Value of autopsy in cardiac surgery

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00209775%3A_____%2F15%3A%230000327" target="_blank" >RIV/00209775:_____/15:#0000327 - isvavai.cz</a>

Result on the web

<a href="http://dx.doi.org/10.1016/j.crvasa.2015.03.001" target="_blank" >http://dx.doi.org/10.1016/j.crvasa.2015.03.001</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.crvasa.2015.03.001" target="_blank" >10.1016/j.crvasa.2015.03.001</a>

Result language

angličtina

Original language name

Value of autopsy in cardiac surgery

Original language description

With improvements in preoperative diagnostics and postoperative care the value of autopsy has been questioned. The aim of our study was to prospectively assess the current value of autopsy in patients after cardiac surgery. Between January 2007 and December 2013 there were 7800 patients operated on for heart disease. Two hundred and thirteen of them died postoperatively, resulting in an overall in-hospital mortality of 2.7%. Autopsy was performed on 158 patients (74%). Data regarding the cause of death from clinical and autopsy findings were analysed and compared. Artificial ventilation, inotropic support before operation, NYHA class IV, and renal failure were the most common preoperative risk factors and surgery for postinfarction ventricular septal defect, emergency operation, operation for acute dissection, triple valve surgery and the necessity for ciirculatory arrest were the most significant operative risk factors. The most frequent cause of death was cardiac failure or a sepsis and/or multiorgan failure. Missed major diagnosis (class I and II) was found in 21 patients (13.3%) and missed minor diagnosis was found in 17 patients (10.4%). Of the seven patients with class I error, six died due to unidentified abdominal complications. Autopsy remains the most specific indicator of errors in diagnostics and surgery in patients with cardiac disease. It is a valuable tool for quality assessment and may contribute to the improvement of patient healthcare. Clinicians should pay special attention to abdominal symptomatology in patients after cardiac surgery because this was the main cause of diagnostic errors.

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FA - Cardiovascular diseases including cardio-surgery

OECD FORD branch

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Project

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Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2015

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Cor et Vasa

ISSN

0010-8650

e-ISSN

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Volume of the periodical

57

Issue of the periodical within the volume

2

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

4

Pages from-to

"e91"-"e94"

UT code for WoS article

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EID of the result in the Scopus database

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