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J Pediatr Intensive Care 2022; 11(01): 026-031
DOI: 10.1055/s-0040-1719032
Original Article

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

Pablo Vásquez-Hoyos 
1   Pediatric Intensive Care, Hospital de San José, University Foundation of Health Sciences, and Universidad Nacional de Colombia, Bogotá, Colombia
,
Laura C. Bernal-Peña 
2   Pathology Department, Hospital de San José, Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia
,
Daniel A. Castro-Gómez 
3   Pediatric Department, Universidad Nacional de Colombia, Bogotá, Colombia
,
Lina Jaramillo 
4   Pathology Department at Hospital de San José and Research Institute at Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia
,
José F. Polo 
2   Pathology Department, Hospital de San José, Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia
,
Rafael Parra-Medina 
5   Pathology Department and Research Institute at Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia
› Author Affiliations Funding None.
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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.




Publication History

Received: 09 June 2020

Accepted: 23 September 2020

Article published online:
03 November 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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