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首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >Medical malpractice and corticosteroid use.
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Medical malpractice and corticosteroid use.

机译：医疗事故和皮质类固醇激素的使用。

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OBJECTIVE: To analyze malpractice litigation trends related to the administration of corticosteroids and the reported complications. STUDY DESIGN: Retrospective. SETTING: Tertiary medical center. SUBJECTS AND METHODS: The WESTLAW database was reviewed from March 1996 to November 2008. Data were compiled on the demographics of the defendant, plaintiff, expert witness specialty, allegation, complication, indication for steroids, verdict, and judgment. RESULTS: Eighty-three cases met inclusion criteria and were selected for review. The most common conditions for which steroids were prescribed were pain (23%), asthma or another pulmonary condition (20%), a dermatologic condition (18%), a nondermatologic autoimmune condition (17%), and allergies (6%). Allegation of negligent use was the most common reason for a suit being filed (65%), followed by lack of proper informed consent (36%), failure to diagnose or misdiagnosis (22%), multiple allegations (25%), and wrongful death (4%). Verdicts for the defendant predominated (59%), whereas 24 cases (29%) were found for the plaintiff, and 10 cases (12%) settled out of court. The range of monetary awards was from Dollars 25,000 to Dollars 8.1 million. Complications reported were often multiple and included avascular necrosis (39%), mood changes (16%), visual complaints (14%), and infectious complications (14%). Three cases involved otolaryngologists. CONCLUSION: Although other specialties were more often involved in suits, otolaryngologists frequently prescribe corticosteroids and must be diligent in explaining potential side effects of steroids. The informed consent process, documentation, and close monitoring of patients are critical to avoid potential litigation.
机译：目的：分析与皮质类固醇给药相关的舞弊诉讼趋势以及所报道的并发症。研究设计：回顾性研究。地点：第三级医疗中心。研究对象和方法：回顾了1996年3月至2008年11月的WESTLAW数据库。数据根据被告，原告，专家证人的专业，指控，并发症，类固醇适应症，判决和判断汇总。结果：83例符合纳入标准，并被选择进行审查。服用类固醇的最常见疾病是疼痛（23％），哮喘或其他肺部疾病（20％），皮肤病（18％），非皮肤自身免疫病（17％）和过敏（6％）。指控使用过失是提起诉讼的最常见原因（65％），其次是缺乏适当的知情同意（36％），未能诊断或误诊（22％），多次指控（25％）以及不法行为。死亡（4％）。对被告的裁决占主要地位（59％），而原告人被裁定24起案件（29％），而庭外和解案件为10起（12％）。金钱奖励的范围从25,000美元到810万美元不等。报告的并发症通常是多发的，包括血管坏死（39％），情绪变化（16％），视觉不适（14％）和感染性并发症（14％）。三例涉及耳鼻喉科医生。结论：尽管其他专业更多地涉及西服，但耳鼻喉科医生经常开皮质类固醇处方药，并且必须努力解释类固醇的潜在副作用。知情同意过程，文件记录以及对患者的密切监视对于避免潜在的诉讼至关重要。

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