A kórbonctani vizsgálat szerepe a klinikai diagnózis igazolásában intenzív osztályos beteganyagon.

Translated title of the contribution: The role of autopsy in verifying diagnostic accuracy at the intensive care unit

J. Simon, L. Rudas, B. Iványi

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The accuracy of the clinical diagnoses compared to the findings of an autopsy is a more relevant characteristic of the quality of care than the length of stay in the hospital or the daily costs of the stay. The aim of this retrospective study was: a) to compare the clinical and pathological diagnoses, b) to determine the amount of new information supplied by the autopsy and c) to determine wether the knowledge of correct clinical diagnosis would have resulted in a change of therapy. At the medical ICU 163 patients died during 1998, autopsy was performed in 110 cases. Agreement of clinical and pathological diagnoses and causes of death were retrospectively assessed by a board. Acute myocardial infarction accounted for 26% of deaths, pneumonia and respiratory insufficiency for 15%, cardiac failure for 14%, sepsis for 14%, stroke for 13%, pulmonary embolism for 5% and others for 13%. The accuracy of the clinical cause of death was proved in 81% of the cases. The main disease was diagnosed correctly in 86% of the cases. As a tool in quality control, the agreement of clinical and pathological diagnoses and causes of death proved to be good during the examined period of time.

Original languageHungarian
Pages (from-to)2373-2376
Number of pages4
JournalOrvosi Hetilap
Volume142
Issue number43
Publication statusPublished - Oct 28 2001

Fingerprint

Intensive Care Units
Autopsy
Cause of Death
Quality of Health Care
Pulmonary Embolism
Respiratory Insufficiency
Quality Control
Length of Stay
Sepsis
Pneumonia
Heart Failure
Retrospective Studies
Stroke
Myocardial Infarction
Costs and Cost Analysis
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A kórbonctani vizsgálat szerepe a klinikai diagnózis igazolásában intenzív osztályos beteganyagon. / Simon, J.; Rudas, L.; Iványi, B.

In: Orvosi Hetilap, Vol. 142, No. 43, 28.10.2001, p. 2373-2376.

Research output: Contribution to journalArticle

@article{75e807d667d9467791a6d4c24cd6bdf4,
title = "A k{\'o}rbonctani vizsg{\'a}lat szerepe a klinikai diagn{\'o}zis igazol{\'a}s{\'a}ban intenz{\'i}v oszt{\'a}lyos beteganyagon.",
abstract = "The accuracy of the clinical diagnoses compared to the findings of an autopsy is a more relevant characteristic of the quality of care than the length of stay in the hospital or the daily costs of the stay. The aim of this retrospective study was: a) to compare the clinical and pathological diagnoses, b) to determine the amount of new information supplied by the autopsy and c) to determine wether the knowledge of correct clinical diagnosis would have resulted in a change of therapy. At the medical ICU 163 patients died during 1998, autopsy was performed in 110 cases. Agreement of clinical and pathological diagnoses and causes of death were retrospectively assessed by a board. Acute myocardial infarction accounted for 26{\%} of deaths, pneumonia and respiratory insufficiency for 15{\%}, cardiac failure for 14{\%}, sepsis for 14{\%}, stroke for 13{\%}, pulmonary embolism for 5{\%} and others for 13{\%}. The accuracy of the clinical cause of death was proved in 81{\%} of the cases. The main disease was diagnosed correctly in 86{\%} of the cases. As a tool in quality control, the agreement of clinical and pathological diagnoses and causes of death proved to be good during the examined period of time.",
author = "J. Simon and L. Rudas and B. Iv{\'a}nyi",
year = "2001",
month = "10",
day = "28",
language = "Hungarian",
volume = "142",
pages = "2373--2376",
journal = "Orvosi Hetilap",
issn = "0030-6002",
publisher = "Akademiai Kiado",
number = "43",

}

TY - JOUR

T1 - A kórbonctani vizsgálat szerepe a klinikai diagnózis igazolásában intenzív osztályos beteganyagon.

AU - Simon, J.

AU - Rudas, L.

AU - Iványi, B.

PY - 2001/10/28

Y1 - 2001/10/28

N2 - The accuracy of the clinical diagnoses compared to the findings of an autopsy is a more relevant characteristic of the quality of care than the length of stay in the hospital or the daily costs of the stay. The aim of this retrospective study was: a) to compare the clinical and pathological diagnoses, b) to determine the amount of new information supplied by the autopsy and c) to determine wether the knowledge of correct clinical diagnosis would have resulted in a change of therapy. At the medical ICU 163 patients died during 1998, autopsy was performed in 110 cases. Agreement of clinical and pathological diagnoses and causes of death were retrospectively assessed by a board. Acute myocardial infarction accounted for 26% of deaths, pneumonia and respiratory insufficiency for 15%, cardiac failure for 14%, sepsis for 14%, stroke for 13%, pulmonary embolism for 5% and others for 13%. The accuracy of the clinical cause of death was proved in 81% of the cases. The main disease was diagnosed correctly in 86% of the cases. As a tool in quality control, the agreement of clinical and pathological diagnoses and causes of death proved to be good during the examined period of time.

AB - The accuracy of the clinical diagnoses compared to the findings of an autopsy is a more relevant characteristic of the quality of care than the length of stay in the hospital or the daily costs of the stay. The aim of this retrospective study was: a) to compare the clinical and pathological diagnoses, b) to determine the amount of new information supplied by the autopsy and c) to determine wether the knowledge of correct clinical diagnosis would have resulted in a change of therapy. At the medical ICU 163 patients died during 1998, autopsy was performed in 110 cases. Agreement of clinical and pathological diagnoses and causes of death were retrospectively assessed by a board. Acute myocardial infarction accounted for 26% of deaths, pneumonia and respiratory insufficiency for 15%, cardiac failure for 14%, sepsis for 14%, stroke for 13%, pulmonary embolism for 5% and others for 13%. The accuracy of the clinical cause of death was proved in 81% of the cases. The main disease was diagnosed correctly in 86% of the cases. As a tool in quality control, the agreement of clinical and pathological diagnoses and causes of death proved to be good during the examined period of time.

UR - http://www.scopus.com/inward/record.url?scp=0035965523&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035965523&partnerID=8YFLogxK

M3 - Article

VL - 142

SP - 2373

EP - 2376

JO - Orvosi Hetilap

JF - Orvosi Hetilap

SN - 0030-6002

IS - 43

ER -