A Comparison between Premortem and Postmortem Diagnosis in Trauma Cases
A Comparison between Premortem and Postmortem Diagnosis in Trauma Cases作者机构：Department of Forensic Medicine Medical Faculty of Mustafa Kemal University Serinyol Hatay Turkey Department of Emergency Medicine Medical Faculty of Mustafa Kemal University Serinyol Hatay Turkey
出 版 物：《Forensic Medicine and Anatomy Research》 (法医学与解剖学研究（英文）)
年 卷 期：2015年第3卷第4期
页 面：89-94页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Clinical Diagnosis Autopsies Trauma
摘 要：This study evaluated the comparison of premortem and postmortem diagnoses of trauma cases that died during treatment and then autopsied. We had analyzed the autopsy reports of forensic deaths retrospectively which occurred between 2013 and 2014. The cases that died because of trauma and which had complete medical reports were included the study. Totally 626 cases were autopsied and 307 cases records were examined from them. The mean age was found to be 28.11. According the treatment period, it was detected that 116 (37.8%) cases died within the first 24 hours. Discrepancies between premortem and postmortem diagnoses were determined in 20.6% of cases. 5.9% had a main diagnostic discrepancy and 14.7% were of second lethal diagnoses. The discrepancies were observed mostly in the multiple injury cases. In our study, diagnostic discrepancy rate was higher in multiple injury cases especially who died by explosion. When clinicians focus on the treatment according to their main diagnosis, they overlook the fatal injuries in other parts of the body. This study shows that autopsy is the most reliable method for the confirmation of the clinical diagnosis in trauma patients. Therefore, particularly surgery physicians should compare the results of the autopsy diagnoses to their own diagnosis.
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