title: [Discrepancies between clinical diagnoses and autopsy findings].
abstract: The main objective of this study was to identify the clinical-pathological discrepancies in autopsies performed in the institution. We reviewed autopsies of clinical cases in 53 adults in the period between January 2005 and June 2009, carried out in the Pathology Service at the Hospital Privado de Córdoba, Argentina. Six autopsies were excluded due to insufficient information. The Goldman et al. classification was applied to establish clinico-pathologic discrepancies between clinical diagnoses and autopsy findings. Frequently clinical diagnoses were respiratory infections and acute pulmonary embolism. The most frequently reported postmortem diagnoses were respiratory infections and acute myocardial infarction. There were 17 major discrepancies and 30 coincidences. No any minor discrepancy was detected. Respiratory infections were the main cause of error, followed by myocardial infarction. We conclude that in 17/47 (37%) of cases the pre-mortem and postmortem diagnoses were different, and that respiratory infections were the main cause of error. We suggest to adopt educational and informative strategies, to revalue the importance of autopsy, and traditional clinical practices.
authors.affiliation: Servicio de Patología, Hospital Privado de Córdoba, Córdoba, Argentina. virburgesser@gmail.com
authors.forename: María Virginia
authors.initials: MV
authors.lastname: Bürgesser
authors.forename: Diego
authors.initials: D
authors.lastname: Camps
authors.forename: Patricia
authors.initials: P
authors.lastname: Calafat
authors.forename: Ana
authors.initials: A
authors.lastname: Diller
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001118:Argentina; D001344:Autopsy / Q000592:standards* / Q000706:statistics & numerical data; D002423:Cause of Death; D003933:Diagnosis; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies