کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5885296 1567681 2015 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Electronic ArticleThe impact of antemortem computed tomographic scanning on postmortem examination rate and frequency of missed diagnosis: A retrospective analysis of postmortem examination data
ترجمه فارسی عنوان
مقاله الکترونیکی تأثیر اسکن توموگرافی کامپیوتری قبل از مداخله بر میزان بررسی معاینه پس از زایمان و فراوانی تشخیص ناموفق: یک بررسی گذشته نگر از داده های معاینه پس از زایمان
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
چکیده انگلیسی

PurposeThe present study was conducted to explore the impact of computed tomographic (CT) scanning on the diagnostic discrepancy rate.Materials and methodsThis single-center, retrospective study reviewed postmortem examination results, clinical diagnoses, and radiologic imaging data for patients admitted to the intensive care unit (ICU) in 2008 to 2013. The Goldman criteria were used to classify diagnostic discrepancies.ResultsThe data of 577 patients who died during their ICU stay were retrieved. The postmortem examination rate was 42.9% (n = 248). Significant diagnostic discrepancies (Goldman I and II) were recorded in 24 cases (9.7%).The postmortem examination rate decreased significantly from the first half (n = 143; 51.1%) to the second half (n = 105; 35.4%) of the study period (P < .0001). Among those with postmortem examinations, the use of antemortem body CT scans increased significantly from the first half (n = 59; 41.3%) to the second half (n = 64; 51.0%; P = .002) of the study period. The significant diagnostic discrepancy rate did not change with time (8.4% vs 11.4%, respectively; P = .424).ConclusionThe postmortem examination rate has decreased, whereas antemortem CT scans has increased.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Critical Care - Volume 30, Issue 6, December 2015, Pages 1420.e1-1420.e4
نویسندگان
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