Abstract
Pathologists' opinions of cause of death given at the end of post-mortem (PM) reports have often been used to validate clinicians' death certificates. Information about strokes, common coincident conditions and complications in 120 full PM reports was compared with the pathologists' opinions of cause of death given at the end of the reports. Intracranial haemorrhage and myocardial infarction were mentioned as frequently in the cause of death as in the full PM report. On the other hand, cerebral infarction, precerebral artery occlusion, severe cerebral atheroma, coronary artery occlusion, bronchopneumonia and pulmonary embolism were all under-cited in the causes of death. Whether a pathological condition mentioned in the full PM report also appeared in the cause of death varied with the decedent's age, the extent of the condition and type of stroke. Consideration should be given to using all the information in PM reports rather than just pathologists' opinions of cause of death given at the end of PM reports when studying the validity of clinicians' death certificates.
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Selected References
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- Britton M. Diagnostic errors discovered at autopsy. Acta Med Scand. 1974 Sep;196(3):203–210. doi: 10.1111/j.0954-6820.1974.tb00996.x. [DOI] [PubMed] [Google Scholar]
- Cameron H. M., McGoogan E. A prospective study of 1152 hospital autopsies: I. Inaccuracies in death certification. J Pathol. 1981 Apr;133(4):273–283. doi: 10.1002/path.1711330402. [DOI] [PubMed] [Google Scholar]
- Cameron H. M., McGoogan E., Watson H. Necropsy: a yardstick for clinical diagnoses. Br Med J. 1980 Oct 11;281(6246):985–988. doi: 10.1136/bmj.281.6246.985. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Du Florey C., Senter M. G., Acheson R. M. A study of the validity of the diagnosis of stroke in mortality data. II. Comparison by computer of autopsy and clinical records with death certificates. Am J Epidemiol. 1969 Jan;89(1):15–24. doi: 10.1093/oxfordjournals.aje.a120911. [DOI] [PubMed] [Google Scholar]
- Hartveit F. Clinical and post-mortem assessment of the cause of death. J Pathol. 1977 Dec;123(4):193–210. doi: 10.1002/path.1711230402. [DOI] [PubMed] [Google Scholar]
- Kannel W. B., Gordon T., Dawber T. R. Role of lipids in the development of brain infarction: the Framingham study. Stroke. 1974 Nov-Dec;5(6):679–685. doi: 10.1161/01.str.5.6.679. [DOI] [PubMed] [Google Scholar]
- Puxty J. A., Horan M. A., Fox R. A. Necropsies in the elderly. Lancet. 1983 Jun 4;1(8336):1262–1264. doi: 10.1016/s0140-6736(83)92708-3. [DOI] [PubMed] [Google Scholar]