ArticleVirchows Archiv : an international journal of pathology2007
Comparison of clinical and post-mortem findings in intensive care unit patients.
Article in Virchows Archiv : an international journal of pathology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Clinical vs. autopsy diagnostic discrepancies in the intensive care unit: a systematic review and meta-analysis of autopsy series.Intensive care medicine · 2024Pooled it
- Invasive pulmonary aspergillosis in the ICU: the corticosteroid link.Pneumonia (Nathan Qld.) · 2026Review
- Infectious Causes of Death: An Autopsy-Based Study of 546 Cases.Open forum infectious diseases · 2025Article
- Comparison of antemortem clinical diagnosis and post-mortem findings in intensive care unit patients.Virchows Archiv : an international journal of pathology · 2021Article
- Frequency and Significance of Pathologic Pulmonary Findings in Postmortem Examinations-A Single Center Experience before COVID-19.Diagnostics (Basel, Switzerland) · 2021Article
- Estimated Burden of Fungal Infections in Oman.Journal of fungi (Basel, Switzerland) · 2020Article
- Cytomegalovirus: A Troll in the ICU? Overview of the Literature and Perspectives for the Future.Frontiers in medicine · 2020Article
- Current challenges in the microbiological diagnosis of invasive aspergillosis.Mycopathologia · 2014Review
- Article
- Identification and management of invasive mycoses in internal medicine: a road-map for physicians.Internal and emergency medicine · 2014Review
- [Autopsy-a procedure of medical history?].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2014Review
- Epidemiology of invasive fungal infections in the intensive care unit: results of a multicenter Italian survey (AURORA Project).Infection · 2013Article
- Post mortem scientific sampling and the search for causes of death in intensive care: what information should be given and what consent should be obtained?Journal of medical ethics · 2011Article
- Clinical review: What is the role for autopsy in the ICU?Critical care (London, England) · 2010Review
- Combination antifungal treatment of pseudomembranous tracheobronchial invasive aspergillosis: a case report.Intensive care medicine · 2009Article
- [Evaluation of the clinical utility of autopsy: an investigation at the Institute of Pathology, University Hospital of Leipzig].Der Pathologe · 2008Article
- Clinico-pathological discrepancies in a general university hospital in São Paulo, Brazil.Clinics (Sao Paulo, Brazil) · 2008Article
- Premortem clinical diagnoses and postmortem autopsy findings: discrepancies in critically ill cancer patients.Critical care (London, England) · 2007Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The autopsy has long been regarded as an important tool for clinical confrontation, education and quality assurance. The aims of this study were to examine the correlation between the clinical diagnosis and autopsy findings in adult patients who died in an intensive care unit (ICU) and to identify the types of errors in diagnosis to improve quality of care. Autopsies from 289 patients who died in the ICU during a 2-year period were studied. Post-mortem examination revealed unexpected findings in 61 patients (21%) including malignancy, pulmonary embolism, aspergillosis, myocardial or mesenteric infarction and unsuspected bacterial, viral or fungal infection. These unexpected findings were classified as Goldman class I errors in 17 (6%), class II in 38 (13%) and class III in six (2%) cases. Although the incidence of unexpected findings with clinical significance was low, post-mortem examination remains a valuable source of pertinent information that may improve the management of ICU patients.
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Registered trials
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