Q&A What When

What is the correct method to use when progressing from one Auscultatory site on the thorax to another?

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Page 2

Author/YearDiagnosisStudy designDepartment/PeriodPatients with… (n)Investigator (n)

Dao et al.12	CHF	Pros.	ED, Jun-Oct 1999	Dyspnea (n = 250)	ED physician (n = ?)
Januzzi et al.13	CHF	Pros.	ED, 4 month-period	Dyspnea (n = 599)	Cardiologist (n = ?)
Knudsen et al.14	CHF	Pros.	ED (n = 7), Jun 1999-Dec 2000	Acute dyspnea (n = 880)	Research assistant (n = ?)
Knudsen et al.15	CHF	Pros.	ED,?	Acute dyspnea (n = 155)	ED resident/ cardiology fellow (n = ?)
Logeart et al.16	CHF	Pros.	ED, Jun 1999-Jun 2001	Acute dyspnea (n = 163)	ED physician (n = ?)
Morrison et al.17	CHF	Pros.	ED, Jun 1999-Jun 2000	Acute dyspnea (n = 321)	Research assistant (n = ?)
Bokhari et al.18	HPT	Pros.	ICU, Jan 2000-Jul 2001	Blunt trauma (n = 523), penetrating trauma (n = 153)	Trauma physician (n = ?)
Chen et al.20	HPT	Retrosp.	ICU, Jan-Dec 1993	Penetrating trauma (n = 118)	Surgeon (n = ?)
Chen et al.19	HPT	Pros.	ICU, Jul 1994-Aug 1996	Blunt trauma (n = 125), penetrating trauma (n = 23)	Surgeon (n = ?)
Rodriguez et al.21	HPT	Pros.	ED (n = 2), Jan 2003-May 2004	Blunt trauma (n = 492)	ED physician (n = ?)
Wormald et al.22	HPT	Pros.	Trauma unit, 5 month-period	Chest stab wounds (n = 200)	?
Badgett et al.24	OLD	Pros.	IM,?	Self-reported diagnosis of asthma, chronic bronchitis, emphysema, COPD, history of smoking (n = 92)	IM physician (n = 4)
Badgett et al.23	OLD	Pros.	IM,?	Self-reported diagnosis of asthma, chronic bronchitis, emphysema, COPD, history of smoking (n = 92)	IM physician (n = 4)
Garcia-Pachon et al.29	OLD	Pros.	PC, Feb-Jun 2001	Self-reported diagnosis of COPD, dyspnea, bronchodilator (>6 months), smoking (>20 pack-years) (n = 172)	Pulmonologist (n = 1)/ resident (n = 5)
Holleman et al.25	OLD	Pros.	IM, 12 month-period	Elective surgery (n = 164)	IM physician/ anaesthesiologist (n = 2)
King et al.30	OLD	Pros.	PC, Apr 1987-Mar 1988	Clinical suspicion of asthma with (nearly) normal spirometry (n = 44)	Physician (n = 5)
Leuppi et al.26	OLD	Pros.	ED, Nov-Dec 2001	Chest problems (n = 233)	IM physician (n = 12)
Ma et al.31	OLD	Retrosp.	RCC, 2004–2011	Acute exacerbation of bronchiectasis (n = 156)	?
Melbye et al.33	OLD	Pros.	ED
Oct 1988-Jun 1989	Respiratory tract infection (n = 398)	Physician (n = 40)
Pratter et al.32	OLD	Pros.	PC, 18 month-period	History of wheeze (n = 34), healthy controls (n = 7)	Pulmonologist (n = 2)
Oshaug et al.27	OLD	Cross-sectional	GP (n = 7), Apr 2009-Mar 2010	Registered diagnosis of asthma (n = 210), COPD (n = 74) or both (n = 91)	GP (n = 20)
Straus et al.28	OLD	Pros.	Healthcare center (n = 7), Apr 2009-Mar 2010	Known COPD (n = 66), suspected COPD (n = 43), without COPD (n = 52)	Physician (n = ʔ)
Tomita et al.34	OLD	Pros.	UHC, Jan 2008-Sep 2011	Non-specific respiratory symptoms (n = 566)	Pulmonologist (n = ?)
Diehr et al.35	PNA	Pros.	ED,?	Acute cough (n = 1819)	IM physician (n = ?)
Ebrahimzadeh et al.36	PNA	Case-
control	ED, 12 month-period	Acute respiratory symptoms (n = 420)	Infectious disease specialist (n = 1)
Gennis et al.37	PNA	Pros.	ED, Jul 1984-Feb 1985	Suspected pneumonia (n = 308)	ED/IM resident (n = ?)
Flanders et al.38	PNA	Pros.	ED, Jan-Apr 2002	Acute cough (n = 168)	?
Heckerling et al.39	PNA	Pros.	ED (n = 3), Jul 1987-Jun 1988	Respiratory symptoms (n = 1134)	Medical resident/ physician (n = ?)
Hopstaken et al.40	PNA	Pros.	GP (n = 15), Jan 1998-Apr 1999	Symptoms of lower respiratory tract infection (n = 246)	GP (n = 25)
Melbye et al.41	PNA	Pros.	ED, Oct 1988-Jun 1989	Symptoms of respiratory tract infection (n = 626)	GP (n = 40)
Minnaard et al.42	PNA	Pros.	Multicenter (n = 16), 2007–2010	Acute cough (n = 2840)	GP (n = 294)
Nakanishi et al.43	PNA	Pros.	IM/ED, Apr 2007-Mar 2009	Symptoms of lower respiratory tract infection (n = 406)	?
Reissig et al.44	PNA	Pros.	Multicenter (n = 14), Nov 2007-Feb 2011	Clinical suspicion of pneumonia (n = 362)	?
Song et al.45	PNA	Case-
control	IM, Sep 2009- Feb 2010	Respiratory symptoms (n = 81)	?

Abbreviations: CHF: congestive heart failure; HPT: (hemato)pneumothorax; OLD: Obstructive Lung Disease; Pneumonia: PNA; Pros.: Prospective observational; Retrosp.: Retrospective observational; ICU: Intensive Care Unit; ED: Emergency Department; GP: General Practitioner; IM: Internal Medicine; PC: Pulmonary Clinic; RCC: Respiratory and Critical Care Department; UHC: University hospital clinic; COPD: Chronic Obstructive Pulmonary Disease;?: Unknown.