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Value of autopsy in the modern age:Discrepancy between clinical and autopsy diagnoses

World Journal of Experimental Medicine 2024年第4期14卷 129-135页

作者： Cecilia Salzillo Roberta Basile Gerardo Cazzato Giuseppe Ingravallo Andrea Marzullo Department of Precision and Regenerative Medicine and Ionian Area Pathology UnitUniversity of Bari“Aldo Moro”Bari 70121Italy Department of Experimental Medicine PhD Course in Public HealthUniversity of Campania“Luigi Vanvitelli”Naples 80138Italy Course in Biomedical Laboratory Technique University of Bari“Aldo Moro”Bari 70121Italy

BACKGROUND 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 *** recent years,there has been a reduction in hospital autopsies and an increase in forensic *** To evaluate the utility of autopsy in the modern age and the discrepancy between clinical and autopsy *** A retrospective observational study was conducted on the reports of all 645 hospital autopsies performed at Polyclinic of Bari from 2006 to *** 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 *** 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 *** 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 *** 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 *** 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.

关键词： Hospital autopsy Modern age Clinical diagnosis autopsy diagnosis Public health

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