| Autopsies in a modern teaching hospital. A review of 2,537 cases. | |
| | |
MedLine Citation:
|
PMID: 6547308 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We reviewed the clinical charts and the postmortem findings of 2,537 autopsies, and correlated them by constructing a "concordance score." In 2,293 cases (90%), the primary disease, as diagnosed at autopsy, had been recognized as such clinically, but in 244 cases (10%) it had not. In 2,300 cases a second disease was present, which had been diagnosed clinically in 1,795 patients. A third disease had been recognized clinically in 71% of 1,622 patients. In 1,601 patients (64%) the autopsy disclosed one or more unexpected important findings, which ranged from the main disease (244 cases) to a variety of significant incidental findings. The high incidence of surprises indicates that it is fallacious to preselect deaths for postmortem examination even when the clinical-autopsy correlation reaches 90%, and diagnostic error is only 10%. |
| | |
Authors:
|
H H Friederici; M Sebastian |
Related Documents
:
|
18725778 - Case report of suicide by inhalation of nitrogen gas. 3612068 - Suicide by air rifle and shotgun. 22523518 - Meningitis caused by streptococcus suis: case report and review of the literature. 23641308 - Primary cervical and uterine corpus lymphoma; a case report and literature review. 22246188 - Fluoroquinolone-induced liver injury: three new cases and a review of the literature. 1152708 - Meningiomas: treated and untreated. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Archives of pathology & laboratory medicine Volume: 108 ISSN: 0003-9985 ISO Abbreviation: Arch. Pathol. Lab. Med. Publication Date: 1984 Jun |
Date Detail:
|
Created Date: 1984-07-02 Completed Date: 1984-07-02 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 7607091 Medline TA: Arch Pathol Lab Med Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 518-21 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Autopsy* Child Diagnosis* Diagnostic Errors Female Hospitals, Teaching* Humans Illinois Male Medical Records Middle Aged Quality of Health Care |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The concordance score. Correlation of clinical and autopsy findings.
Next Document: An argument for the attendance of clinicians at autopsy.