THE ROLE OF AUTOPSY IN DEATH RESULTING FROM TRAUMA

被引:44
作者
STOTHERT, JC [1 ]
GBAANADOR, GBM [1 ]
HERNDON, DN [1 ]
机构
[1] SHRINERS BURN INST,GALVESTON,TX 77550
关键词
D O I
10.1097/00005373-199008000-00012
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
This study examined the difference between clinical impressions and autopsy findings in a group of patients dying on a university surgical service after blunt injury, penetrating injury, or thermal burns. Of 215 patients dying between the years 1984 and 1988, 212 were included in this study (autopsy rate, 98.6%). Major discrepancies in clinical diagnosis versus the anatomic diagnosis at autopsy were found to occur in approximately 30% of patients. The incidence of errors in diagnosis which may have impacted on survival in these groups of injured patients was quite low (5.1%). These data support the continued practice of obtaining autopsy in all patients dying from trauma. This information is clinically relevant, and, in today’s atmosphere of quality assurance, absolutely necessary for a modern trauma center. © 1990, by The Williams & Wilkins Co.
引用
收藏
页码:1021 / 1026
页数:6
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