[Anatomo-clinical diagnosis correlation. Retrospective assessment of the clinical diagnosis in necropsies]

Autor: M C, de Almeida, L A, Couto, L H, da Silva, S dos S, Carvalhal
Rok vydání: 1989
Předmět:
Zdroj: Revista de saude publica. 23(4)
ISSN: 0034-8910
Popis: The post mortem findings in 200 autopsies were compared with the clinical diagnoses. Twenty diseases were analysed with respect to clinico-pathological correlation. In relation to the respective totals the diseases most frequently missed clinically were (false negative) pyelonephritis (100%), pulmonary embolus (87.50%) and bronchopneumonia (58.16%). In relation to the respective totals the clinical diagnoses less frequently confirmed (false positive) were tuberculosis (69.56%), paracoccidioidomycosis (57.14%), sepsis (53.13%) and Chagas' disease (44.44%). There was clinicopathological agreement in 97 autopsies (48.50%). In 19 cases (9.50%) if the diagnostic error had been detected during life this probably would have changes the prognosis. The findings are discussed in the light of previous studies. The importance of routine post-mortem examination and clinico-pathological correlation is stressed.
Databáze: OpenAIRE