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Showing papers in "Chest in 1997"


Journal ArticleDOI
01 Jun 1997-Chest
TL;DR: Analysis of a collected database representing all clinical, surgical-pathologic, and follow-up information for 5,319 patients treated for primary lung cancer confirmed the validity of the TNM and stage grouping classification schema.

4,526 citations


Journal ArticleDOI
01 Jun 1997-Chest
TL;DR: Recommendations for classifying regional lymph node stations for lung cancer staging have been adopted by the American Joint Committee on Cancer and the Union Internationale Contre le Cancer, and provides for consistent, reproducible, lymph node mapping that is compatible with the international staging system for Lung cancer.

1,375 citations



Journal ArticleDOI
01 Mar 1997-Chest
TL;DR: The impact of BAL data on the selection of antibiotics and the outcomes of patients with ventilator-associated pneumonia (VAP) is defined and mortality rate is reduced if this empiric therapy is adequate, compared to when this therapy is inadequate or no therapy is given.

902 citations


Journal ArticleDOI
01 Sep 1997-Chest
TL;DR: In this paper, the authors reviewed the literature on the inflammatory response to CPB and discussed recent developments of therapeutic interventions aimed at attenuating the inflammatory cascade in perioperative injury, including corticosteroids, aprotinin, and antioxidants.

771 citations


Journal ArticleDOI
01 Jul 1997-Chest
TL;DR: Identifying patients at risk for poor outcomes from extubation failure and instituting alternative care practices may reduce mortality, duration of ICU stay, and need for transfer to a long-term care facility.

727 citations



Journal ArticleDOI
01 Oct 1997-Chest
TL;DR: The use of inspiratory and expiratory aids can prolong survival while significantly decreasing the pulmonary morbidity and hospitalization rates associated with conventional resort to tracheostomy IPPV.

486 citations



Journal ArticleDOI
01 Nov 1997-Chest
TL;DR: Schwannoma and neurofibroma are benign peripheral nerve neoplasms, represent the most common mediastinal neurogenic tumors, and rarely degenerate into malignant tumors of nerve sheath origin.

460 citations



Journal ArticleDOI
01 Mar 1997-Chest
TL;DR: These results provide a framework for identifying patients at risk of developing a PPC following abdominal surgery and provide a reliable and valid risk index that could be used clinically to guide preoperative and postoperative pulmonary care and target limited resources for patients atrisk.

Journal ArticleDOI
01 Jul 1997-Chest
TL;DR: The findings suggest that repletion of glutathione may safely be accomplished with NAC or OTZ in patients with acute lung injury/ARDS and such treatment may shorten the duration of acute lung Injury, but larger studies are needed to confirm this.

Journal ArticleDOI
01 Feb 1997-Chest
TL;DR: Traditional therapies originally indicated for allergic rhinitis and asthma are being reassessed to explore their potential utility in both upper and lower airway diseases.

Journal ArticleDOI
01 Apr 1997-Chest
TL;DR: It is confirmed that airways remodeling is a very distinctive and characteristic pathologic finding of asthma and that it is related to the clinical and functional severity of asthma, but not to atopy or length of asthmatic history.

Journal ArticleDOI
01 Aug 1997-Chest
TL;DR: The clinical, radiologic, and therapeutic aspects of the most common masses, including thymomas, lymphangiomas, and mediastinal goiters are reviewed.

Journal ArticleDOI
01 Aug 1997-Chest
TL;DR: Hemoptysis is a common symptom with a good prognosis in most cases, however, patients exhibiting massive bleeding or those with lung malignancy and patients with bleeding diathesis had a poorer prognosis.

Journal ArticleDOI
01 Sep 1997-Chest
TL;DR: In this article, the authors compared anthropomorphic, nocturnal polysomnographic (PSG), and multiple sleep latency test (MSLT) data between positional (PP) and non-positional (NPP) obstructive sleep apnea (OSA) patients.


Journal ArticleDOI
01 May 1997-Chest
TL;DR: Aspiration measured by this technique occurs commonly in healthy young men during sleep, is unrelated to sleep quality, and is variable within subjects studied on more than one occasion.

Journal ArticleDOI
01 Jun 1997-Chest
TL;DR: In patients with loculated, complex fibrinopurulent parapneumonic empyema thoracis, a primary treatment strategy of VATS is associated with a higher efficacy, shorter hospital duration, and less cost than a treatment strategy that utilizes catheter-directed fibrinolytic therapy.

Journal ArticleDOI
01 Aug 1997-Chest
TL;DR: The sputum concentration of IL-8 appeared to be closely associated with the degree of airflow obstruction in patients with COPD and may serve as a marker in evaluating the severity of airway inflammation, which is a risk factor for COPD.


Journal ArticleDOI
01 Apr 1997-Chest
TL;DR: In this article, the effects of overall obesity and fat distribution on ventilatory function were examined for 507 subjects with lifelong tobacco consumption of ≤ 1 pack-year in five age decades from 30 to 79 years.

Journal ArticleDOI
01 Sep 1997-Chest
TL;DR: Nosocomial infections, which are common following cardiac surgery, are associated with prolonged lengths of hospitalization, the development of multiorgan dysfunction, and increased hospital mortality.

Journal ArticleDOI
01 Mar 1997-Chest
TL;DR: The anterior subepicardial ischemic pattern is the most frequent ECG sign of massive PE and its reversibility before the sixth day points to a good outcome or high level of therapeutic efficacy.

Journal ArticleDOI
01 May 1997-Chest
TL;DR: In this paper, the risk factors and frequency of intracranial hemorrhage among patients undergoing thrombolysis for pulmonary embolism were determined and compared with those who did not.

Journal ArticleDOI
01 Dec 1997-Chest
TL;DR: TA can be easily identified clinically, and when it occurs in the patient in stable condition with PMV, is associated with poor outcome; external PEEP improved but rarely led to elimination of TA that was transient in duration.

Journal ArticleDOI
01 Mar 1997-Chest
TL;DR: The striking difference in relapse rate between treated and untreated patients suggests that patients with disease that would later be severe and protracted were almost unerringly identified early in their course.

Journal ArticleDOI
01 Aug 1997-Chest
TL;DR: In this paper, the authors evaluated histologic, microbiological, and clinical criteria in the recognition of ventilator-associated pneumonia (VAP) in patients who died while mechanically ventilated.