Ferencić Z
Department of Pathology, Clinical Hospital Sestre milosrdnice, Zagreb, Croatia.
Pathologica. 1992 May-Jun;84(1091):299-303.
The accuracy of major clinical diagnoses and causes of death was estimated from the analysis of clinical diagnoses and autopsy findings of patients deceased at the internal medicine department of a large university hospital in two different periods (1965-1967 and 1985-1987). The autopsy cases from the second period were subdivided in two groups i.e. less and more than seven days of hospital stay prior death. From 100 randomly selected autopsy cases in each period there was no statistically significant variability in clinico-pathological concordance. In three groups studied (1965-1967, 1985-1987 < seven days and 1985-1987 < seven days hospital stay) the major clinical diagnosis was confirmed in 85, 94 and 86% respectively. A decrease of nearly 27% in the number of autopsies performed is shown between analysed periods. Clinico-pathological conferences are regularly held weekly, this being one of the reasons for a stable and extremely high clinico-pathological concordance.
通过分析一所大型大学医院内科在两个不同时期（1965 - 1967年和1985 - 1987年）死亡患者的临床诊断和尸检结果，评估主要临床诊断的准确性和死因。第二个时期的尸检病例分为两组，即死亡前住院时间少于七天和多于七天。在每个时期随机选择的100例尸检病例中，临床病理一致性没有统计学上的显著差异。在研究的三组（1965 - 1967年、1985 - 1987年住院时间少于七天和1985 - 1987年住院时间少于七天）中，主要临床诊断的确认率分别为85%、94%和86%。在分析的两个时期之间，尸检数量减少了近27%。临床病理讨论会每周定期举行，这是临床病理一致性稳定且极高的原因之一。
