{"id":"https://openalex.org/W2187584489","doi":"https://doi.org/10.4187/respcare.06511120","title":"Discrepancy in the Use of Confirmatory Tests in Patients Hospitalized With the Diagnosis of Chronic Obstructive Pulmonary Disease or Congestive Heart Failure","display_name":"Discrepancy in the Use of Confirmatory Tests in Patients Hospitalized With the Diagnosis of Chronic Obstructive Pulmonary Disease or Congestive Heart Failure","publication_year":2006,"publication_date":"2006-10-01","ids":{"openalex":"https://openalex.org/W2187584489","doi":"https://doi.org/10.4187/respcare.06511120","mag":"2187584489","pmid":"https://pubmed.ncbi.nlm.nih.gov/17005056"},"language":"en","primary_location":{"id":"doi:10.4187/respcare.06511120","doi":"https://doi.org/10.4187/respcare.06511120","is_oa":false,"landing_page_url":"https://doi.org/10.4187/respcare.06511120","pdf_url":null,"source":{"id":"https://openalex.org/S744042","display_name":"Respiratory Care","issn_l":"0020-1324","issn":["0020-1324","1943-3654"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316455","host_organization_name":"American Association for Respiratory Care","host_organization_lineage":["https://openalex.org/P4310316455"],"host_organization_lineage_names":["American Association for Respiratory Care"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Respiratory Care","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5023048605","display_name":"Mahendra Damarla","orcid":"https://orcid.org/0000-0002-6231-5185","observed_orcids":["https://orcid.org/0000-0002-6231-5185"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]},{"id":"https://openalex.org/I3018163063","display_name":"St. Elizabeth's Medical Center","ror":"https://ror.org/00cr15z55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I3018163063"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mahendra Damarla","raw_affiliation_strings":["Division of Pulmonary and Critical Care, Johns Hopkins School of Medicine, Baltimore, Maryland","Division of Pulmonary and Critical Care Medicine, Caritas St Elizabeth's Medical Center, Boston, Massachusetts 02135, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pulmonary and Critical Care, Johns Hopkins School of Medicine, Baltimore, Maryland","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]},{"raw_affiliation_string":"Division of Pulmonary and Critical Care Medicine, Caritas St Elizabeth's Medical Center, Boston, Massachusetts 02135, USA","institution_ids":["https://openalex.org/I3018163063"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008555938","display_name":"Bartolom\u00e9 R. Celli","orcid":"https://orcid.org/0000-0002-7266-8371","observed_orcids":["https://orcid.org/0000-0002-7266-8371"]},"institutions":[{"id":"https://openalex.org/I3018163063","display_name":"St. Elizabeth's Medical Center","ror":"https://ror.org/00cr15z55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I3018163063"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bartolome R Celli","raw_affiliation_strings":["Division of Pulmonary and Critical Care Medicine, Caritas St Elizabeth's Medical Center, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pulmonary and Critical Care Medicine, Caritas St Elizabeth's Medical Center, Boston, Massachusetts","institution_ids":["https://openalex.org/I3018163063"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023632504","display_name":"Hana M\u00fcllerov\u00e1","orcid":"https://orcid.org/0000-0002-0949-0101","observed_orcids":["https://orcid.org/0000-0002-0949-0101"]},"institutions":[{"id":"https://openalex.org/I188950975","display_name":"GlaxoSmithKline (United Kingdom)","ror":"https://ror.org/01xsqw823","country_code":"GB","type":"company","lineage":["https://openalex.org/I188950975"]},{"id":"https://openalex.org/I4405268060","display_name":"GlaxoSmithKline Research & Development Limited (United Kingdom)","ror":"https://ror.org/05mayyh83","country_code":"GB","type":"company","lineage":["https://openalex.org/I4405268060"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Hana X Mullerova","raw_affiliation_strings":["GlaxoSmithKline Research and Development, Worldwide Epidemiology Department, London, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"GlaxoSmithKline Research and Development, Worldwide Epidemiology Department, London, United Kingdom","institution_ids":["https://openalex.org/I188950975","https://openalex.org/I4405268060"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5053025512","display_name":"V\u00edctor Pinto-Plata","orcid":"https://orcid.org/0000-0002-8038-1952","observed_orcids":["https://orcid.org/0000-0002-8038-1952"]},"institutions":[{"id":"https://openalex.org/I3018163063","display_name":"St. Elizabeth's Medical Center","ror":"https://ror.org/00cr15z55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I3018163063"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Victor M Pinto-Plata","raw_affiliation_strings":["Division of Pulmonary and Critical Care Medicine, Caritas St Elizabeth's Medical Center, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pulmonary and Critical Care Medicine, Caritas St Elizabeth's Medical Center, Boston, Massachusetts","institution_ids":["https://openalex.org/I3018163063"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5053025512"],"corresponding_institution_ids":["https://openalex.org/I3018163063"],"apc_list":null,"apc_paid":null,"fwci":5.8941,"has_fulltext":false,"cited_by_count":95,"citation_normalized_percentile":{"value":0.96172928,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"51","issue":"10","first_page":"1120","last_page":"1124"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.9491999745368958,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.9491999745368958,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10198","display_name":"Heart Failure Treatment and Management","score":0.015799999237060547,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.0044999998062849045,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-obstructive-pulmonary-disease","display_name":"chronic obstructive pulmonary disease","score":0.9950000047683716},{"id":"https://openalex.org/keywords/congestive-heart-failure","display_name":"congestive heart failure","score":1.0},{"id":"https://openalex.org/keywords/spirometry","display_name":"spirometry","score":0.9359999895095825},{"id":"https://openalex.org/keywords/two-dimensional-echocardiography","display_name":"two-dimensional echocardiography","score":0.8859999775886536},{"id":"https://openalex.org/keywords/confirmatory-testing","display_name":"confirmatory testing","score":0.8029999732971191},{"id":"https://openalex.org/keywords/diagnostic-test-utilization","display_name":"diagnostic testing utilization","score":0.5070000290870667},{"id":"https://openalex.org/keywords/respiratory-failure","display_name":"respiratory failure","score":0.949999988079071},{"id":"https://openalex.org/keywords/copd-severity-assessment","display_name":"COPD severity assessment","score":0.7200000286102295}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9572653770446777},{"id":"https://openalex.org/C2780333948","wikidata":"https://www.wikidata.org/wiki/Q653305","display_name":"Spirometry","level":3,"score":0.9260531663894653},{"id":"https://openalex.org/C2776780178","wikidata":"https://www.wikidata.org/wiki/Q199804","display_name":"COPD","level":2,"score":0.8211671113967896},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.707368791103363},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5086589455604553},{"id":"https://openalex.org/C75603125","wikidata":"https://www.wikidata.org/wiki/Q1877462","display_name":"Pulmonary function testing","level":2,"score":0.4940955936908722},{"id":"https://openalex.org/C2776888751","wikidata":"https://www.wikidata.org/wiki/Q767485","display_name":"Respiratory failure","level":2,"score":0.473734974861145},{"id":"https://openalex.org/C2779384505","wikidata":"https://www.wikidata.org/wiki/Q17007513","display_name":"Concomitant","level":2,"score":0.43446996808052063},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.3655024766921997},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3591630756855011},{"id":"https://openalex.org/C2776042228","wikidata":"https://www.wikidata.org/wiki/Q35869","display_name":"Asthma","level":2,"score":0.09280827641487122}],"mesh":[{"descriptor_ui":"D004562","descriptor_name":"Electrocardiography","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008404","descriptor_name":"Massachusetts","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013147","descriptor_name":"Spirometry","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D029424","descriptor_name":"Pulmonary Disease, Chronic Obstructive","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.4187/respcare.06511120","doi":"https://doi.org/10.4187/respcare.06511120","is_oa":false,"landing_page_url":"https://doi.org/10.4187/respcare.06511120","pdf_url":null,"source":{"id":"https://openalex.org/S744042","display_name":"Respiratory Care","issn_l":"0020-1324","issn":["0020-1324","1943-3654"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316455","host_organization_name":"American Association for Respiratory Care","host_organization_lineage":["https://openalex.org/P4310316455"],"host_organization_lineage_names":["American Association for Respiratory Care"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Respiratory Care","raw_type":"journal-article"},{"id":"pmid:17005056","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/17005056","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Respiratory care","raw_type":"Journal Article"},{"id":"mag:2187584489","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/17005056","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":15,"referenced_works":["https://openalex.org/W1981681632","https://openalex.org/W1986101189","https://openalex.org/W2058042643","https://openalex.org/W2110367477","https://openalex.org/W2112194469","https://openalex.org/W2123408051","https://openalex.org/W2127951128","https://openalex.org/W2145964444","https://openalex.org/W2156670823","https://openalex.org/W2162863647","https://openalex.org/W2163272778","https://openalex.org/W2166432084","https://openalex.org/W2176610837","https://openalex.org/W2266909492","https://openalex.org/W2515280055"],"related_works":["https://openalex.org/W7099068057","https://openalex.org/W1995673323","https://openalex.org/W2123740028","https://openalex.org/W2160210316","https://openalex.org/W4403099884","https://openalex.org/W4416635843","https://openalex.org/W2743067913","https://openalex.org/W3182372167","https://openalex.org/W4379094831","https://openalex.org/W2189658400"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1,311],"determine":[2,55,107],"the":[3,18,35,47,87,109,119,124,135,151,174,208,231,259,289,301,313,324],"prevalence":[4],"of":[5,8,20,37,49,69,71,80,91,137,153,159,173,188,194,200,236,255,261,304,317,323],"confirmatory":[6,38,57,210,267,290],"use":[7,36],"spirometry":[9,113,182,221,243],"in":[10,43],"patients":[11,44,72,110,131,141,149,175,190,232,256,277,280,299],"admitted":[12,45],"to":[13,34,54,106,123,276,286,326],"a":[14,74,156,186,204,234,266],"tertiary-care":[15,62],"facility":[16],"with":[17,28,46,73,134,176,191,233,246,258,271,278,281,300,332],"diagnosis":[19,48,79,136,152,235,260,303,329],"chronic":[21],"obstructive":[22],"pulmonary":[23],"disease":[24],"(COPD),":[25],"including":[26,269],"those":[27,270],"respiratory":[29,82,177],"failure,":[30,83],"and":[31,84,100,139,155,179,196,223,330],"compare":[32],"that":[33],"2-dimensional":[39],"echocardiography":[40,101],"(2-D":[41],"echo)":[42],"congestive":[50],"heart":[51],"failure":[52,178],"(CHF),":[53],"preferential":[56],"testing":[58],"practices.":[59],"SETTING:":[60],"Academic":[61],"hospital.":[63],"METHODS:":[64],"A":[65,198,252],"6-month":[66],"retrospective":[67],"review":[68],"charts":[70],"primary":[75],"or":[76,114,248],"secondary":[77],"discharge":[78],"COPD,":[81,138,318],"CHF,":[85,154,279],"using":[86],"appropriate":[88],"International":[89],"Classification":[90],"Diseases,":[92],"Ninth":[93],"Revision,":[94],"Clinical":[95],"Modification":[96],"codes.":[97],"Pulmonary":[98],"function":[99],"laboratory":[102],"databases":[103],"were":[104,132,185],"reviewed":[105],"if":[108],"had":[111,112,143,144,150,164,165,181,203,214,220,226,239,242,265,288],"2-D":[115,166,205],"echo":[116,167,206],"performed":[117],"during":[118],"8":[120],"years":[121],"prior":[122],"study":[125],"period.":[126],"RESULTS:":[127],"Five":[128],"hundred":[129],"fifty-three":[130],"discharged":[133],"173":[140],"(31%)":[142],"spirometry.":[145,333],"In":[146],"contrast,":[147],"789":[148],"larger":[157],"proportion":[158,254],"them":[160,201],"(619":[161],"patients,":[162],"78%)":[163],"(p":[168],"<":[169],"0.001).":[170],"Only":[171],"35%":[172],"COPD":[180,195,237,262,282,305],"performed.":[183,229],"There":[184],"total":[187],"219":[189],"concomitant":[192],"diagnoses":[193],"CHF.":[197],"majority":[199],"(48%)":[202],"as":[207],"only":[209],"test,":[211,268],"74":[212],"(34%)":[213],"both":[215,295],"tests":[216],"performed,":[217,292],"4":[218],"(2%)":[219],"only,":[222],"36":[224],"(16%)":[225],"neither":[227],"test":[228,291],"Of":[230],"who":[238],"spirometry,":[240],"30%":[241],"findings":[244],"consistent":[245],"restrictive":[247],"normal":[249],"physiology.":[250],"CONCLUSIONS:":[251],"large":[253],"hospitalized":[257],"have":[263,287,306],"never":[264],"presumably":[272],"advanced":[273],"disease.":[274],"Compared":[275],"are":[283],"less":[284],"likely":[285],"even":[293],"when":[294],"conditions":[296],"coexist.":[297],"Many":[298],"clinical":[302],"an":[307],"inconsistent":[308],"physiologic":[309],"diagnosis.":[310],"impact":[312],"increasingly":[314],"important":[315],"problem":[316],"we":[319],"must":[320],"raise":[321],"awareness":[322],"need":[325],"confirm":[327],"its":[328],"severity":[331]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":6},{"year":2017,"cited_by_count":9},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":7},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":9},{"year":2012,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
