Details

Autor(en) / Beteiligte

• Jokerst, Clinton
• Chung, Jonathan H
• Ackman, Jeanne B
• Carter, Brett
• Colletti, Patrick M
• Crabtree, Traves D
• de Groot, Patricia M
• Iannettoni, Mark D
• Maldonado, Fabien
• McComb, Barbara L
• Steiner, Robert M
• Kanne, Jeffrey P

Titel

ACR Appropriateness Criteria ® Acute Respiratory Illness in Immunocompetent Patients

Ist Teil von

• Journal of the American College of Radiology, 2018-11, Vol.15 (11S), p.S240-S251

Ort / Verlag

United States

Erscheinungsjahr

2018

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Acute respiratory illness, defined as cough, sputum production, chest pain, and/or dyspnea (with or without fever), is a major public health issue, accounting for millions of doctor office and emergency department visits every year. While most cases are due to self-limited viral infections, a significant number of cases are due to more serious respiratory infections where delay in diagnosis can lead to morbidity and mortality. Imaging plays a key role in the initial diagnosis and management of acute respiratory illness. This study reviews the current literature concerning the appropriate role of imaging in the diagnosis and management of the immunocompetent adult patient initially presenting with acute respiratory illness. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.