Chacón M, Gazitúa R, Puebla C
Departamento de Medicina Interna, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Rev Med Chil. 1997 Oct;125(10):1173-6.
Lately, autopsies are performed less frequently in hospitals, despite their importance as a diagnostic tool.
To study the concordance between clinical diagnosis and postmortem study in patients that died in a teaching hospital.
Autopsy findings in 57 patients (aged 16 to 85 years old, 28 female) that died at a University hospital were analyzed. Clinical diagnoses were compared with those of the postmortem examination and the degree of concordance between both diagnoses was calculated.
Seven major omissions (12.3%), whose knowledge could have changed the clinical course of patients, were detected. These omissions occurred in patients with complex diseases or due to limitations of diagnostic procedures. Also, seven omissions, found in severely ill patients, whose knowledge would not change the patient's evolution, were also detected.
Autopsy still is a valuable tool to assess the quality of care for patients that die during their hospitalization.
尽管尸检作为一种诊断工具很重要，但最近医院进行尸检的频率较低。
研究在一家教学医院死亡的患者中临床诊断与尸检研究之间的一致性。
分析了一家大学医院57例死亡患者（年龄16至85岁，28例女性）的尸检结果。将临床诊断与尸检检查结果进行比较，并计算两种诊断之间的一致程度。
发现了7例重大漏诊（12.3%），了解这些情况本可改变患者的临床病程。这些漏诊发生在患有复杂疾病的患者中或由于诊断程序的局限性。此外，在重症患者中也发现了7例漏诊，了解这些情况不会改变患者的病情发展。
尸检仍然是评估住院期间死亡患者护理质量的有价值工具。
