[Anatomo-clinical diagnosis correlation. Retrospective assessment of the clinical diagnosis in necropsies].
The post mortem findings in 200 autopsies were compared with the clinical diagnoses. Twenty diseases were analysed with respect to clinico-pathological correlation. In relation to the respective totals the diseases most frequently missed clinically were (false negative) pyelonephritis (100%), pulmonary embolus (87.50%) and bronchopneumonia (58.16%). In relation to the respective totals the clinical diagnoses less frequently confirmed (false positive) were tuberculosis (69.56%), paracoccidioidomycosis (57.14%), sepsis (53.13%) and Chagas' disease (44.44%). There was clinicopathological agreement in 97 autopsies (48.50%). In 19 cases (9.50%) if the diagnostic error had been detected during life this probably would have changes the prognosis. The findings are discussed in the light of previous studies. The importance of routine post-mortem examination and clinico-pathological correlation is stressed.
de Almeida
M C
MC
Couto
L A
LA
da Silva
L H
LH
Carvalhal
S dos S
Sdos S
D001344:Autopsy; D003951:Diagnostic Errors; D019937:Diagnostic Techniques and Procedures; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies
Correlação diagnóstica anatomoclínica. Aferição retrospectiva do diagnóstico clínico em necrópsias.