Artigos

Physician Behavior and Patient Satisfaction: A Qualitative Review

Thomas L. Schwenk, MD reviewing Zulman DM et al. JAMA 2020 Jan 7 Healthcare experts evaluated physician–patient interactions and recommended five practices. Productivity demands and administrative tasks, particularly those associated with electronic medical records, often are blamed for detracting from the quality of physician–patient interactions and thereby lowering patients’ satisfaction with their healthcare. Read more…

By gesep, ago

Comparative Accuracy of Focused Cardiac Ultrasonography and Clinical Examination for Left Ventricular Dysfunction and Valvular Heart Disease: A Systematic Review and Meta-analysis

Marbach JA et al. Ann Intern Med 2019 Aug 6. Flint N and Siegel RJ. Ann Intern Med 2019 Aug 6 Background:Incorporating focused cardiac ultrasonography (FoCUS) into clinical examination could improve the diagnostic yield of bedside patient evaluation. Purpose:To compare the accuracy of FoCUS-assisted clinical assessment versus clinical assessment alone Read more…

By gesep, ago

Diagnosis of elevated intracranial pressure in critically ill adults: systematic review and meta-analysis.

Fernando SM, et al. BMJ. 2019. OBJECTIVES: To summarise and compare the accuracy of physical examination, computed tomography (CT), sonography of the optic nerve sheath diameter (ONSD), and transcranial Doppler pulsatility index (TCD-PI) for the diagnosis of elevated intracranial pressure (ICP) in critically ill patients. DESIGN: Systematic review and meta-analysis.DATA Read more…

By gesep, ago

Necrotizing Soft Tissue Infection: Diagnostic Accuracy of Physical Examination, Imaging, and LRINEC Score: A Systematic Review and Meta-Analysis.

Fernando SM, et al. Ann Surg. 2019. Abstract OBJECTIVE: We sought to summarize accuracy of physical examination, imaging, and Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score in diagnosis of necrotizing soft tissue infection (NSTI) in adults with a soft tissue infection clinically concerning for NSTI. SUMMARY OF BACKGROUND DATA: Read more…

By gesep, ago

A Prospective Evaluation of the Diagnostic Accuracy of the Physical Examination for Pulmonary Hypertension.

Chest. 2019 mai; 155 (5) : 982-990. BACKGROUND: The usefulness of physical examination findings for pulmonary hypertension (PH) is not well established. The purpose of this study was to evaluate prospectively the diagnostic performance of the physical examination for detecting PH. METHODS: Consecutive patients undergoing right-sided heart catheterization (n = 116) Read more…

By gesep, ago