Discrepancies between clinical diagnosis and hospital autopsy: A comparative retrospective analysis of 1,112 cases.

<h4>Aims</h4>The aim of this study was to compare discrepancies between diagnosed and autopsied causes of death in 1,112 hospital autopsies and to determine the factors causing this discrepancies.<h4>Methods</h4>1,112 hospital autopsies between 2010 and 2013 were retrospectiv...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Stephan D Kurz, Viyan Sido, Hermann Herbst, Bernhard Ulm, Erma Salkic, Thomas M Ruschinski, Claas T Buschmann, Michael Tsokos
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/9342a21e4f1045608830c87f4dd38d2d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:9342a21e4f1045608830c87f4dd38d2d
record_format	dspace
spelling	oai:doaj.org-article:9342a21e4f1045608830c87f4dd38d2d2021-12-02T20:18:12ZDiscrepancies between clinical diagnosis and hospital autopsy: A comparative retrospective analysis of 1,112 cases.1932-620310.1371/journal.pone.0255490https://doaj.org/article/9342a21e4f1045608830c87f4dd38d2d2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255490https://doaj.org/toc/1932-6203<h4>Aims</h4>The aim of this study was to compare discrepancies between diagnosed and autopsied causes of death in 1,112 hospital autopsies and to determine the factors causing this discrepancies.<h4>Methods</h4>1,112 hospital autopsies between 2010 and 2013 were retrospectively studied. Ante-mortem diagnoses were compared to causes of death as determined by autopsy. Clinical diagnoses were extracted from the autopsy request form, and post-mortem diagnoses were assessed from respective autopsy reports. Variables, such as sex, age, Body Mass Index, category of disease, duration of hospital stay and new-borns were studied in comparison to discrepancy. P-values were derived from the Mann-Whitney U test for the constant features and chi-2 test, p-values < 0,05 were considered significant.<h4>Results</h4>73.9% (n = 822) patients showed no discrepancy between autopsy and clinical diagnosis. The duration of hospitalisation (6 vs. 9 days) and diseases of the cardiovascular system (61.7%) had a significant impact on discrepancies.<h4>Conclusion</h4>Age, cardiovascular diseases and duration of hospital stay significantly affect discrepancies in ante- and post-mortem diagnoses.Stephan D KurzViyan SidoHermann HerbstBernhard UlmErma SalkicThomas M RuschinskiClaas T BuschmannMichael TsokosPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255490 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Stephan D Kurz Viyan Sido Hermann Herbst Bernhard Ulm Erma Salkic Thomas M Ruschinski Claas T Buschmann Michael Tsokos Discrepancies between clinical diagnosis and hospital autopsy: A comparative retrospective analysis of 1,112 cases.
description	<h4>Aims</h4>The aim of this study was to compare discrepancies between diagnosed and autopsied causes of death in 1,112 hospital autopsies and to determine the factors causing this discrepancies.<h4>Methods</h4>1,112 hospital autopsies between 2010 and 2013 were retrospectively studied. Ante-mortem diagnoses were compared to causes of death as determined by autopsy. Clinical diagnoses were extracted from the autopsy request form, and post-mortem diagnoses were assessed from respective autopsy reports. Variables, such as sex, age, Body Mass Index, category of disease, duration of hospital stay and new-borns were studied in comparison to discrepancy. P-values were derived from the Mann-Whitney U test for the constant features and chi-2 test, p-values < 0,05 were considered significant.<h4>Results</h4>73.9% (n = 822) patients showed no discrepancy between autopsy and clinical diagnosis. The duration of hospitalisation (6 vs. 9 days) and diseases of the cardiovascular system (61.7%) had a significant impact on discrepancies.<h4>Conclusion</h4>Age, cardiovascular diseases and duration of hospital stay significantly affect discrepancies in ante- and post-mortem diagnoses.
format	article
author	Stephan D Kurz Viyan Sido Hermann Herbst Bernhard Ulm Erma Salkic Thomas M Ruschinski Claas T Buschmann Michael Tsokos
author_facet	Stephan D Kurz Viyan Sido Hermann Herbst Bernhard Ulm Erma Salkic Thomas M Ruschinski Claas T Buschmann Michael Tsokos
author_sort	Stephan D Kurz
title	Discrepancies between clinical diagnosis and hospital autopsy: A comparative retrospective analysis of 1,112 cases.
title_short	Discrepancies between clinical diagnosis and hospital autopsy: A comparative retrospective analysis of 1,112 cases.
title_full	Discrepancies between clinical diagnosis and hospital autopsy: A comparative retrospective analysis of 1,112 cases.
title_fullStr	Discrepancies between clinical diagnosis and hospital autopsy: A comparative retrospective analysis of 1,112 cases.
title_full_unstemmed	Discrepancies between clinical diagnosis and hospital autopsy: A comparative retrospective analysis of 1,112 cases.
title_sort	discrepancies between clinical diagnosis and hospital autopsy: a comparative retrospective analysis of 1,112 cases.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/9342a21e4f1045608830c87f4dd38d2d
work_keys_str_mv	AT stephandkurz discrepanciesbetweenclinicaldiagnosisandhospitalautopsyacomparativeretrospectiveanalysisof1112cases AT viyansido discrepanciesbetweenclinicaldiagnosisandhospitalautopsyacomparativeretrospectiveanalysisof1112cases AT hermannherbst discrepanciesbetweenclinicaldiagnosisandhospitalautopsyacomparativeretrospectiveanalysisof1112cases AT bernhardulm discrepanciesbetweenclinicaldiagnosisandhospitalautopsyacomparativeretrospectiveanalysisof1112cases AT ermasalkic discrepanciesbetweenclinicaldiagnosisandhospitalautopsyacomparativeretrospectiveanalysisof1112cases AT thomasmruschinski discrepanciesbetweenclinicaldiagnosisandhospitalautopsyacomparativeretrospectiveanalysisof1112cases AT claastbuschmann discrepanciesbetweenclinicaldiagnosisandhospitalautopsyacomparativeretrospectiveanalysisof1112cases AT michaeltsokos discrepanciesbetweenclinicaldiagnosisandhospitalautopsyacomparativeretrospectiveanalysisof1112cases
_version_	1718374296952242176

Discrepancies between clinical diagnosis and hospital autopsy: A comparative retrospective analysis of 1,112 cases.

Ejemplares similares