在患有致命疾病的儿童中，心脏病生前诊断的准确率有多高？一项回顾性的医疗和尸检记录研究。
How often are heart diseases correctly diagnosed antemortem in children with fatal illnesses? A retrospective review of medical and autopsy records.
机构信息
Department of Pediatrics, Seth G.S. Medical College & K.E.M. Hospital, Parel, Mumbai, Maharashtra, India.
Department of Pathology (Cardiovascular & Thoracic Division), Seth G.S. Medical College & K.E.M. Hospital, Parel, Mumbai, Maharashtra, India.
出版信息
J Postgrad Med. 2023 Oct-Dec;69(4):224-226. doi: 10.4103/jpgm.jpgm_608_23.
Abstract
This retrospective study analyzed the concordance level between clinical and autopsy diagnosis of heart diseases over six years. Utilizing the Goldmann classification, the concordance rate was found to be 38.1%. Major discrepancies (Class I and II) were found in 39% cases and minor (Class III and IV) in 22.9% cases.
摘要
本回顾性研究分析了六年来心脏病的临床诊断与尸检诊断的一致性水平。使用 Goldmann 分类法，发现一致性率为 38.1%。39%的病例存在较大差异（I 类和 II 类），22.9%的病例存在较小差异（III 类和 IV 类）。
相似文献
1
How often are heart diseases correctly diagnosed antemortem in children with fatal illnesses? A retrospective review of medical and autopsy records.在患有致命疾病的儿童中，心脏病生前诊断的准确率有多高？一项回顾性的医疗和尸检记录研究。
J Postgrad Med. 2023 Oct-Dec;69(4):224-226. doi: 10.4103/jpgm.jpgm_608_23.
2
How often is coarctation of aorta correctly diagnosed antemortem in children with fatal illnesses? A retrospective review of medical and autopsy records.在患有致命疾病的儿童中，主动脉缩窄在生前被正确诊断的频率是多少？对医疗和尸检记录的回顾性研究。
J Postgrad Med. 2020 Jul-Sep;66(3):169-171. doi: 10.4103/jpgm.JPGM_125_20.
3
Correct Antemortem Diagnosis of Pneumonia in Children With Fatal Illnesses.正确诊断致命疾病儿童的肺炎。
Indian Pediatr. 2020 Apr 15;57(4):361-362. doi: 10.1007/s13312-020-1791-0.
4
Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients.儿科癌症患者生前临床诊断与尸检结果的诊断差异。
Virchows Arch. 2021 Jun;478(6):1179-1185. doi: 10.1007/s00428-020-03002-4. Epub 2021 Jan 3.
5
Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect?急诊医学纠纷病例的尸检问询：临床诊断错误的频率有多高？
J Clin Pathol. 2018 Jan;71(1):67-71. doi: 10.1136/jclinpath-2017-204484. Epub 2017 Jul 22.
6
Diagnostic errors in fatal medical malpractice cases in Shanghai, China: 1990-2015.中国上海1990 - 2015年致命医疗事故案例中的诊断错误
Diagn Pathol. 2019 Jan 31;14(1):8. doi: 10.1186/s13000-019-0785-5.
7
Assessing the accuracy of death records and pre-mortem clinical diagnoses in children diagnosed with brain tumors: A retrospective chart review of children in British Columbia, Canada.评估脑肿瘤患儿死亡记录和死前临床诊断的准确性：加拿大不列颠哥伦比亚省儿童的回顾性病历审查。
Pathol Res Pract. 2015 Oct;211(10):748-53. doi: 10.1016/j.prp.2015.06.008. Epub 2015 Jun 23.
8
Is necropsy obsolete - an audit of the clinical autopsy over six decades: a study from Indian sub continent.尸检是否过时——对六十多年来临床尸检的审计：来自印度次大陆的一项研究
Indian J Pathol Microbiol. 2013 Oct-Dec;56(4):372-7. doi: 10.4103/0377-4929.125294.
9
Use of the autopsy in Northern Ireland and its value in perioperative deaths.北爱尔兰尸检的应用及其在围手术期死亡中的价值。
IARC Sci Publ. 1991(112):115-24.
10
Autopsy study of the elderly institutionalized patient. Review of 234 autopsies.老年机构化患者的尸检研究。对234例尸检的回顾。
Arch Intern Med. 1988 Jan;148(1):173-6.
本文引用的文献
1
Coarctation of the Aorta: Delay in Diagnosis and Referral Basis from Infancy to Adulthood.主动脉缩窄：从婴儿期到成年期的诊断和转诊延迟。
J Pediatr. 2022 Mar;242:57-62. doi: 10.1016/j.jpeds.2021.11.066. Epub 2021 Dec 1.
2
AGREEMENT BETWEEN CLINICAL AND ANATOMOPATHOLOGICAL DIAGNOSES IN PEDIATRIC INTENSIVE CARE.儿科重症监护中临床与解剖病理诊断的一致性。
Rev Paul Pediatr. 2021 Mar 12;39:e2019263. doi: 10.1590/1984-0462/2021/39/2019263. eCollection 2021.
3
Value of serial echocardiography in diagnosing Kawasaki's disease.系列超声心动图在诊断川崎病中的价值。
Eur J Pediatr. 2021 Feb;180(2):387-395. doi: 10.1007/s00431-020-03752-y. Epub 2020 Sep 21.
4
Congenital Heart Disease in India: A Status Report.印度的先天性心脏病：一份现状报告。
Indian Pediatr. 2018 Dec 15;55(12):1075-1082.
5
Children with Heart Conditions and Their Special Health Care Needs - United States, 2016.患有心脏疾病和特殊健康需求的儿童 - 美国，2016 年。
MMWR Morb Mortal Wkly Rep. 2018 Sep 28;67(38):1045-1049. doi: 10.15585/mmwr.mm6738a1.
6
The global burden of paediatric heart disease.小儿心脏病的全球负担。
Cardiol Young. 2017 Dec;27(S6):S3-S8. doi: 10.1017/S1047951117002530.
7
The value of the autopsy in three medical eras.三个医学时代中尸检的价值。
N Engl J Med. 1983 Apr 28;308(17):1000-5. doi: 10.1056/NEJM198304283081704.
Zotero 插件