Cocchi A, Vecchio F M, Pahor M, Antico L, Franceschini G, Farina G, Carbonin P U
Eur J Epidemiol. 1986 Jun;2(2):151-7. doi: 10.1007/BF00157027.
A retrospective study of the autopsy rate of the clinico-pathological correlations was made in a group of inpatients. The trend of autopsy rate was observed in all inpatients died in a university hospital during a nine year period (from 1975 to 1983). The agreement between the clinical and pathological death diagnosis was retrospectively controlled in 294 consecutive patients died and submitted to autopsy in the same hospital during a 6 month period (from January to June 1983). The results show that: In the oldest (greater than 60 yrs) patients, the autopsy rate trend was significantly reduced from 1975 to 1983, whereas the hospital admissions and the mortality rate increased. In the youngest subjects (less than 60 yrs), the autopsy rate trend, the hospital admissions and the mortality rate did not significantly change from 1975 to 1983. In all the years considered, the autopsy rate was significantly reduced in the oldest class (p less than 0.001). The agreement between the clinical and pathological diagnosis was observed in 83% of cases in the less than 60 years class and in 63% of cases in the greater than 60 yrs class (p less than 0.001). The association of main disease with other diseases was significantly more frequent in the greater than 60 yrs class with respect to the less than 60 yrs class (p less than 0.01). It has been concluded that the autopsy, especially in the elderly, is absolutely necessary for a better quality control of the clinical diagnosis and of the medical care.
对一组住院患者的临床病理相关性尸检率进行了回顾性研究。观察了一所大学医院在9年期间（1975年至1983年）所有死亡住院患者的尸检率趋势。对在6个月期间（1983年1月至6月）在同一医院死亡并接受尸检的294例连续患者的临床与病理死亡诊断之间的一致性进行了回顾性对照。结果显示：在年龄较大（大于60岁）的患者中，1975年至1983年尸检率趋势显著降低，而医院入院人数和死亡率有所增加。在年龄较小（小于60岁）的患者中，1975年至1983年尸检率趋势、医院入院人数和死亡率没有显著变化。在所有研究年份中，年龄最大组的尸检率显著降低（p<0.001）。在小于60岁组中，83%的病例临床与病理诊断一致，在大于60岁组中，63%的病例一致（p<0.001）。相对于小于60岁组，大于60岁组主要疾病与其他疾病的关联显著更常见（p<0.01）。得出的结论是，尸检，尤其是对老年人来说，对于更好地控制临床诊断和医疗质量绝对必要。
