ArticleScandinavian journal of primary health care2016
Community-acquired pneumonia in primary care: clinical assessment and the usability of chest radiography.
Article in Scandinavian journal of primary health care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Clinical gestalt to diagnose pneumonia, sinusitis, and pharyngitis: a meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Pooled it
- Clinical features for diagnosis of pneumonia among adults in primary care setting: A systematic and meta-review.Scientific reports · 2019Pooled it
- Efficacy of high doses of penicillin versus amoxicillin in the treatment of uncomplicated community acquired pneumonia in adults. A non-inferiority controlled clinical trial.Atencion primaria · 2019Trial
- Diagnosing acute lower respiratory tract infections in out-of-hours services during the COVID-19 pandemic.International journal of emergency medicine · 2025Article
- Antibiotic Treatment for Lower Respiratory Tract Infections in Primary Care: A Register-Based Study Examining the Role of Radiographic Imaging.Antibiotics (Basel, Switzerland) · 2023Article
- Community-acquired pneumonia - use of chest x-rays for diagnosis in family practice.BMC primary care · 2022Article
- Danish GPs' Experiences When Managing Patients Presenting to General Practice with Symptoms of Acute Lower Respiratory Tract Infections: A Qualitative Study.Antibiotics (Basel, Switzerland) · 2021Article
- Article
- C-reactive protein influences the doctor's degree of suspicion of pneumonia in primary care: a prospective observational study.The European journal of general practice · 2020Observational
- Use of chest X-ray in the assessment of community acquired pneumonia in primary care - an intervention study.Scandinavian journal of primary health care · 2020Article
- Community-acquired bacterial pneumonia in adults: An update.The Indian journal of medical research · 2020Review
- [Community-acquired pneumonia].Der Radiologe · 2017Review
- 2018 recommendations for the management of community acquired pneumonia.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e TisilogiaArticle
- Relation Between Chest Radiography Results and Antibiotic Initiation in Community-Acquired Pneumonia Management by General Practitioners.Annals of family medicineArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the diagnostic value of different clinical and laboratory findings in pneumonia and to explore the association between the doctor's degree of suspicion and chest X-ray (CXR) result and to evaluate whether or not CXR should be used routinely in primary care, when available.
designA three-year prospective study was conducted between September 2011 and December 2014.
settingTwo primary care settings in Linköping, Sweden. SUBJECTS: A total of 103 adult patients with suspected pneumonia in primary care.
main outcome measuresThe physicians recorded results of a standardized medical physical examination, including laboratory results, and rated their suspicion into three degrees. The outcome of the diagnostic variables and the degree of suspicion was compared with the result of CXR.
resultsRadiographic pneumonia was reported in 45% of patients. When the physicians were sure of the diagnosis radiographic pneumonia was found in 88% of cases (p < 0.001), when quite sure the frequency of positive CXR was 45%, and when not sure 28%. Elevated levels of C-reactive protein (CRP) ≥ 50mg/L were associated with the presence of radiographic pneumonia when the diagnosis was suspected (p < 0.001).
conclusionThis study indicates that CXR can be useful if the physician is not sure of the diagnosis, but when sure one can rely on one's judgement without ordering CXR. KEY POINTS: There are different guidelines but no consensus on how to manage community-acquired pneumonia in primary care. When the physician is sure of the diagnosis the judgement is reliable without chest X-ray and antibiotics can be safely prescribed. Chest X-ray can be useful in the assessment of pneumonia in primary care, when the physician is not sure of the diagnosis.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.