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RSS FeedsIJERPH, Vol. 19, Pages 16418: Screening for Referral of Serious Pathology by Physical Examination Tests in Patients with Back or Chest Pain: A Systematic Review (International Journal of Environmental Research and Public Health)

 
 

7 december 2022 13:41:16

 
IJERPH, Vol. 19, Pages 16418: Screening for Referral of Serious Pathology by Physical Examination Tests in Patients with Back or Chest Pain: A Systematic Review (International Journal of Environmental Research and Public Health)
 


Objective: To investigate the most common physical examination tests (PET) for the screening for referral of patients with back or chest pain caused by serious pathology. Methods: A systematic review was conducted. Searches were performed on seven electronic databases between June 2020 and December 2021. Only studies evaluating patients with back and/or chest pain with clear reporting of PETs and prompt patient referrals were included. Results: 316 full texts were included. Only 26 of them described suspicion of serious disease due to at least one positive PET, and these studies had a total of 474 patients. Cardiac/pulmonary auscultation and heartbeats/blood pressure measurements were the most frequently reported tests. None of the reported studies included physiotherapists and chiropractors who reported the use of various tests, such as: cardiac and pulmonary auscultation, lung percussion, costovertebral angle tenderness, and lymph node palpation, highlighting a lack of attention in measuring vital parameters. On the contrary, doctors and nurses reported the assessment of the range of motion of the thoracolumbar spine and hip less frequently. Conclusions: Appropriate reporting of PETs is sparse, and their utilization is heterogeneous among different healthcare professionals. Further primary studies are needed to describe PETs results in patients suffering from back and/or chest pain.


 
89 viewsCategory: Medicine, Pathology, Toxicology
 
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IJERPH, Vol. 19, Pages 16417: Analysis of Thermal Insulation Thickness for a Container House in the Yanqing Zone of the Beijing 2022 Olympic and Paralympic Winter Games (International Journal of Environmental Research and Public Health)
 
 
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