Document Detail


Medicolegal characteristics of aortic stenosis litigation: a review of the LexisNexis Academic database.
MedLine Citation:
PMID:  21053739     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND AIM OF THE STUDY: Currently, few studies have been conducted to assess the outcome patterns of medicolegal cases involving patients with cardiovascular disease. Thus, the literature was reviewed for patterns of liability and medical outcomes in patients involved in aortic stenosis (AS) litigation.
METHODS: Legal case opinions were obtained from LexisNexis Academic; case characteristics, litigation outcomes, and medical outcomes were identified.
RESULTS: Of the 133 cases reviewed, 27% were disability claims, 23% workers' compensation cases, 14% medical malpractice cases, and 9% military service connection cases. Of the 133 cases, only 47% were judged in the patients' favor. The patients' mean age was 48.8 years, and 77% were male. The most common etiology of AS was calcific (38%), followed by rheumatic (31%), bicuspid/congenital (27%), and subaortic (4%). The most common presentation was precordial pain (38%), shortness of breath (35%), syncope/dizziness (18%), fatigue (11%) and death (9%). Aortic valve replacement (AVR) was the most common form of treatment (67%); disability was the most common medical outcome (42%).
CONCLUSION: AS in litigation follows the standard pattern of AS disease. Only a minority of AS litigation cases are due to medical malpractice, while the majority of AS litigation cases are due to those seeking workers' or disability compensation. Cardiologists treating patients with AS should be cognizant of these litigation patterns and proactively document medical findings, since resulting court decisions profoundly affect the patients' financial means and quality of life.
Authors:
Michael J Shih; Mladen I Vidovich
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of heart valve disease     Volume:  19     ISSN:  0966-8519     ISO Abbreviation:  J. Heart Valve Dis.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-11-08     Completed Date:  2010-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9312096     Medline TA:  J Heart Valve Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  599-604: discussion 604-5     Citation Subset:  IM    
Affiliation:
Department of Medicine, Rush University Medical Center, Chicago, Illinois, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Aortic Valve Stenosis* / etiology,  therapy
Child
Child, Preschool
Databases as Topic
Female
Humans
Infant
Jurisprudence*
Liability, Legal / economics*
Male
Malpractice / economics,  legislation & jurisprudence
Middle Aged
Sick Leave / economics,  legislation & jurisprudence
Workers' Compensation / economics,  legislation & jurisprudence
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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