FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2099133513> ?p ?o ?g. }

• W2099133513 endingPage "670P" @default.
• W2099133513 startingPage "670P" @default.
• W2099133513 abstract "A study was performed to determine the accuracy of clinical diagnosis compared with post mortem findings in a nine bed combined high dependency and intensive care unit in a district general hospital (DGH). One hundred and two consecutive post mortem examinations, performed over a 3-yr period, were analysed using a retrospective and blinded review of medical records. All notes relating to post mortem findings were removed from the medical records which were then reviewed by an intensive care consultant. Cause of death and major clinical diagnoses were determined and compared with post-mortem findings. All patients in whom a discrepancy was found had their cases reviewed by a panel of three intensive care clinicians and a consultant surgeon to determine the significance of the discrepancy using the Goldman classification.1 A Goldman I discrepancy is a missed major diagnosis that if known in life would have altered therapy and possibly survival. A Goldman II discrepancy is a missed major diagnosis that would not have altered therapy or survival. Between June 1996 and May 1999 there were 1718 admissions and 252 deaths (14.7%), of which there were 102 post mortems performed (post mortem rate of 40.5%). Two patients were excluded, being under 16 yr of age, and the notes of three patients were unobtainable. Of the 97 patients, 4 (4.1%) had Goldman I discrepancies, and 19 (19.6%) had Goldman II discrepancies. Complete agreement between pre and post mortem diagnosis was found in 74 (76.3%). Discrepancies fell into four main groups; unrecognized haemorrhage (7 patients), pulmonary emboli (5), myocardial infarction (5), and infectious complications (4). There was a higher proportion of surgical patients with discrepancies (discrepancies in 13 out of 30 surgical patients, 43%), compared with medical patients (7 out of 40, 18%). The four Goldman I discrepancies were unrecognized gastrointestinal haemorrhage, untreated pulmonary embolus, missed septic arthropathy and unrecognized valvular heart disease. This is the first analysis of discrepancies in post mortem findings in a DGH critical care unit (CCU). Previous studies have concentrated on specialized tertiary referral centres.2–4 There are a higher number of unrecognized haemorrhagic complications than in previous studies.2–5 This study reveals that in a CCU important diagnostic errors were made in 19.6% of all patients who subsequently die. In a fifth of these (4.1%), diagnostic errors may have adversely affected their survival. Post mortem examinations have a significant part to play in auditing clinical practice and diagnostic performance in intensive care medicine." @default.
• W2099133513 created "2016-06-24" @default.
• W2099133513 creator A5036059795 @default.
• W2099133513 creator A5071066320 @default.
• W2099133513 creator A5071573256 @default.
• W2099133513 date "2000-05-01" @default.
• W2099133513 modified "2023-09-26" @default.
• W2099133513 title "Post mortem findings reveal major diagnostic errors in one fifth of patients who die in a critical care unit" @default.
• W2099133513 doi "https://doi.org/10.1093/bja/84.5.670" @default.
• W2099133513 hasPublicationYear "2000" @default.
• W2099133513 type Work @default.
• W2099133513 sameAs 2099133513 @default.
• W2099133513 citedByCount "1" @default.
• W2099133513 crossrefType "journal-article" @default.
• W2099133513 hasAuthorship W2099133513A5036059795 @default.
• W2099133513 hasAuthorship W2099133513A5071066320 @default.
• W2099133513 hasAuthorship W2099133513A5071573256 @default.
• W2099133513 hasBestOaLocation W20991335131 @default.
• W2099133513 hasConcept C111106434 @default.
• W2099133513 hasConcept C111919701 @default.
• W2099133513 hasConcept C122637931 @default.
• W2099133513 hasConcept C145420912 @default.
• W2099133513 hasConcept C15744967 @default.
• W2099133513 hasConcept C177713679 @default.
• W2099133513 hasConcept C2776376669 @default.
• W2099133513 hasConcept C2991859549 @default.
• W2099133513 hasConcept C2993568657 @default.
• W2099133513 hasConcept C41008148 @default.
• W2099133513 hasConcept C71924100 @default.
• W2099133513 hasConceptScore W2099133513C111106434 @default.
• W2099133513 hasConceptScore W2099133513C111919701 @default.
• W2099133513 hasConceptScore W2099133513C122637931 @default.
• W2099133513 hasConceptScore W2099133513C145420912 @default.
• W2099133513 hasConceptScore W2099133513C15744967 @default.
• W2099133513 hasConceptScore W2099133513C177713679 @default.
• W2099133513 hasConceptScore W2099133513C2776376669 @default.
• W2099133513 hasConceptScore W2099133513C2991859549 @default.
• W2099133513 hasConceptScore W2099133513C2993568657 @default.
• W2099133513 hasConceptScore W2099133513C41008148 @default.
• W2099133513 hasConceptScore W2099133513C71924100 @default.
• W2099133513 hasIssue "5" @default.
• W2099133513 hasLocation W20991335131 @default.
• W2099133513 hasOpenAccess W2099133513 @default.
• W2099133513 hasPrimaryLocation W20991335131 @default.
• W2099133513 hasRelatedWork W1941368619 @default.
• W2099133513 hasRelatedWork W1975042588 @default.
• W2099133513 hasRelatedWork W1978707438 @default.
• W2099133513 hasRelatedWork W1997430813 @default.
• W2099133513 hasRelatedWork W2043063753 @default.
• W2099133513 hasRelatedWork W2052406208 @default.
• W2099133513 hasRelatedWork W2139157104 @default.
• W2099133513 hasRelatedWork W2141065463 @default.
• W2099133513 hasRelatedWork W2167329001 @default.
• W2099133513 hasRelatedWork W3093969538 @default.
• W2099133513 hasVolume "84" @default.
• W2099133513 isParatext "false" @default.
• W2099133513 isRetracted "false" @default.
• W2099133513 magId "2099133513" @default.
• W2099133513 workType "article" @default.