Rushton D I
Department of Pathology, University of Birmingham.
Br J Obstet Gynaecol. 1991 Jul;98(7):624-7. doi: 10.1111/j.1471-0528.1991.tb13446.x.
As part of the West Midlands regional perinatal mortality survey an audit of perinatal autopsies was performed in 10 of 20 districts in the region. Autopsy reports were available from 300 of the 426 deaths (70%) reported in these districts. These were coded for 8 aspects including the clinical summary, body measurements, descriptive content, organ weights, post mortem radiology and microbiology, histology and other relevant investigations e.g., biochemistry, cytogenetics. Overall 44% of the autopsies failed to attain an arbitrary minimum score of 300, the mean score being 299. Excluding those autopsies performed at the regional centre these figures were 50% and 268 respectively. These data indicate that a high autopsy rate does not necessarily reflect a high quality of service and further emphasise the concerns that have been expressed by obstetricians, paediatricians, geneticists, parents and parliamentarians about the perinatal pathology services in the United Kingdom.
作为西米德兰兹地区围产期死亡率调查的一部分，该地区20个区中的10个区对围产期尸检进行了审核。在这些区报告的426例死亡病例中，有300例（70%）获得了尸检报告。这些报告针对8个方面进行了编码，包括临床摘要、身体测量、描述性内容、器官重量、尸检放射学和微生物学、组织学以及其他相关检查，如生物化学、细胞遗传学。总体而言，44%的尸检未能达到任意设定的最低分数300分，平均分数为299分。排除在地区中心进行的尸检，这些数字分别为50%和268分。这些数据表明，高尸检率不一定反映高质量的服务，并进一步凸显了产科医生、儿科医生、遗传学家、家长和议员对英国围产期病理学服务所表达的担忧。
