alexa Missed Diagnosis of Cancer in Critically Ill Patients: A Single-Center Experience | OMICS International| Abstract
ISSN: 2161-0681

Journal of Clinical & Experimental Pathology
Open Access

Like us on:

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
  • Research Article   
  • J Clin Exp Pathol 2016, Vol 6(6): 299
  • DOI: 10.4172/2161-0681.1000299

Missed Diagnosis of Cancer in Critically Ill Patients: A Single-Center Experience

Berlot G1*, Calderan C1, Moro V1, Bussani R2 and Zandonà L2
1Department of Anaesthesia and Intensive Care Medicine, University of Trieste, Trieste, Italy
2Department of Pathology, University of Trieste, Trieste, Italy
*Corresponding Author : Berlot G, Department of Anaesthesia and Intensive Care, Cattinara Hospital, Strada di Fiume 447, Trieste, 34149, Italy, Tel: +39040-3994540; +39040-912278, Email: [email protected]

Received Date: Nov 15, 2016 / Accepted Date: Nov 19, 2016 / Published Date: Nov 22, 2016

Abstract

Purpose and methods: In order to evaluate the rate of missed diagnoses (MD) of tumors in critically ill patients died in our Intensive Care Unit (ICU) and correlate them with the outcome, all the autopsy records from January 1st, 1996 and December 31st, 2014 have been reviewed. When the tumor was not diagnosed during the admission but discovered only at the post-mortem examination, the effect of the MD on the outcome was classified according to the Goldman’s criteria.

Results: A total of, 1045 autopsies were examined; a solid or hematological cancer was discovered in 74 cases (7%, 50 M, 24 F, age 75.5, IQR 29-90 years). Major discrepancies occurred in 42 patients, but only in one of them (2.4%) a class 1 error was identified; in the other cases the MD did not influence the outcome (class 2 errors) due to the underlying conditions determining the ICU admission and/or the very short length of stay in the ICU; for another 32 patients the MD were considered without clinical relevance.

Conclusions: In our experience, autopsy remains an extremely valuable tool to detect MD and to improve the clinical and diagnostic procedures.

Keywords: Autopsy; Missed diagnosis; Intensive care unit; Tumors

Citation: Berlot G, Calderan C, Moro V, Bussani R, Zandonà L (2016) Missed Diagnosis of Cancer in Critically Ill Patients: A Single-Center Experience. J Clin Exp Pathol 6:299. Doi: 10.4172/2161-0681.1000299

Copyright: © 2016 Berlot G, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Select your language of interest to view the total content in your interested language

Post Your Comment Citation
Share This Article
Recommended Conferences

World Congress on Pathology and Microbiology

Manila, Philippines
Article Usage
  • Total views: 1399
  • [From(publication date): 0-2016 - May 29, 2020]
  • Breakdown by view type
  • HTML page views: 1298
  • PDF downloads: 101
Top