{"title":"Characteristics of Clinical and Medico – Legal Diagnosis in Cases of Discrepancy","authors":"Bondarev A., Padure A., Lungu E.","doi":"10.4323/rjlm.2022.264","DOIUrl":null,"url":null,"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.","PeriodicalId":54450,"journal":{"name":"Romanian Journal of Legal Medicine","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Romanian Journal of Legal Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4323/rjlm.2022.264","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
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.
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.