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Clinical-pathological discrepancies in critically ill patients with difficult premortem diagnoses.
MedLine Citation:
PMID:  23949457     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
INTRODUCTION: The importance of autopsies is a common theme of discussions both in Brazil and around the world as it elucidates causes of death and has wide ranging social value. However this is a practice that is gradually being considered unnecessary and there have been a decline in the number of postmortems examinations.
OBJECTIVES: To compare clinical and pathological diagnosis in critically ill patients with difficult premortem diagnosis.
METHODS: All autopsy cases (total of 98) from any of the three general medical/surgical intensive care units (78 beds in total) affiliated to the medical school from January 2003 to December 2006 were analyzed. We analyzed the clinical and pathological diagnosis based on the Goldman criteria.
RESULTS: In 49 (50%) cases, there were class I and II of Goldman. In contrast, only 30 (30.6%) had a complete agreement between premortem and postmortem diagnosis and were classified as class V. Infections had a significantly greater rate of concordant diagnosis than cardiovascular diseases.
CONCLUSION: We found significant discrepancies between clinical and pathological findings, reinforcing the value of postmortem examination.
Authors:
Aline Fusco Fares; Patrícia Maluf Cury; Suzana Margareth Lobo
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Revista brasileira de terapia intensiva     Volume:  23     ISSN:  1982-4335     ISO Abbreviation:  Rev Bras Ter Intensiva     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2013-8-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9506692     Medline TA:  Rev Bras Ter Intensiva     Country:  -    
Other Details:
Languages:  ENG; POR     Pagination:  442-447     Citation Subset:  -    
Vernacular Title:
Discrepâncias clínico-patológicas em pacientes graves com difícil diagnóstico pre-mortem.
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