Research Article

Frequency of Different Types of Diagnostic Errors in Patients with Central Nervous System Infections: A Cross-Sectional Observational Study

Table 1

The frequency distribution of clinical outcome in relation to several variables.

ParameterComplete recoverySequelaeDeadP value

Symptom onset to diagnosis< 1 week78 (91.5%)5 (6%)2 (2.5%)< 0.001
1-3 weeks55 (100%)00
> 3 weeks15 (51.5%)9 (31%)5 (17.5%)
No. of prior visitsOnce60 (87%)5 (7.5%)4 (5.5%)0.634
More than once88 (88%)9 (9%)3 (3%)
Incomplete history takingYes93 (88.5%)9 (8.5%)3 (3%)0.571
No55 (86%)5 (8%)4 (6%)
Incomplete physical examinationYes92 (88.5%)8 (7.5%)4 (4%)0.908
No56 (86%)6 (9%)3 (5%)
Failure in referralYes48 (86%)4 (9%)1 (5%)0.542
No100 (90.5%)10 (7.5%)6 (2%)
Receiving antibiotics before diagnosis of CNS infectionYes112 (91%)9 (7.5%)2 (1.5%)0.030
No36 (78%)5 (11%)5 (11%)
Receiving corticosteroids before diagnosis of CNS infectionYes76 (84.5%)9 (10%)5 (5.5%)0.391
No72 (91%)5 (6.5%)2 (2.5%)
Considering CNS infection Yes45 (86.5%)5 (9.5%)2 (4%)0.913
No103 (88%)9 (8%)5 (4%)
GCS level on admission< 1215 (52%)9 (31%)5 (17%)< 0.001
12-1481 (92%)5 (6%)2 (2%)
1552 (100%)00

CNS: Central nervous system; GCS: Glasgow Coma Scale.