Value of autopsy in the modern age:Discrepancy between clinical and autopsy diagnoses  

作　　者：Cecilia Salzillo Roberta Basile Gerardo Cazzato Giuseppe Ingravallo Andrea Marzullo 

机构地区：[1]Department of Precision and Regenerative Medicine and Ionian Area,Pathology Unit,University of Bari“Aldo Moro”,Bari 70121,Italy [2]Department of Experimental Medicine,PhD Course in Public Health,University of Campania“Luigi Vanvitelli”,Naples 80138,Italy [3]Course in Biomedical Laboratory Technique,University of Bari“Aldo Moro”,Bari 70121,Italy

出　　处：《World Journal of Experimental Medicine》2024年第4期129-135,共7页世界实验医学杂志（英文）

摘　　要：BACKGROUND Autopsy is a medical procedure that consists of the examination of the corpse to determine the cause of death and obtain information on pathological conditions or injuries.In recent years,there has been a reduction in hospital autopsies and an increase in forensic autopsies.AIM To evaluate the utility of autopsy in the modern age and the discrepancy between clinical and autopsy diagnoses.METHODS A retrospective observational study was conducted on the reports of all 645 hospital autopsies performed at Polyclinic of Bari from 2006 to 2021.RESULTS Group A,2006-2009,174 cases were studied:58%male,58%adults,55%neonatology;pulmonary disease was the cause of death in 23%of cases;and there was a discrepancy between clinical and autopsy diagnosis in 55%of cases.Group B,2010-2013,119 cases:52%male,46%infants,48%neonatology;pulmonary disease was the cause of death in 25%of cases;and there was a discrepancy between clinical and autopsy diagnosis in 56%of cases.Group C,2014-2017,168 cases:sex equality,37%infants,25%gynecology;pulmonary disease was the cause of death in 24%of cases;and there was a discrepancy between clinical and autopsy diagnosis in 58%of cases.Group D,2018-2021,184 cases:56%male,38%adult,32%gynecology;pulmonary disease was the cause of death in 27%of cases;and there was a discrepancy between clinical and autopsy diagnosis in 58%of cases.CONCLUSION The study of hospital autopsies reveals a 56.75%discrepancy between clinical diagnosis and autopsy,highlighting the importance of autopsies,especially for fetal and neonatal diseases,which represent 59%of cases.

关 键 词：Hospital autopsy Modern age Clinical diagnosis Autopsy diagnosis Public health 

分 类 号：D919[医药卫生—法医学]