Abstract
This retrospective study analyzed the level of concordance between clinical and autopsy diagnosis of pneumonia over a 3-year period. Utilizing the Goldman classification, the concordance rate was found to be 37.5%. Major discrepancies (Class I and II) were found in 25% cases, and minor discrepancies (Class III and IV) in 37.5% cases.
Keywords: Autopsy, Medical audit, Risk factors, Viral pneumonia
Contributors: SK, PV, PS: involved in study design and implementation; LK, PS: collected data; SK, PV, LK, PS: discussed core ideas and interpretation of data; SK: searched the literature and drafted the manuscript; PV, LK, PS: critically reviewed the manuscript; SK: will act as guarantor for this paper. All authors have approved the final manuscript.
Funding: None
Competing interest: None stated.
References
- 1.Goldman L, Sayson R, Robbins S, Cohn LH, Bettmann M, Weisberg M. The value of the autopsy in three medical eras. N Engl J Med. 1983;308:1000–5. doi: 10.1056/NEJM198304283081704. [DOI] [PubMed] [Google Scholar]
- 2.Sehgal V, Sethi GR, Sachdev HP, Satyanarayana L. Predictors of mortality in subjects hospitalized with acute lower respiratory tract infections. Indian Pediatr. 1997;34:213–9. [PubMed] [Google Scholar]
- 3.Lupisan SP, Ruutu P, Erma Abucejo-Ladesma P, Quiambao BP, Gozum L, Sombrero LT, et al. Predictors of death from severe pneumonia among children 2-59 months old hospitalized in Bohol, Philippines: Implications for referral criteria at a first-level health facility. Trop Med Int Health. 2007;12:962–71. doi: 10.1111/j.1365-3156.2007.01872.x. [DOI] [PubMed] [Google Scholar]
- 4.Dembele BPP, Kamigaki T, Dapat C, Tamaki R, Saito M, Saito M, et al. Aetiology and risks factors associated with the fatal outcomes of childhood pneumonia among hospitalised children in the Philippines from 2008 to 2016: A case series study. BMJ Open. 2019;9:e026895. doi: 10.1136/bmjopen-2018-026895. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Tomczyk S, McCracken JP, Contreras CL, Lopez MR, Bernart C, Moir JC, et al. Factors associated with fatal cases of acute respiratory infection (ARI) among hospitalized patients in Guatemala. BMC Public Health. 2019;19:499. doi: 10.1186/s12889-019-6824-z. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Sharma R. Revised Kuppuswamy’s socioeconomic status scale: Explained and updated. Indian Pediatr. 2017;54:867–70. doi: 10.1007/s13312-017-1151-x. [DOI] [PubMed] [Google Scholar]