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Medical news
of the North Caucasus
Scientific journal
Mass media registration certificate dated December 7, 2006.
Series ПИ #ФС 77-26521.
Federal service for surveillance over non-violation of the legislation in the sphere of mass communications and protection of cultural heritage.
ISSN 2073-8137
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Complexity and diagnostics errors of pulmonary arteries embolism in multifield hospital

[Original research] [Internal diseases]
Svetlana Nemirova; Alexandr Kuznetsov; Alexandr Medvedev; Luiza Kodzoeva; Inna Krinina; Anna Artifexova; Oxana Pershina;

According to the materials of archive medical records and autopsy protocols, the causes of diagnos
tic errors at the verification of pulmonary embolism are studied in 407 patients of a multifield hospital. In 20.64 % of cases pulmonary embolism was initially detected only on autopsy. Over-diagnosis occurred in 38.24 % of cases.

The main causes of errors were low suspicion of specialists concerning PE, the presence of multiple comorbidities with symptoms similar to pulmonary embolism, late medical aid appealability and short duration of hospital stay.

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References:
1. Baranov V. L., Kurenkova I. G., Nikolayev A. V. ELBI. 2007;218.
2. Zatevakhin I. I. Angiologiya i sosudistaya khirurgiya. 2002;1(8):17–21.
3. Kiriyenko A. I., Matyushenko A. A., Andriyashkin V. V. Consilium medicum. 2001;6(3):22–228.
4. Nemirova S. V., Kuznetsov A. N., Medvedev A. P., Krinina I. V. Meditsinsky almanakh. 2011; 16 (3):134–138.
5. Ovchinnikov A. V. Vrach. 2002;2:16–21.
6. Savelyev B. C. Meditsina. 2001;190
7. Ferstrate M., Fermilen Zh. per. s angl. Kabayevoy Ye. V. Meditsina.1986;333
8. Anderson P. Arch Intern Med. 2009;169:1881–1887.
9. Ansari A. Clin. Cardiology. 1987;10:40–45.
10. Cohen A. T., Tapson V., Bergman G.-T. Lancet. 2008;371:387–394.
11. Goldhaber S. Z., Visani L., De Rosa M. Lancet. 1999; 353:1386–1389.
12. Guidelines on the diagnosis and management of acute pulmonary embolism. The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). Eur. Heart J. 2008;29:2276–2315.
13. Kenneth E. W. Chest. 2002;121:877–905.
14. Minati M., Prediletto R., Formich В. Am. J. Respir. Crit. 2005;145:291–298.
15. Pulido T. Chest. 2006;129:1282–1287.
16. Wells P. S. Ann. Intern. Med. 1998;129: 997–1005.

Keywords: pulmonary embolism, diagnostics errors, multifield hospital


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