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Autopsy: its role in clinical quality control in the elderly in the 1990s
1University Department of Geriatric Medicine, University of Wales College of Medicine, Llandough Hospital, Penarth, CF64 2XX, UK.
Abstract:
The accuracy of pre-mortem diagnosis was investigated in 100 patients (age range 65-97 years) undergoing autopsy. Post-mortem rate was 22%. In 32% of cases there were discrepancies between ante- and post-mortem diagnosis; in 14% these may have affected therapy or outcome. We conclude that autopsy remains a useful tool in clinical quality control, and should be part of a quality assurance plan in all geriatric units.
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