Premortem clinical diagnoses and postmortem autopsy findings discrepancies in critically ill cancer patients 英文参考文献.docVIP

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Premortem clinical diagnoses and postmortem autopsy findings discrepancies in critically ill cancer patients 英文参考文献.doc

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Premortem clinical diagnoses and postmortem autopsy findings discrepancies in critically ill cancer patients 英文参考文献

Available online /content/11/2/R48 Research Open Access Vol 11 No 2 Premortem clinical diagnoses and postmortem autopsy findings: discrepancies in critically ill cancer patients Stephen M Pastores, Alina Dulu, Louis Voigt, Nina Raoof, Margarita Alicea and Neil A Halpern Critical Care Medicine Service, Department of Anesthesiology and Critical Care Medicine, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA Corresponding author: Stephen M Pastores, pastores@ Received: 5 Feb 2007 Revisions requested: 9 Feb 2007 Revisions received: 20 Mar 2007 Accepted: 20 Apr 2007 Published: 20 Apr 2007 Critical Care 2007, 11:R48 (doi:10.1186/cc5782) This article is online at: /content/11/2/R48 ? 2007 Pastores et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Introduction Limited data are available regarding the Results Of 658 deaths in the ICU during the study period, 86 (13%) autopsies were performed. Of the 86 patients, 22 (26%) had 25 major missed diagnoses, 12 (54%) patients had class I discrepancies, 7 (32%) had class II discrepancies, and 3 (14%) relationship of premortem clinical diagnoses and postmortem autopsy findings in cancer patients who die in an oncologic intensive care unit (ICU). The purposes of this study were to compare the premortem clinical and postmortem diagnoses of cancer patients who died in the ICU and to analyze any discrepancies between them. had both class I and class II discrepancies. Class I discrepancies were due to opportunistic infections (67%) and cardiac complications (33%), whereas class II discrepancies were opportunistic infections (30%). due to cardiopulmonary complications (70%) and Methods This is a