Autopsy and clinical discrepancies in patients undergoing extracorporeal membrane oxygenation: a case series—a step towards understanding “Why”?

Aludaat, Chadi; Sarsam, Matthieu; Doguet, Fabien; Baste, Jean-Marc

doi:10.21037/jtd.2019.08.121

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“…We read with interest the editorials written by Aludaat et al (3) and Lorusso et al (4) on our case series on autopsy and clinical discrepancies in adult patients who underwent extracorporeal membrane oxygenation (ECMO) at our institution (5). We agree with the authors that the challenges of making definitive diagnoses while the patient is on ECMO are considerable.…”

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confidence: 53%

Autopsy examination after extracorporeal membrane oxygenation: ‘Mortuis vivos docent’

et al. 2020

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confidence: 53%

Autopsy examination after extracorporeal membrane oxygenation: ‘Mortuis vivos docent’

et al. 2020

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“…Zehr and colleagues found a somewhat smaller proportion. They claim that autopsy found over 20% of discrepancies compared to premortem clinical impression [5,6]. Discrepancies had decreased significantly over time, but their rate was still high in 2010 [2], and in "COVID era" circumstances, it nonetheless accounts for approximately one-third of all postmortems.…”

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confidence: 99%

Postmortem Gone Astray

Šoša,

Perković

2023

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Premortem clinical diagnoses and postmortem autopsy findings do not match throughout history. These clinicopathological discrepancies are expected to be raised during the coronavirus disease 2019 (COVID-19) pandemic due to increased pressure on healthcare. At the same time, autopsies and clinicopathological discrepancies accurately display the quality of the healthcare system. To assess that, we examined the relevant works of literature according to the PRISMA-based protocol. As discrepancy rate changes in the correlation to the length of stay in the hospital, we also checked whether studies with patients from the intensive care unit (ICU) differed in discrepancies significantly. We found overall risk differences pretty much alike in "pre-COVID" and "during the pandemic" groups of studies. Based on that, we concluded that healthcare quality did not drop significantly during the pandemic. Be it as it may, the pandemic exposed some shortcomings in mortem healthcare regarding consensus to the autopsy, organ retention, burial, and the postponed burial or the digitalization of post mortem healthcare. All of these issues should be addressed in the future.

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Autopsy and clinical discrepancies in patients undergoing extracorporeal membrane oxygenation: a case series—a step towards understanding “Why”?

Cited by 2 publications

References 13 publications

Autopsy examination after extracorporeal membrane oxygenation: ‘Mortuis vivos docent’

Autopsy examination after extracorporeal membrane oxygenation: ‘Mortuis vivos docent’

Postmortem Gone Astray

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