Landra P, Morra E, Comi E, Pratis S, Beggiato O, Muratori F
Minerva Med. 1981 Oct 31;72(42):2823-8.
The clinical data of 68 patients who died in a geriatric ward have been compared with their necropsies to identify discrepancies between clinical diagnosis and necropsy. A percentage of error of 32.78% was observed with respect to the clinical diagnosis of the main death-causing disease. It proved impossible to reach clinical diagnosis in 7 cases and in one not even necropsy cleared up the situation. An overestimate of neoplastic diseases was observed with an underestimate of diseases of the cardiocirculatory and respiratory apparatus. Other important pathological conditions associated with the main cause of death have also been considered and among these a total error percentage of 29.5% was found. A further 22 conditions were not diagnosed in life. The highest incidence of error was encountered in diagnoses judged to be clinically uncertain. Necropsy should therefore be encouraged as it remains the best way assessing the accuracy of clinical diagnosis.
对在老年病房死亡的68例患者的临床资料与其尸检结果进行了比较，以确定临床诊断与尸检之间的差异。主要致死疾病的临床诊断误差率为32.78%。有7例无法做出临床诊断，甚至有1例尸检也未能明确情况。观察到肿瘤性疾病被高估，而心血管和呼吸器官疾病被低估。还考虑了与主要死因相关的其他重要病理状况，其中总误差率为29.5%。另外有22种状况生前未被诊断出。在被判定为临床不确定的诊断中，误差发生率最高。因此，应鼓励进行尸检，因为它仍然是评估临床诊断准确性的最佳方法。
