Comparação entre os diagnósticos clínicos e os achados de necropsia: análise retrospectiva de 680 pacientes

Abstract

Primeira submissão em 31/10/05 Última submissão em 17/10/06 Aceito para publicação em 18/10/06 Publicado em 20/12/06

Estudo de casuística e concordância diagnóstica do Serviço de Verificação de Óbitos do Interior (SVOi), em Ribeirão Preto, SP, no período de 2008 a 2012

“…Other relevant information observed by the study reveals a loss of information, 2.65% of the files, a loss considered low in relation to other studies 14 . In relation to the period studied, this research was carried out retrospectively, analyzing the cases in the service over 5 years (2008-2012), 2012 being selected as the last year because of the availability of information from the MIS -MH at the time of data collection.…”

“…When observing the prevalence of the basic causes of death in the final reports of the local SVO cases, the study presented the diagnoses of the circulatory system as the main cause of death, data similar to that from Segura et al, 14 . The respiratory diseases, neoplasms, diseases of the digestive system and infectious and parasitic diseases are shown in Table 3.…”

Comparação entre processos patológicos encontrados na autópsia virtual e convencional de dois pacientes que foram a óbito em um hospital universitário brasileiro

“…A princípio, tais métodos eram utilizados somente na área forense, sendo posteriormente implementados também em hospitais universitários para investigação médico-científica da causa de morte 4,5,6,7 . Essa nova técnica, denominada virtópsia ou autópsia virtual, é realizada através de equipamentos de imagem que produzem um campo magnético e pulsos de radiofrequência, gerando imagens tridimensionais das estruturas internas do corpo 8,9,7,10 .…”

The technological invention of disease and the decline of autopsies

“…[1][2][3][4][5][6][7][8][9] The reasons that explain these fi ndings range from costs, families' unwillingness and discrediting of the procedure among physicians who rely more on diagnostic techniques, to the fear of legal measures that may follow possible lack of matching between cause-of-death and treatments that had been administered, or simply a belief that the procedure is useless. Indeed, the studies cited above mostly point towards physicians' attitudes as the main factor relating to this shortfall, either among clinicians or pathologists.…”