PubMed Health⌕ Search

Biomedical subjects

C E Teo

Publications and source records attributed to C E Teo.

2 recordsLinked to original sources

The autopsy.

The autopsy can be divided into medico-legal and academic autopsies. The autopsy has proven its value in the elucidation of the cause of death, medical audit, clinical quality control, education and the continuing understanding of disease pathogenesis. In addition, the medico-legal autopsy plays an important role in the administration of justice. While the rate of medico-legal autopsies remains relatively stable, all over the world there has been a steady decline in the rate of academic autopsies. Most studies show an unsatisfactory agreement between the clinical diagnosis and the autopsy diagnosis. When the pattern of autopsies is skewed towards deaths of medico-legal significance, health statistics based on death certificates on which healthcare policies are formulated may not be useful. Therefore, the decline in autopsy rates should be reversed. All health professionals, hospital administrators, medical students and relatives should be educated about the relevance of the autopsy to each of them. There must be increased communication between the clinician and the pathologist.

Autopsy↗

A study of coroner's cases from hospitals: a comparison of autopsy and clinical diagnosis.

This study compares the clinical cause of death and the autopsy cause of death. The study population of 623 cases consists of all coroner's cases for the year 1990 subjected to autopsy, which were hospital cases, and which were not dead on arrival. The clinical cause of death was confirmed by autopsy in 72% of cases. For unnatural deaths (260 cases), the agreement between the clinical cause of death and autopsy diagnosis was 96%. However, in natural deaths and in deaths related to surgical or therapeutic procedures (363 cases), the agreement was much lower, being 54%. The percentage agreement was lower in some categories than others, notably respiratory conditions (51%) and circulatory conditions (42%). Agreement was particularly poor in the clinical diagnosis of myocarditis (0% agreement), pulmonary thrombo-embolism (33%), cerebro-vascular accidents (36%) and pneumonia (45%). Thus death certification in these categories would have been a particularly unreliable source of diagnostic data.

Adolescent↗