CHEST PAIN - AN EVALUATION OF THE INITIAL DIAGNOSIS MADE BY 25 FLEMISH GENERAL-PRACTITIONERS

被引：28

作者：

BUNTINX, F ^{[1
]}

TRUYEN, J ^{[1
]}

EMBRECHTS, P ^{[1
]}

MOREEL, G ^{[1
]}

PEETERS, R ^{[1
]}

机构：

[1] FLEMISH INST GEN PRACTICE,DIEPENBEEK,BELGIUM

来源：

FAMILY PRACTICE | 1991年 / 8卷 / 02期

关键词：

D O I：

10.1093/fampra/8.2.121

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Twenty-five general practitioners collected information on 318 contacts of patients with a new episode of chest pain, discomfort or tightness. A list of complaints, signs and symptoms were checked, together with the initial diagnosis, made by the GP immediately after the physical examination. The initial diagnosis was compared to a follow-up diagnosis. The gain in certainty was also compared. The GP made a correct initial diagnosis in 82% of patients. In 8% there was a clinically important difference, and seven of 17 episodes of oesophageal disease were missed. For their initial diagnosis, the GP scored 74% certain, 20% uncertain and no diagnosis in 6%. For the final diagnosis, these figures were 88%, 8% and 4%.

引用

页码：121 / 124

页数：4

共 12 条

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