Unexpected findings and misdiagnoses in coroner’s autopsies performed for trauma at the University of the West Indies, Kingston, Jamaica
| Autor: | Althea C. G. Neblett, Escoffery Ct, TN Gibson |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Jamaica Pediatrics medicine.medical_specialty Medical diagnostic Adolescent Autopsy Pathology and Forensic Medicine Coroner Young Adult 03 medical and health sciences Age Distribution 0302 clinical medicine Cause of Death Clinical investigation medicine Humans In patient Diagnostic Errors Sex Distribution Medical diagnosis Child Aged Retrospective Studies Cardiopulmonary disease West indies Aged 80 and over business.industry Infant 030208 emergency & critical care medicine General Medicine Length of Stay Middle Aged Hospitalization Child Preschool 030220 oncology & carcinogenesis Wounds and Injuries Female business Coroners and Medical Examiners |
| Zdroj: | Forensic Science, Medicine and Pathology. 14:314-321 |
| ISSN: | 1556-2891 1547-769X |
| DOI: | 10.1007/s12024-018-9983-9 |
| Popis: | There has been significant improvement in medical diagnostic technology, but discrepancy rates between clinical and postmortem diagnoses remain relatively high. This study aimed to identify misdiagnoses and missed (unexpected) findings documented during complete coroner’s autopsies performed for trauma at the University of the West Indies (UWI) and evaluate their influence on patient outcome. We retrospectively reviewed the reports of all coroner’s autopsies performed for trauma, between 2003 and 2012, at the UWI. For each case, we extracted age, gender, trauma type, mechanism and topography, clinical and postmortem diagnoses and hospitalization duration. The data were used to calculate frequencies, proportions and discrepancy rates. 955 coroner’s autopsies were performed during the 10-year period; reports were available for 933. 396 of these were performed for trauma; 365 met the inclusion criteria. 260 (71.2%) of the 365 autopsies had at least one discrepancy. There were 746 clinical and 1118 autopsy diagnoses; 382 were discrepant (372 missed [unexpected] diagnoses, 6 mis-diagnoses and 4 over-diagnoses). The discrepancy rate (misdiagnoses and missed diagnoses) was 33.8%, and the majority (55%) occurred in patients hospitalized for |
| Databáze: | OpenAIRE |
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