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[The high autopsy rate in Vienna].

L Sakr1, B Bibus, W Dutz

  • 1Pathologisches Institut, Allgemeinen Poliklinik, Wien.

Wiener Klinische Wochenschrift
|August 4, 1989
PubMed
Summary

Vienna

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Area of Science:

  • Forensic Pathology
  • Medical Statistics

Background:

  • In 1983, 34% of deaths in Austria underwent autopsy.
  • Examined autopsy frequency in Vienna (1983-1987) due to high national rates.

Purpose of the Study:

  • To analyze autopsy rates in Vienna's pathology institutes and legal medicine department.
  • To understand factors contributing to high autopsy frequency.
  • To highlight the importance of autopsies for diagnostic accuracy and public health.

Main Methods:

  • Data collection on autopsy rates from 9 pathology institutes and the University of Vienna's legal medicine department.
  • Statistical analysis of annual autopsy frequencies.
  • Review of legal and administrative factors influencing autopsy rates.

Main Results:

  • Average annual autopsy rate in Vienna was 51-53% between 1983-1987.
  • A slight, statistically significant decline in autopsy rates was observed in 1987.
  • Autopsies revealed inaccuracies or incompleteness in 15% of diagnoses.
  • Austrian law allows autopsies without next-of-kin consent for medical/scientific reasons.
  • The coroner often chairs pathology departments, facilitating autopsies.

Conclusions:

  • High autopsy rates are crucial for maintaining diagnostic accuracy in medicine.
  • Autopsies provide essential data for accurate mortality/morbidity statistics and public health planning.
  • Medical students gain unique insights into disease patterns through autopsies.
  • Vienna's pathology departments are implementing a new computer system for diagnostic files to support research.

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