THE LOW-YIELD OF PHYSICAL-EXAMINATIONS AND LABORATORY INVESTIGATIONS OF PATIENTS WITH CHRONIC FATIGUE
THE LOW-YIELD OF PHYSICAL-EXAMINATIONS AND LABORATORY INVESTIGATIONS OF PATIENTS WITH CHRONIC FATIGUE
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DOI：
10.1097/00000441-199005000-00005
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发表时间：
1990-05-01
影响因子：
3.1
通讯作者：
MANU, P
中科院分区：
文献类型：
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作者：
LANE, TJ;MATTHEWS, DA;MANU, P
疲劳是一种常见的症状，但缺乏适当评估其的指南。作者前瞻性地研究了100名主诉疲劳持续至少1个月的成年人，以确定体检和实验室检查对诊断的贡献。评估是在一家教员诊所的专门诊所进行的。体检在2%的患者中提供了诊断信息，实验室检查在5%的患者中阐明了疲劳的原因。在平均10个月的间隔后进行系统的跟踪评估，没有发现任何新的导致疲劳症状的有机原因。轻微的实验室异常相对常见，但不会影响诊断过程，似乎也不会影响临床结果。作者的结论是，对抱怨慢性疲劳的患者进行传统医学评估，在发现可治疗的身体疾病方面效率较低。
Fatigue is a common symptom but guidelines for its appropriate evaluation are lacking. The authors prospectively studied 100 adults with a chief complaint of fatigue lasting at least 1 month in order to determine the diagnostic contribution of physical examinations and laboratory investigations. The evaluations were performed in the specialized clinic of a faculty practice. Physical examinations produced diagnostic information in 2% of patients, and laboratory investigations elucidated the cause of fatigue in 5% of patients. Structured follow-up evaluations after an average interval of 10 months failed to reveal any new organic causes for the fatigue symptom. Minor laboratory abnormalities were relatively common but did not contribute to the diagnostic process and did not seem to influence the clinical outcome. The authors conclude that the traditional medical evaluation of patients complaining of chronic fatigue has a low yield in discovering treatable physical disorders.