Pfuhl J P, Jansen H H, Hübschen U
Zentrum der Frauenheilkunde und Geburtshilfe der Johann-Wolfgang-Goethe-Universität Frankfurt.
Z Gerontol. 1989 Nov-Dec;22(6):271-8.
The preciseness of clinical diagnostics for two different age groups was reviewed among 2033 unselected autopsies looking at eight single diagnoses. The younger age group was up to 59 years of age, the older one over 59 years. In the older age group myocardial infarction, hepatocirrhosis, bronchial and gastric carcinomas were less frequently diagnosed compared to the younger group. Pulmonary embolism, pulmonary tuberculosis, colon and breast carcinomas were almost evenly diagnosed before death in both groups. The multimorbidity in aged patients is discussed. Also in the geriatric diagnostic a high autopsy rate--86% in our collective--is important.
在2033例未经挑选的尸检中，针对八个单一诊断，回顾了两个不同年龄组临床诊断的准确性。较年轻年龄组为59岁及以下，较年长年龄组为59岁以上。与较年轻组相比，较年长年龄组中心肌梗死、肝硬化、支气管癌和胃癌的诊断频率较低。两组中肺栓塞、肺结核、结肠癌和乳腺癌在死亡前的诊断情况几乎相同。文中讨论了老年患者的多种疾病并存情况。同样，在老年诊断中，高尸检率（我们的研究群体中为86%）也很重要。
