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Related Experiment Videos

The ultimate audit.

G Gau

    British Medical Journal
    |June 18, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Post-mortem examinations in stillborn and young infants confirm clinical diagnoses in over 88% of cases. Unexpected diagnostic changes in a few cases suggest that selecting cases for necropsy is not beneficial.

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    Area of Science:

    • Pediatric Pathology
    • Neonatal Autopsy
    • Clinical Diagnosis Validation

    Background:

    • Accurate diagnosis in stillborn and young infants is crucial for understanding causes of death and improving future outcomes.
    • Necropsy (post-mortem examination) provides definitive diagnostic information.
    • The utility of routine necropsy in this age group requires evaluation.

    Purpose of the Study:

    • To compare necropsy diagnoses with clinical diagnoses in stillborn and young infants.
    • To determine the value of post-mortem examinations in this pediatric population.
    • To assess whether case selection for necropsy is justified.

    Main Methods:

    • Retrospective analysis of 78 cases of stillborn and young infants.
    • Comparison of clinical diagnoses with necropsy findings.

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  • Evaluation of diagnostic concordance and discrepancies.

    • Main Results:

    • Clinical diagnosis was confirmed by necropsy in over 88% of the 78 cases studied.
    • Unexpected changes in diagnosis were identified in six cases.
    • Discrepancies between clinical and necropsy diagnoses were observed.

    Conclusions:

    • Necropsy is a valuable tool for confirming clinical diagnoses in stillborn and young infants.
    • The observed rate of diagnostic discrepancies suggests that selecting cases for necropsy may not be advantageous.
    • Post-mortem examinations provide essential data for perinatal and infant mortality reviews.