Yield of the screening review of systems - A study on a general medical service

Teddy L. Mitchell, Janet L. Tornelli, Thomas D. Fisher, Thomas A. Blackwell, J. Randall Moorman

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Study objective:To determine the usefulness of screening reviews of the cardiopulmonary and gastrointestinal systems during medical admissions. Design:Case series. Setting:General internal medicine ward of a university hospital. Patients:550 consecutive medical patients were initially screened at admission. The authors excluded 265 patients with life-limiting medical conditions, and they studied 98 patients with no known cardiopulmonary disease and 207 patients with no known gastrointestinal disease. Interventions:Positive responses to screening systems review questions were evaluated using a standardized testing algorithm. Main outcome measures:Numbers of new diagnoses; potential for patient benefit. Main results:The authors made 26 new diagnoses for 25 patients (95% confidence limits, 16 to 37 patients), two of whom may have gained years of life as a result. Conclusions:The absolute yield of the screening cardiopulmonary and gastrointestinal reviews of systems of 550 patients admitted to an internal medicine service of a university hospital was a new diagnosis in about 5% of patients. An estimate of the cost-effectiveness compares favorably with those of other accepted screening practice.

Original languageEnglish (US)
Pages (from-to)393-397
Number of pages5
JournalJournal of general internal medicine
Issue number4
StatePublished - Jul 1992


  • admission
  • cardiopulmonary
  • gastrointestinal
  • review of systems
  • screening

ASJC Scopus subject areas

  • Internal Medicine


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