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Discordance between clinical and post-mortem diagnoses at a tertiary hospital
Bogdanović, Milenko
Hadžibegović, Adi
Medarević, Aleksandar
Babić, Miloš D.
Ječmenica, Dragan
Alempijević, Đorđe
ABSTRACT: Advances in modern medicine and more accurate and precise diagnostic procedures have been considered to be the main reason for the reduction in autopsy rates. However, there is still a discrepancy between clinical and autopsy diagnoses. This retrospective study, designed as a cross-sectional study, included a sample of 931 patients who died at the Clinical Hospital Centre ‘Zemun’. We analysed sex, age, length of hospitalisation and clinical and post-mortem diagnoses, including the discrepancies between them. In 314 (34%) cases, there was complete agreement between the clinical and autopsy diagnoses, complete disagreement in the same percentage and incomplete agreement in 303 (32%) cases. In people aged >60 years, the risk of misdiagnosis was 2.5-fold higher than in the those aged <60 years (odds ratio (OR)1⁄42.522, p<0.001), while the influence of sex on the risk of misdiagnosis was not statistically significant (OR1⁄40.981, p>0.05). An increase in the number of autopsies would be one of the best methods to make discrepancies between clinical and post-mortem diagnoses visible, and a good method for continuous evaluation of diagnostic tests, as well as for providing a wider perspective on presentations of different clinical conditions.
Free full text at https://journals.sagepub.com/doi/10.1177/0025802419878314?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
engleski
2019
Ovo delo je licencirano pod uslovima licence
Creative Commons CC BY-NC 4.0 - Creative Commons Autorstvo - Nekomercijalno 4.0 International License.
Podatak o licenci prema https://v2.sherpa.ac.uk/id/publication/24171
Key words: clinical diagnosis, post-mortem diagnosis, discordance, forensic
10.1177/0025802419878314
125557001