1Post Graduate Scholar
2Associate Professor, Department of Forensic Medicine, Govt Medical College, Thiruvananthapuram
3Former Professor of, Forensic Medicine and Joint Director of Medical Education, Thiruvananthapuram
*Corresponding author: Dr Renju Raveendran Associate Professor of Forensic Medicine Govt. Medical College, Thiruvananthapuram Kerala State, Mobl: 9846808533, E-mail: renjuraven.raveendran@gmail.com
Online published on 2 January, 2017.
Trauma is a major public health problem affecting millions of people across the world. Limited studies (clinical audit in trauma) are available in our settings regarding the relationship of ante mortem clinical diagnosis and postmortem autopsy findings in cases of trauma. This study is an attempt to compare ante mortem clinical diagnosis with autopsy findings to find an agreement or disagreement between the two in 200 patients who died of trauma and underwent autopsy examination in Government Medical College, Thiruvananthapuram. Discrepancies if any were classified based on Battle et al system of discrepancy classification. There were no discrepancies (class V) in 57.5% of cases, Class I discrepancy was found in 4.5% cases, Class II discrepancy in 10.5%, Class III in 14% and Class IV in 13.5% of cases. Most commonly overlooked injuries were of the chest.
Clinical audit, clinical findings, autopsy findings, discrepancy
