1
40
2
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1176/ps.48.10.1323" target="_blank" rel="noreferrer noopener">http://doi.org/10.1176/ps.48.10.1323</a>
Pages
1323–1327
Issue
10
Volume
48
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Relevance of routine admission electrocardiograms for psychiatric patients.
Publisher
An entity responsible for making the resource available
Psychiatric services (Washington, D.C.)
Date
A point or period of time associated with an event in the lifecycle of the resource
1997
1997-10
Subject
The topic of the resource
Adult; Aged; Arrhythmias; Cardiac/diagnosis/*epidemiology/etiology; Comorbidity; Cost Savings; Diagnosis; Diagnostic Tests; Dual (Psychiatry); Electrocardiography/economics/*statistics & numerical data; Female; Humans; Male; Mental Disorders/diagnosis/*epidemiology/rehabilitation; Middle Aged; Myocardial Ischemia/diagnosis/*epidemiology/etiology; Patient Admission/economics/*statistics & numerical data; Routine/economics/*statistics & numerical data; Sensitivity and Specificity; Treatment Outcome
Creator
An entity primarily responsible for making the resource
Heiselman D E; Bredle D L; Kessler E; Rutecki G W; Hines R M; Whittier F C; Bunn P D; Ognibene A J
Description
An account of the resource
OBJECTIVE: To make clinically relevant recommendations for electrocardiogram (ECG) testing among psychiatric patients, the study examined the practice of ordering ECGs for this population. METHODS: The records of 4,045 patients consecutively admitted for psychiatric care to seven community teaching hospitals over one year were examined. The frequency of ECG orders was documented, and abnormal ECG results were grouped into two categories: relevant to psychiatric treatment (ischemia or conduction defects) and incidental to treatment (minor abnormalities and screening abnormalities). For those with abnormalities, additional cardiac follow-up data were recorded. Associations between ECG results and patients' characteristics were analyzed. RESULTS: ECGs were performed for 2,857 (71 percent) of first admissions, of which 2,225 (78 percent) showed neither relevant nor screening abnormalities. Eighteen percent of those tested had relevant abnormalities, most commonly a first-degree atrioventricular block or some evidence of a myocardial infarction. ECG screening abnormalities were found for another 4 percent, primarily left ventricular hypertrophy (3 percent), but no follow-up occurred for 46 percent of these patients. Among patients under 40 years of age, 8 percent had relevant abnormalities, and 3 percent had screening abnormalities. Among patients without apparent cardiac risk, 10 percent had relevant and 3 percent had screening abnormalities. More than half the patients who had a second or third admission during the year had a repeat ECG, even when previous ECGs were normal. CONCLUSIONS: Routine ECG is not an effective treatment or screening tool in this population, and substantial cost savings could result from more selective testing, particularly among young patients, those at low risk, and those with repeat admissions.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1176/ps.48.10.1323" target="_blank" rel="noreferrer noopener">10.1176/ps.48.10.1323</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
1997
Adult
Aged
Arrhythmias
Bredle D L
Bunn P D
Cardiac/diagnosis/*epidemiology/etiology
Comorbidity
Cost Savings
Department of Family & Community Medicine
Department of Internal Medicine
Diagnosis
Diagnostic Tests
Dual (Psychiatry)
Electrocardiography/economics/*statistics & numerical data
Female
Heiselman D E
Hines R M
Humans
Kessler E
Male
Mental Disorders/diagnosis/*epidemiology/rehabilitation
Middle Aged
Myocardial Ischemia/diagnosis/*epidemiology/etiology
NEOMED College of Medicine
Ognibene A J
Patient Admission/economics/*statistics & numerical data
Psychiatric services (Washington, D.C.)
Routine/economics/*statistics & numerical data
Rutecki G W
Sensitivity and Specificity
Treatment Outcome
Whittier F C
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1128/CVI.00053-16" target="_blank" rel="noreferrer noopener">http://doi.org/10.1128/CVI.00053-16</a>
Pages
249–253
Issue
4
Volume
23
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Human Immunodeficiency Virus Diagnostic Testing: 30 Years of Evolution.
Publisher
An entity responsible for making the resource available
Clinical and vaccine immunology : CVI
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-04
Subject
The topic of the resource
Diagnostic Tests; HIV Infections/*diagnosis; HIV/immunology/isolation & purification; Humans; Immunoassay/*methods/trends; Routine/*methods/trends
Creator
An entity primarily responsible for making the resource
Alexander Thomas S
Description
An account of the resource
A concern during the early AIDS epidemic was the lack of a test to identify individuals who carried the virus. The first HIV antibody test, developed in 1985, was designed to screen blood products, not to diagnose AIDS. The first-generation assays detected IgG antibody and became positive 6 to 12 weeks postinfection. False-positive results occurred; thus, a two-test algorithm was developed using a Western blot or immunofluorescence test as a confirmatory procedure. The second-generation HIV test added recombinant antigens, and the third-generation HIV tests included IgM detection, reducing the test-negative window to approximately 3 weeks postinfection. Fourth- and fifth-generation HIV assays added p24 antigen detection to the screening assay, reducing the test-negative window to 11 to 14 days. A new algorithm addressed the fourth-generation assay's ability to detect both antibody and antigen and yet not differentiate between them. The fifth-generation HIV assay provides separate antigen and antibody results and will require yet another algorithm. HIV infection may now be detected approximately 2 weeks postexposure, with a reduced number of false-positive results.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1128/CVI.00053-16" target="_blank" rel="noreferrer noopener">10.1128/CVI.00053-16</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Alexander Thomas S
Clinical and vaccine immunology : CVI
Diagnostic Tests
HIV Infections/*diagnosis
HIV/immunology/isolation & purification
Humans
Immunoassay/*methods/trends
Routine/*methods/trends