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Showing papers in "Chest in 2016"


Journal ArticleDOI
01 Mar 2016-Chest
TL;DR: The snoring, tiredness, observed apnea, high BP, BMI, age, neck circumference, and male gender (STOP-Bang) questionnaire was specifically developed to meet the need for a reliable, concise, and easy-to-use screening tool.

763 citations


Journal ArticleDOI
01 Aug 2016-Chest
TL;DR: In this paper, a systematic search for articles reporting direct observation of inhaler technique by trained personnel covered the period from 1975 to 2014, and the authors aimed to assess the most common errors in inhaler use over the past 40 years in patients treated with MDIs or dry powder inhalers (DPIs).

370 citations


Journal ArticleDOI
01 Oct 2016-Chest
TL;DR: Reslizumab improved lung function, asthma control and symptoms, and quality of life and was well tolerated in patients with inadequately controlled asthma (despite standard therapy) and elevated blood eosinophil levels.

355 citations


Journal ArticleDOI
01 Oct 2016-Chest
TL;DR: Rlizumab was well tolerated in patients with inadequately controlled asthma, with fewer overall adverse events compared with placebo and Clinically meaningful effects on lung function and symptom control were not seen in patients unselected for baseline eosinophils.

324 citations


Journal ArticleDOI
01 Sep 2016-Chest
TL;DR: The study showed that both cigarettes have unfavorable effects on markers of oxidative stress and FMD after single use, although e-Cigarettes seemed to have a lesser impact.

276 citations


Journal ArticleDOI
01 Jul 2016-Chest
TL;DR: The present article reviews the diagnostic criteria, prevalence, causative factors, and consequences of burnout syndrome, and discusses potential interventions that may be used to prevent and treat BOS.

266 citations


Journal ArticleDOI
01 Mar 2016-Chest
TL;DR: Evidence on the technical aspects of EB US-TBNA varies in strength but is satisfactory in certain areas to guide clinicians on the best conditions to perform EBUS-guided tissue sampling.

266 citations


Journal ArticleDOI
01 Nov 2016-Chest
TL;DR: In this paper, the authors address the epidemiologic and pathophysiologic aspects of ICU-acquired weakness (ICUAW) and highlight diagnostic challenges associated with its diagnosis in patients who are critically ill; and propose, to the best of their knowledge, a novel strategy for identifying ICUAW.

241 citations



Journal ArticleDOI
01 Jan 2016-Chest
TL;DR: In this article, the authors discuss the clinical implications of serum lactate measurement in diagnosis, monitoring, and prognostication in acute and intensive care settings and explore treatment of lactic acidosis and its impact on clinical outcome.

209 citations


Journal ArticleDOI
01 Jan 2016-Chest
TL;DR: In this paper, a systematic review of randomized controlled trials (RCTs) asked: What is the efficacy of treatment compared with usual care for cough severity, cough frequency, and cough-related quality of life in patients with unexplained chronic cough?

Journal ArticleDOI
01 Feb 2016-Chest
TL;DR: Short-term exposure to a 10-μg/m(3) increment of ambient PM2.5 is associated with increased COPD hospitalizations and mortality, and further study is needed to elucidate to what extent this relationship is causal.

Journal ArticleDOI
01 Dec 2016-Chest
TL;DR: Dabigatran, rivaroxaban, and apxaban appear to have similar effectiveness, although apixaban may be associated with a lower bleeding risk and rivroxaban may been associated with an elevated bleeding risk.

Journal ArticleDOI
01 Feb 2016-Chest
TL;DR: A retrospective analysis using data reported to the Cystic Fibrosis Foundation Patient Registry from 2006 to 2012 to determine the annual percent changes in the prevalence and incidence of selected CF pathogens found that the epidemiology of CF pathogens continues to change.

Journal ArticleDOI
01 May 2016-Chest
TL;DR: It is only proper to consider that dual bronchodilation is better than a LAMA or a LABA alone, regardless of the drugs used, and a gradient of effectiveness among the currently available LAMA/LABA FDCs is identified.

Journal ArticleDOI
01 Aug 2016-Chest
TL;DR: The initial 30-month experience with a novel multidisciplinary PERT that rapidly engages multiple specialists to deliver efficient, organized, and evidence-based care to patients with high-risk PE may become a new standard of care for patients with PE.

Journal ArticleDOI
01 Apr 2016-Chest
TL;DR: In this article, the authors performed a systematic review and meta-analysis of observational studies that evaluated the use of warfarin in patients with atrial fibrillation and chronic kidney disease (CKD) to evaluate the risks of ischemic stroke/thromboembolism, major bleeding, and mortality.

Journal ArticleDOI
01 Nov 2016-Chest
TL;DR: Evidence is assessed that ventilatory and other "adjunctive" strategies that decrease biotrauma offer great potential to minimize the adverse consequences of VILI and to improve the outcomes of patients with respiratory failure.

Journal ArticleDOI
01 Mar 2016-Chest
TL;DR: Combined SPT and pregabalin reduces symptoms and improves QOL compared with SPT alone in patients with CRC.


Journal ArticleDOI
01 Jul 2016-Chest
TL;DR: Exposure to passive smoke significantly increased the risk of lung cancer in adult nonsmokers and increased the risks of asthma, wheeze, lower respiratory infections, and reduced lung function in children, and active and passive smoking increased therisk of tuberculosis.

Journal ArticleDOI
01 Jun 2016-Chest
TL;DR: Several potential mechanisms to explain the link between metabolic syndrome and lung diseases are discussed, including dietary factors and the effect of adiposity and fat-induced inflammation on the lungs, and the role of other comorbidities that frequently coexist with MetS, such as OSA and obesity.

Journal ArticleDOI
01 Feb 2016-Chest
TL;DR: This review examines the role of prenatal and postnatal tobacco smoke and nicotine exposure and its association with augmenting infection risk, skewing the immune response toward a T-helper type 2 bias and increasing risk for developing an allergic phenotype and asthmalike symptoms during childhood.

Journal ArticleDOI
01 Mar 2016-Chest
TL;DR: In this paper, the authors identified all pharmacologic treatments evaluated for IPF and analyzed their efficacy via Bayesian network meta-analysis and pairwise indirect treatment comparisons, finding that no treatments performed better than placebo for respiratory-specific mortality.

Journal ArticleDOI
01 Dec 2016-Chest
TL;DR: CNSS among hospitalized patients is common, and its proportion is on the rise, and it is associated with greater acute organ dysfunction and mortality.

Journal ArticleDOI
01 Jul 2016-Chest
TL;DR: It may be feasible and safe to substitute LUS for CXR when evaluating children suspected of having pneumonia with no missed cases of pneumonia or increase in rates of adverse events.

Journal ArticleDOI
01 May 2016-Chest
TL;DR: Melanoma patients treated by immunotherapy should be considered for developing sarcoid-like granulomatous reaction that must not be confused with tumor progression, considering the recently demonstrated role of activated PD-1/PDL-1 axis in Sarcoidosis.

Journal ArticleDOI
01 Dec 2016-Chest
TL;DR: In this paper, the authors updated the 2006 ACCP clinical practice guidelines for management of reflux-cough syndrome and found no high-quality studies pertinent to either question and concluded that there was a strong placebo effect for cough improvement; studies including diet modification and weight loss had better cough outcomes.

Journal ArticleDOI
01 Oct 2016-Chest
TL;DR: Patients with NPPE generate very negative airway pressures, which augment transvascular fluid filtration and precipitate interstitial and alveolar edema.

Journal ArticleDOI
01 Aug 2016-Chest
TL;DR: The study patients presenting to the hospital with a severe eosinophilic exacerbation of COPD had a shorter length of stay, suggesting that better treatment stratification of exacerbations can be used.