ABSTRACT
Backgroum: lately, autopsies are performed less frequently in hospitals, despite their importance as a diagnostic tool. Aim: to study the concordance between clinical diagnosis and postmortem study in patients that died in a teaching hospital. Material and methods: autopsy findings in 57 patients (aged 16 to 85 years old, 28 female) that died at a University hospital were analyzed. Clinical diagnoses were compared with those of the postmortem examination and the degree of concordance between both diagnoses was calculated. Results: seven major omissions (12.3 percent), whose knowledge could have changed the clinical course of patients, were detected. These omissions occurred in patients with complex diseases or due to limitations of diagnostic procedures. Also, seven omissions, found in severely ill patients, whose knowledge would not change the patient`s evolution, were also detected. Conclusions: autopsy still is a valuable tool to assess the quality of care for patients that die during their hospitalization
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Autopsy/statistics & numerical data , Diagnostic Errors/statistics & numerical data , Diagnostic Services/statistics & numerical data , Medical History Taking/statistics & numerical data , Diagnostic Techniques and Procedures/statistics & numerical data , Diagnostic Tests, Routine/statistics & numerical dataABSTRACT
El objetivo de este trabajo fue comparar una población urbana (Región Metropolitana) y otra rural (Octava Región) de adolescentes en lo referente a: causas de consulta; estado nutricional y nivel de escolaridad, utilizando para ello una encuesta elaborada con esta finalidad. Del análisis estadístico del material reunido, se desprenden las siguientes conclusiones: 1. Las enfermedades respiratorias son la causa más frecuente de consulta en ambos grupos. 2. Las patologías infecciosas y parasitarias son más frecuentes en el área urbana. 3. La talla es el problema nutricional más comúnmente detectado en ambos grupos. 4. La desnutrición aguda es más frecuente en el área urbana y el sobrepeso en las adolescentes rurales. 5. La mayor parte de los adolescentes encuestados presentan atraso escolar. 6. El atraso de dos años o más, es más frecuente en el área urbana. En cambio, la deserción escolar es mayor en el área urbana