle choices for young children and families.","authors":"Sasha Fleary, Robert W Heffer, E Lisako McKyer, Aaron Taylor","doi":"10.5402/2013/619389","DOIUrl":"https://doi.org/10.5402/2013/619389","url":null,"abstract":"Health literacy affects caregivers' ability to engage in preventive health care behaviors for themselves and their children. Studies suggest that health literacy among low-income families needs improvement, and this possibly contributes to disparities in preventive health care rates. Additionally, parents and caregivers may not be able to provide or seek preventive health care for their children because of lack of knowledge and skills to do so effectively. This study designed and piloted an intervention that delivered to parents of young children (1) health literacy information in an experiential manner and (2) practical skills to engage their families in healthy lifestyle choices. Specifically, the intervention focused on diet/nutrition, physical activity, sleep hygiene, parenting, and mental wellness. Postintervention improvements were noted for factual knowledge for diet/nutrition, physical activity, and sleep, beliefs about diet/nutrition, and the relationship between mental health and stress. Additionally, postintervention improvements were noted for general knowledge and beliefs about sleep, knowledge about the relationship between sleep and health, knowledge about common childhood sleep problems, and parents' bedtime interactions with children. The efficacy of the intervention should be evaluated on a larger, more diverse sample in the future with considerations for multiple health behavior change in the evaluation. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2013 ","pages":"619389"},"PeriodicalIF":0.0,"publicationDate":"2013-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4041256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32449126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

The effect of training in primary health care centers on medical students' clinical skills. 初级卫生保健中心培训对医学生临床技能的影响。

ISRN family medicine Pub Date : 2013-04-18 eCollection Date: 2013-01-01 DOI: 10.5402/2013/403181

Faisal Abdullatif Alnasir, Ahmed Abdel-Karim Jaradat

{"title":"The effect of training in primary health care centers on medical students' clinical skills.","authors":"Faisal Abdullatif Alnasir, Ahmed Abdel-Karim Jaradat","doi":"10.5402/2013/403181","DOIUrl":"https://doi.org/10.5402/2013/403181","url":null,"abstract":"Medical students' effective clinical skills training are an important goal of any medical school. When adequate, graduate doctors will have sufficient skills to consult a patient by taking proper history and conducting appropriate physical examination. The question under scrutiny is the optimal place for providing such training. Since the aim is to graduate general physicians, many literatures highlighted the importance of implementing such training in the primary health care centers. A special clinical skills training program was developed for the Year 4 pre-clerkship medical students of the Arabian Gulf University during the academic year 2011-2012. It was important for these students to acquire certain skills before transferring to the clerkship phase where they deal directly with patients. For the 130 students involved in this study, a self-assessment and clinical exam were conducted at the beginning and end of the program. The study showed that students benefited greatly from this training program with significant differences between their preexisting known skills and clinical skills acquired by the end of the program. Primary care centers are ideal places for optimal training because of small group training setting that is one tutor to two students and of the advantage that students face real patient environment. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2013 ","pages":"403181"},"PeriodicalIF":0.0,"publicationDate":"2013-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4041223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32458361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Constructing taxonomies to identify distinctive forms of primary healthcare organizations. 构建分类法以识别不同形式的初级卫生保健组织。

ISRN family medicine Pub Date : 2013-04-15 eCollection Date: 2013-01-01 DOI: 10.5402/2013/798347

Roxane Borgès Da Silva, Raynald Pineault, Marjolaine Hamel, Jean-Frédéric Levesque, Danièle Roberge, Paul Lamarche

{"title":"Constructing taxonomies to identify distinctive forms of primary healthcare organizations.","authors":"Roxane Borgès Da Silva, Raynald Pineault, Marjolaine Hamel, Jean-Frédéric Levesque, Danièle Roberge, Paul Lamarche","doi":"10.5402/2013/798347","DOIUrl":"https://doi.org/10.5402/2013/798347","url":null,"abstract":"Background. Primary healthcare (PHC) renewal gives rise to important challenges for policy makers, managers, and researchers in most countries. Evaluating new emerging forms of organizations is therefore of prime importance in assessing the impact of these policies. This paper presents a set of methods related to the configurational approach and an organizational taxonomy derived from our analysis. Methods. In 2005, we carried out a study on PHC in two health and social services regions of Quebec that included urban, suburban, and rural areas. An organizational survey was conducted in 473 PHC practices. We used multidimensional nonparametric statistical methods, namely, multiple correspondence and principal component analyses, and an ascending hierarchical classification method to construct a taxonomy of organizations. Results. PHC organizations were classified into five distinct models: four professional and one community. Study findings indicate that the professional integrated coordination and the community model have great potential for organizational development since they are closest to the ideal type promoted by current reforms. Conclusion. Results showed that the configurational approach is useful to assess complex phenomena such as the organization of PHC. The analysis highlights the most promising organizational models. Our study enhances our understanding of organizational change in health services organizations. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2013 ","pages":"798347"},"PeriodicalIF":0.0,"publicationDate":"2013-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4041222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32451614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Tramadol/Paracetamol fixed-dose combination for chronic pain management in family practice: a clinical review. 曲马多/扑热息痛固定剂量联合治疗家庭慢性疼痛:临床回顾。

ISRN family medicine Pub Date : 2013-04-11 eCollection Date: 2013-01-01 DOI: 10.5402/2013/638469

Ignacio Morón Merchante, Joseph V Pergolizzi, Mart van de Laar, Hans-Ulrich Mellinghoff, Srinivas Nalamachu, Joanne O'Brien, Serge Perrot, Robert B Raffa

{"title":"Tramadol/Paracetamol fixed-dose combination for chronic pain management in family practice: a clinical review.","authors":"Ignacio Morón Merchante, Joseph V Pergolizzi, Mart van de Laar, Hans-Ulrich Mellinghoff, Srinivas Nalamachu, Joanne O'Brien, Serge Perrot, Robert B Raffa","doi":"10.5402/2013/638469","DOIUrl":"https://doi.org/10.5402/2013/638469","url":null,"abstract":"The family practitioner plays an important role in the prevention, diagnosis, and early management of chronic pain. He/she is generally the first to be consulted, the one most familiar with the patients and their medical history, and is likely the first to be alerted in case of inadequate pain control or safety and tolerability issues. The family practitioner should therefore be at the center of the multidisciplinary team involved in a patient's pain management. The most frequent indications associated with chronic pain in family practice are of musculoskeletal origin, and the pain is often multimechanistic. Fixed-dose combination analgesics combine compounds with different mechanisms of action; their broader analgesic spectrum and potentially synergistic analgesic efficacy and improved benefit/risk ratio might thus be useful. A pain specialist meeting held in November 2010 agreed that the fixed-dose combination tramadol/paracetamol might be a useful pharmacological option for chronic pain management in family practice. The combination is effective in a variety of pain conditions with generally good tolerability. Particularly in elderly patients, it might be considered as an alternative to conventional analgesics such as NSAIDs, which should be used rarely with caution in this population. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2013 ","pages":"638469"},"PeriodicalIF":0.0,"publicationDate":"2013-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2013/638469","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32449127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Is There a Need for Men's Health Training for Family Physicians in Canada? 加拿大家庭医生是否需要男性健康培训?

ISRN family medicine Pub Date : 2013-03-20 eCollection Date: 2013-01-01 DOI: 10.5402/2013/931265

Andries Muller, Vivian R Ramsden, Gill White

{"title":"Is There a Need for Men's Health Training for Family Physicians in Canada?","authors":"Andries Muller, Vivian R Ramsden, Gill White","doi":"10.5402/2013/931265","DOIUrl":"https://doi.org/10.5402/2013/931265","url":null,"abstract":"Objective. The goal of this study was to explore which topics were rendered important to incorporate into a men's health curriculum for family medicine resident training. Design. A mixed-methodology was used. A case study method with a sequential transformative strategy was utilized. A quantitative survey was sent to the 17 program directors of Canadian family medicine training programs. This was followed by a qualitative phase with interviews of selected program directors and two focus groups with practicing family physicians from a rural and an urban clinic. Main Findings. Certain issues were identified for incorporation into a men's health curriculum for family medicine resident training. These issues were grouped in three groups: male sexual and reproductive health, general topics, and procedures specific to men's health. Conclusion. It appears that there is no formal curriculum to address any of these issues in any of the current family medicine training programs in Canada. Based on the information gathered from participants in this study, there is a great need for such a curriculum to exist. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2013 ","pages":"931265"},"PeriodicalIF":0.0,"publicationDate":"2013-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4041253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32451617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Computer assisted chronic disease management: does it work? A pilot study using mixed methods. 计算机辅助慢性疾病管理:有效吗?使用混合方法的初步研究。

ISRN family medicine Pub Date : 2013-03-07 eCollection Date: 2013-01-01 DOI: 10.5402/2013/801723

Kay M Jones, Ruby Biezen, Leon Piterman

{"title":"Computer assisted chronic disease management: does it work? A pilot study using mixed methods.","authors":"Kay M Jones, Ruby Biezen, Leon Piterman","doi":"10.5402/2013/801723","DOIUrl":"https://doi.org/10.5402/2013/801723","url":null,"abstract":"Background. Key factors for the effective chronic disease management (CDM) include the availability of practical and effective computer tools and continuing professional development/education. This study tested the effectiveness of a computer assisted chronic disease management tool, a broadband-based service known as cdmNet in increasing the development of care plans for patients with chronic disease in general practice. Methodology. Mixed methods are the breakthrough series methodology (workshops and plan-do-study-act cycles) and semistructured interviews. Results. Throughout the intervention period a pattern emerged suggesting GPs use of cdmNet initially increased, then plateaued practice nurses' and practice managers' roles expanded as they became more involved in using cdmNet. Seven main messages emerged from the GP interviews. Discussion. The overall use of cdmNet by participating GPs varied from \"no change\" to \"significant change and developing many the GPMPs (general practice management plans) using cdmNet.\" The variation may be due to several factors, not the least, allowing GPs adequate time to familiarise themselves with the software and recognising the benefit of the team approach. Conclusion. The breakthrough series methodology facilitated upskilling GPs' management of patients diagnosed with a chronic disease and learning how to use the broadband-based service cdmNet. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2013 ","pages":"801723"},"PeriodicalIF":0.0,"publicationDate":"2013-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4041255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32451615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Factors associated with antibiotic prescribing in children with otitis media. 中耳炎患儿抗生素处方的相关因素。

ISRN family medicine Pub Date : 2013-02-26 eCollection Date: 2013-01-01 DOI: 10.5402/2013/587452

Christina T Ryborg, Jens Søndergaard, Jørgen Lous, Anders Munck, Pia V Larsen, Malene Plejdrup Hansen, Janus Laust Thomsen

{"title":"Factors associated with antibiotic prescribing in children with otitis media.","authors":"Christina T Ryborg, Jens Søndergaard, Jørgen Lous, Anders Munck, Pia V Larsen, Malene Plejdrup Hansen, Janus Laust Thomsen","doi":"10.5402/2013/587452","DOIUrl":"10.5402/2013/587452","url":null,"abstract":"Background. Acute otitis media (AOM) is often treated with antibiotics. However, initial observation is recommended. Denmark has a low use of antibiotics compared with other countries, but the total use of antibiotics has increased by 32% during the last decade, and it is important to know whether general practitioners (GPs) prescribe antibiotics according to guidelines. Objective. The aim of the study was to analyse associations between GPs' antibiotic prescribing for AOM and symptoms, diagnoses, and characteristics of children. Methods. A cohort study where GPs consecutively included 954 children between 0 and 7 years old with a new ear symptom was carried out. The GPs registered symptoms, results of otoscopy and tympanometry, together with diagnosis and treatment. Results. Fever with and without earache was statistically associated with prescribing antibiotics, and it applies to both children up to two years of age (OR: 5.89 (confidence interval (CI): 2.62-13.21) and OR: 8.13 (CI: 4.61-14.32)) and children older than two years of age (OR: 4.59 (CI: 2.55-8.25) and OR: 19.45 (CI: 6.38-59.24)). A red tympanic membrane was statistically associated with the prescribing antibiotics in both age groups (0-2 years: OR: 4.73 (CI: 2.52-8.86) and >2-7 years: OR: 3.76 (CI: 2.13-6.64)). A flat tympanometry curve was only statistically associated with prescribing antibiotics in the oldest children (OR: 2.42 (CI: 1.17-5.00)). Conclusion. This study indicates that GPs to a large degree prescribe antibiotics appropriately according to guidelines. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2013 ","pages":"587452"},"PeriodicalIF":0.0,"publicationDate":"2013-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4041257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32458363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Symptomatic pectus excavatum in seniors: an exploratory study on clinical presentation and incidence in daily practice. 老年人有症状的漏斗胸:临床表现和日常实践中发病率的探索性研究。

ISRN family medicine Pub Date : 2013-02-25 eCollection Date: 2013-01-01 DOI: 10.5402/2013/373059

Ron A G Winkens, Frank I Guldemond, Paul F H M Hoppener, Hans A Kragten, J Andre Knottnerus

{"title":"Symptomatic pectus excavatum in seniors: an exploratory study on clinical presentation and incidence in daily practice.","authors":"Ron A G Winkens, Frank I Guldemond, Paul F H M Hoppener, Hans A Kragten, J Andre Knottnerus","doi":"10.5402/2013/373059","DOIUrl":"https://doi.org/10.5402/2013/373059","url":null,"abstract":"Objectives. Doctors all over the world consider a pectus excavatum usually as an incidental finding. There is some evidence suggesting that a pectus excavatum may cause symptoms in the elderly. It is not known how often a pectus excavatum occurs and how strong the relation is with symptoms. Methods. In hospitals and general practice data, we searched for evidence of a connection between cardiac symptoms and the presence of a pectus excavatum in a retrospective survey among patients in whom a pectus excavatum was found in a chest X-ray. In radiology reports, we searched for \"pectus excavat(∗) \" in almost 160000 chest X-rays. The identified X-rays were reviewed by 2 radiologists. Reported symptoms were combined to a severity sum score and the relation with pectus excavatum was assessed through logistic regression. Results. Pectus excavatum was found in 1 to 2 per 1000 chest X-rays. In 32% of patients (N = 117), we found symptoms that might reflect the presence of symptomatic pectus excavatum. We found a significant relation between the SPES sum score and the radiological level of pectus excavatum. Conclusions. A pectus excavatum found when examining the patient should not be neglected and should be considered as a possible explanation for symptoms like dyspnoea, fatigue, or palpitations. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2013 ","pages":"373059"},"PeriodicalIF":0.0,"publicationDate":"2013-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4041250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32469569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2