![]() This descriptive study aimed to evaluate the appropriateness of the use of pulmonary auscultation terms in articles about respiratory diseases published in Brazilian medical journals.Ī descriptive study was carried out based on data extracted from some Brazilian medical journals between January of 1980 and December of 2003. In addition, the evolution of the appropriateness of the use of pulmonary auscultation terms has not been studied since the dissemination of the new international nomenclature. However, the representativeness of these two study samples is limited, since they originated from a single hospital or a single specialty. A recent study demonstrated that these terminological modifications have not been incorporated into practice by medical residents and interns at a university hospital.(10) Another study concluded that even pulmonologists were unfamiliar with the current nomenclature.(11) Of the 131 case reports analyzed in that study, 72 used incorrect terms to describe pulmonary auscultation, employing 30 different designations to describe breath sounds. In Brazil, the impact that these terminological modifications have had on medical practice remains unknown. However, there is still much confusion regarding the terminology used to describe pulmonary auscultation.(2-5) This motivated specialists from several countries to meet in 1985 in order to standardize the nomenclature, aiming to simplify it, as well as to include new concepts in pulmonary auscultation.(6) Since that time, new pulmonary auscultation terms have become prevalent in the international literature.(7-9) The importance of respiratory auscultation has been made evident since the invention of the stethoscope by Laennec, which allowed a more accurate diagnosis of pleuropulmonary diseases.(1) Even after the great technological advances in clinical diagnosis, respiratory auscultation remains a useful tool for evaluating patients with respiratory diseases. Conclusão: O uso inadequado dos termos para descrever ruídos adventícios na ausculta pulmonar continua sendo um fenômeno freqüente e geral nas publicações médicas brasileiras.Īuscultação Pulmão/fisiopatologia Pneumopatias/diagnóstico Sons respiratórios Terminologia Também não observamos diferença significativa entre as regiões do país e os períodos antes e após a divulgação da nomenclatura internacional. Não houve diferença significativa entre relatos de pneumologistas e de outros especialistas quanto à inadequação no uso dos termos (56,5% versus 62,0%, p = 0,26). Resultados: Encontrou-se maior inadequação no uso dos termos de ruídos descontínuos, comparado com o uso dos termos de ruídos contínuos (87,7% versus 44%, p = 0,0000). ![]() Foi avaliada a adequação dos termos na descrição dos ruídos adventícios. Foram selecionados os artigos originais e relatos de casos sobre doenças respiratórias, de onde foram extraídos os termos semiológicos da ausculta pulmonar. Métodos: Realizou-se um estudo descritivo, analisando-se três revistas médicas: Jornal de Pneumologia, Jornal de Pediatria e Revista Médica Brasileira. Objetivo: Avaliar a adequação de uso de termos semiológicos da ausculta pulmonar em publicações médicas brasileiras sobre doenças respiratórias, no período de janeiro de 1980 a dezembro de 2003. Conclusion: Inappropriate use of pulmonary auscultation terms describing adventitious sounds remains common and widespread in Brazilian medical publications.Īuscultation Lung/physiopathology Lung diseases/diagnosis Respiratory sounds Terminology In addition, there were no significant differences among the various regions of the country or between the periods prior to and after the dissemination of international nomenclature. No significant difference was observed between the inappropriate use of terms by pulmonologists and that observed for other specialists (56.5% versus 62.0% p = 0.26). ![]() Results: We found that the inappropriate use of terms was more frequent when intermittent sounds were described than when continuous sounds were described (87.7% versus 44.0% p = 0.0000). ![]() The appropriateness of terms used to describe adventitious sounds was assessed. Original articles and case reports about respiratory diseases were selected, and auscultation terminology was extracted from these articles. Methods: A descriptive study was conducted, evaluating three medical journals: the Jornal de Pneumologia (Journal of Pulmonology), Jornal de Pediatria (Journal of Pediatrics) and Revista Brasileira de Medicina (Brazilian Journal of Medicine). Objective: To evaluate the appropriateness of the use of auscultation terminology in Brazilian respiratory disease-related medical journals published between January of 1980 and December of 2003. ![]()
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