Diagnostic Uncertainty Among Critically Ill Children Admitted to the PICU: A Multicenter Study
Diagnostic uncertainty at PICU admission was common and was associated with off hours admission, severe illness, atypical presentation, diagnostic discordance between clinicians, and a neurologic primary diagnosis. Further study on the recognition and management of diagnostic uncertainty is needed to inform interventions to improve diagnosis among critically ill children.
Authors
- Heather Schacht Reisinger (ORCID: https://orcid.org/0000-0002-5348-063X)
- Shari Simone (ORCID: https://orcid.org/0000-0001-8793-3919)
- Max Pizzo
- Jason W. Custer
- Katie K. Wolfe (ORCID: https://orcid.org/0000-0002-4366-3838)
- Craig M. Smith (ORCID: https://orcid.org/0000-0002-2894-2433)
- Christina L. Cifra (ORCID: https://orcid.org/0000-0002-7449-802X)
- Jodi Bloxham
- Christina D. Miller
- Christopher P. Landrigan (ORCID: https://orcid.org/0000-0001-8386-4100)
- Emily Goldhar
- Linder Hagstrom Wendt (ORCID: https://orcid.org/0000-0003-1832-0486)
- Stephen M. Gorga (ORCID: https://orcid.org/0000-0001-8193-7679)
- Jamie Tumulty
- Haley D. Stoll
- Patrick Ten Eyck (ORCID: https://orcid.org/0000-0002-5041-0708)
- Dayanand Bagdure
- Loreen A. Herwaldt (ORCID: https://orcid.org/0000-0002-9530-6859)
- Jeffrey D. Dawson (ORCID: https://orcid.org/0000-0003-2709-0360)
- Katharine Robb (ORCID: https://orcid.org/0000-0002-3071-3429)
- Kristen A. Smith (ORCID: https://orcid.org/0009-0001-2413-2898)
- Sonali Ramesh (ORCID: https://orcid.org/0000-0003-1741-3592)
- Hardeep Singh (ORCID: https://orcid.org/0000-0002-4419-8974)
- Joseph Riffe
- Stephanie E. Wall
- E. Hoppé
Institutions
- Northwestern University (US)
- University of Iowa (US)
- University of Maryland, Baltimore (US)
- Brigham and Women's Hospital (US)
- Boston Children's Hospital (US)
- Lurie Children's Hospital (US)
- Michael E. DeBakey VA Medical Center (US)
- University of Maryland Medical Center (US)
- Children's Mercy Hospital (US)
- Washington University in St. Louis (US)
- Louisiana State University in Shreveport (US)
- University of Michigan (US)
- Massachusetts General Hospital (US)
- Health First (US)
- Iowa City VA Health Care System (US)
- University of Iowa Health Care (US)
- Louisiana State University Health Sciences Center Shreveport (US)
- University of Colorado Denver (US)
Publication Details
- Journal
- Critical Care Medicine
- Published
- 2024-11-25
- DOI
- https://doi.org/10.1097/ccm.0000000000006511
- Citations
- 4
- Primary Topic
- Clinical Reasoning and Diagnostic Skills
- Type
- article
- Field-Weighted Citation Impact
- 2.01