Evidence map›Paper›PMID 34388154›Full record

ArticlePloS one2021

Discrepancies between clinical diagnosis and hospital autopsy: A comparative retrospective analysis of 1,112 cases.

Stephan D Kurz, Viyan Sido, Hermann Herbst, Bernhard Ulm, Erma Salkic, Thomas M Ruschinski, Claas T Buschmann, Michael Tsokos

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Stephan D KurzGerman Heart Institute Berlin, Institute for Anaesthesiology, Berlin, Germany.
Viyan SidoDepartment of Cardiovascular Surgery, Berlin Institute of Health, Charite-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.ORCID 0000-0003-0891-3392
Hermann HerbstDepartment of Pathology, Vivantes Klinikum Neukölln, Berlin, Germany.
Bernhard UlmIndependent statistical advice, Munich, Germany.
Erma SalkicGerman Heart Institute Berlin, Institute for Anaesthesiology, Berlin, Germany.
Thomas M RuschinskiGerman Heart Institute Berlin, Institute for Anaesthesiology, Berlin, Germany.
Claas T BuschmannInstitute of Legal Medicine, University Hospital Schleswig-Holstein Kiel/Lübeck, Lubeck, Germany.
Michael TsokosInstitute of Legal Medicine and Forensic Sciences, Berlin Institute of Health, Charite-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.
Humboldt-Universität zu Berlin · DEBerlin Heart (Germany) · DEUniversity Hospital Schleswig-Holstein · DEVivantes Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe aim of this study was to compare discrepancies between diagnosed and autopsied causes of death in 1,112 hospital autopsies and to determine the factors causing this discrepancies.

methods1,112 hospital autopsies between 2010 and 2013 were retrospectively studied. Ante-mortem diagnoses were compared to causes of death as determined by autopsy. Clinical diagnoses were extracted from the autopsy request form, and post-mortem diagnoses were assessed from respective autopsy reports. Variables, such as sex, age, Body Mass Index, category of disease, duration of hospital stay and new-borns were studied in comparison to discrepancy. P-values were derived from the Mann-Whitney U test for the constant features and chi-2 test, p-values < 0,05 were considered significant.

results73.9% (n = 822) patients showed no discrepancy between autopsy and clinical diagnosis. The duration of hospitalisation (6 vs. 9 days) and diseases of the cardiovascular system (61.7%) had a significant impact on discrepancies.

conclusionAge, cardiovascular diseases and duration of hospital stay significantly affect discrepancies in ante- and post-mortem diagnoses.

Indexed as

Cause of DeathAgedAutopsyDiagnostic ErrorsFemaleHospital MortalityHospitalsHumansMaleMiddle AgedRetrospective Studies

Identifiers

PMID34388154
PMCPMC8362952
OpenAlexW3187080577

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.