Characteristics of Clinical and Medico – Legal Diagnosis in Cases of Discrepancy

IF 0.4 4区 医学 Q4 Medicine
Bondarev A., Padure A., Lungu E.
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引用次数: 0

Abstract

: Although technical possibilities of diagnosis in modern medicine are incomparably greater, even nowadays, diagnostic mistakes are identified during autopsy in a considerable number of cases. Moreover, in the last decades, the frequency of discrepancies not only stayed at the same level but also increased. The present research is a selective retrospective analytical study based on 152 medico-legal reports regarding the corpses of patients who died in hospitals, as well as their medical records for a period of 5 years (2009–2013). All the dead bodies were examined in the territorial departments of the Center of Forensic Medicine of Republic of Moldova. The study aimed to analyze and classify discrepancies between clinical and medico-legal diagnoses in mechanical traumas. Brain injuries were most frequently diagnosed (clinical and morphological) in the researched sample, this kind of trauma was also most frequently under-and overdiagnosed. All the nosological units in the study were more frequently underdiagnosed than overdiagnosed. Most of the discrepancies were found in the main diagnosis, manifested by underdiagnosis and attributed to the 2 nd category.
临床与医法诊断差异病例的特点
虽然现代医学诊断的技术可能性无可比拟地大,但即使在今天,在相当多的病例中,在尸检过程中发现诊断错误。此外,在过去的几十年里,差异的频率不仅保持在同一水平,而且还增加了。本研究是一项选择性回顾性分析研究,基于152份关于医院死亡患者尸体的医学法律报告及其5年(2009-2013年)的医疗记录。所有尸体都在摩尔多瓦共和国法医中心的领土部门进行了检查。本研究旨在分析和分类机械性创伤的临床诊断与医学法律诊断之间的差异。脑损伤是研究样本中最常见的诊断(临床和形态学),这类创伤也是最常见的低诊断和高诊断。该研究中所有的分科单位诊断不足的频率高于诊断过度的频率。大多数差异出现在主要诊断上,表现为诊断不足,属于第2类。
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来源期刊
CiteScore
0.50
自引率
25.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: The Romanian Journal of Legal Medicine, the official publication of the Romanian Legal Medicine Society, is devoted to the publication of the original investigations, observations, scholarly inquiries and reviews in the various branches of the forensic sciences. These include forensic pathology and histochemistry, clinical forensic medicine, medical malpractice, traffic medicine, chemistry, biochemistry, thanatochemistry, clinical and forensic toxicology, alcohology, biology (including the identification of hairs and fibres), the physical sciences, firearms, and document examination, physical anthropology, serology, forensic genetics and paternity (with special emphasis on recent advances in DNA technology and PCR), forensic psychiatry and behavioral sciences, forensic odontology, law and ethics, history of forensic sciences. RJLM also includes similar submissions dealing with forensic-oriented aspects of the social science and the area where science and medicine interact with the law.
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