Salzillo Cecilia, Basile Roberta, Cazzato Gerardo, Ingravallo Giuseppe, Marzullo Andrea
Department of Precision and Regenerative Medicine and Ionian Area, Pathology Unit, University of Bari "Aldo Moro", Bari 70121, Italy.
Department of Experimental Medicine, PhD Course in Public Health, University of Campania "Luigi Vanvitelli", Naples 80138, Italy.
World J Exp Med. 2024 Dec 20;14(4):95147. doi: 10.5493/wjem.v14.i4.95147.
Autopsy is a medical procedure that consists of the examination of the corpse to determine the cause of death and obtain information on pathological conditions or injuries. In recent years, there has been a reduction in hospital autopsies and an increase in forensic autopsies.
To evaluate the utility of autopsy in the modern age and the discrepancy between clinical and autopsy diagnoses.
A retrospective observational study was conducted on the reports of all 645 hospital autopsies performed at Polyclinic of Bari from 2006 to 2021.
Group A, 2006-2009, 174 cases were studied: 58% male, 58% adults, 55% neonatology; pulmonary disease was the cause of death in 23% of cases; and there was a discrepancy between clinical and autopsy diagnosis in 55% of cases. Group B, 2010-2013, 119 cases: 52% male, 46% infants, 48% neonatology; pulmonary disease was the cause of death in 25% of cases; and there was a discrepancy between clinical and autopsy diagnosis in 56% of cases. Group C, 2014-2017, 168 cases: sex equality, 37% infants, 25% gynecology; pulmonary disease was the cause of death in 24% of cases; and there was a discrepancy between clinical and autopsy diagnosis in 58% of cases. Group D, 2018-2021, 184 cases: 56% male, 38% adult, 32% gynecology; pulmonary disease was the cause of death in 27% of cases; and there was a discrepancy between clinical and autopsy diagnosis in 58% of cases.
The study of hospital autopsies reveals a 56.75% discrepancy between clinical diagnosis and autopsy, highlighting the importance of autopsies, especially for fetal and neonatal diseases, which represent 59% of cases.
尸检是一种医学程序，包括对尸体进行检查以确定死因并获取有关病理状况或损伤的信息。近年来，医院尸检数量有所减少，法医尸检数量有所增加。
评估现代尸检的效用以及临床诊断与尸检诊断之间的差异。
对2006年至2021年在巴里综合医院进行的所有645例医院尸检报告进行回顾性观察研究。
A组，2006 - 2009年，研究了174例病例：男性占58%，成年人占58%，新生儿科占55%；肺部疾病是23%病例的死因；55%的病例临床诊断与尸检诊断存在差异。B组，2010 - 2013年，119例病例：男性占52%，婴儿占46%，新生儿科占48%；肺部疾病是25%病例的死因；56%的病例临床诊断与尸检诊断存在差异。C组，2014 - 2017年，168例病例：性别平等，婴儿占37%，妇科占25%；肺部疾病是24%病例的死因；58%的病例临床诊断与尸检诊断存在差异。D组，2018 - 2021年，184例病例：男性占56%，成年人占38%，妇科占32%；肺部疾病是27%病例的死因；58%的病例临床诊断与尸检诊断存在差异。
医院尸检研究显示临床诊断与尸检之间存在56.75%的差异，突出了尸检的重要性，特别是对于占病例59%的胎儿和新生儿疾病。
