engleski

COMPARISON OF CLINICAL AND PATHOLOGICAL DIAGNOSIS BY "THANATOS" COMPUTER SYSTEM

"Thanatos" computer system for clinical pathology provides memorising and processing of clinical and pathological diagnoses coded according to the International classification of diseases and related health problems (tenth revision, 1994). "Thanatos" computer system was used in this work to analyse data originating from the archives of post mortem sections performed in "Ljudevit Jurak" Clinical Department of Pathology during 1995. Main causes of death as well as main clinical conditions were defined according to recommendations of the World Health Organisation published in above mentioned Classification. In defined period 1.269 patients died in University Hospital "Sestre Milosrdnice". Their average age at time of death was 67 years, and post mortem section was performed in 548 cases (43% of total). By using "Thanatos" computer system three parameters related to patients' death were compared: a) clinical diagnosis, b) main pathological condition and c) pathological cause of death. Comparison was possible in 80, 97% of cases, while in remaining 19, 03% clinical data were insufficient for the analysis. Among cases which were analysed in 8, 75 % all three parameters were in agreement, in 18, 16 % clinical diagnoses responded only to main pathological condition, and in 30, 64 % clinical diagnoses responded only to pathological cause of death. In a relatively high proportion (42, 45 %) of analysed cases it was not possible to record any agreement between compared parameters.

CLINICAL DIAGNOSIS; PATHOLOGICAL DIAGNOSIS; COMPARISON; COMPUTER SYSTEM

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