Agreement between the Clinical and Autopsy Results of Children Who Died with Pneumonia in Pediatric Intensive Care

Abstract

This study aimed to measure the agreement between the clinical and anatomopathological results of children who died with pneumonia from two pediatric intensive care units. Pediatric patients chosen were those who died between January 2008 and December 2015. The agreement was tested with Kappa. A total of 111 autopsies were included. Upon autopsy, 58 had pneumonia, 33 had it clinically and pathologically, 24 only clinically, and one only in autopsy. The Kappa agreement was 0.5 (95% confidence interval of 0.4 to 0.7). The level of agreement between the clinic and the autopsy is moderate. However, the consistency in cases of clinical pneumonia is low.

Keywords

pneumonia - autopsy - mortality - critical care - pediatrics

Authors' Contributions

P.V.H. and D.A.C.G. innovated the concept and design. L.C.B.P. and D.A.C.G. carried out the acquisition. P.V.H., L.C.B.P., D.A.C.G., and J.F.P. performed statistical analysis. P.V.H., L.C.B.P., D.A.C.G., and J.F.P. contributed in analysis, interpretation of data, and drafting of the manuscript. All authors involved in critical revision of the manuscript for important intellectual content, manuscript writing, and final approval of manuscript. P.V.H. and R.P.M. provided the administrative, technical, or material support.

Publikationsverlauf

Eingereicht: 09. Juni 2020

Angenommen: 23. September 2020

Artikel online veröffentlicht:
03. November 2020

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