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A Comparison Between Clinical Cause Of Death and Autopsy Reported One
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Farideh Khodabandeh   |
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Abstract: (10174 Views) |
| Background: Accurate medical diagnosis is an important issue for an appropriate treatment. The aim of this study was to compare clinical diagnosis and autopsy findings in patients who died in a university hospital in Tehran.
Methods: In this cross-sectional study, the data were collected in two parts. Medical records and autopsy findings of 380 dead cases, who were referred for postmortem examination to determine the cause of death, were extracted from 1021 yearly dead one files in a university hospital. First part of information included demographic data (age, sex), clinical records of hospitalized patients and the first clinical diagnosis and cause of death by the physician. The second part was related to autopsy findings (both pathology and serology) and definite cause of death.
Findings: Postmortem examination revealed acceptable clinically diagnosed cause of death in 47.6% and incorrect ones in 27.7% . In 23.7% of cases, the cause of death was uncertain in which determined after autopsy.
Conclusion: Considering the low rate of correct clinical diagnosis of cause of death in this study, post-mortem examination remains a valuable source of pertinent information. It is recommended to design a process to inform hospital physicians about the final cause of death. It may improve the management of hospitalized patients base on better diagnosis in similar situations. |
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| Keywords: Key words: Hospitalized Patients, Clinical Cause of Death, Autopsy, Post Mortem Findings. |
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Type of Article: Research Article |
Subject:
Forensic Medicine
Received: 2013/10/9 | Accepted: 2013/12/29 | ePublished: 2013/12/29
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