o:2920 Discordance between clinical and post-mortem diagnoses at a tertiary hospital en ABSTRACT: Advances in modern medicine and more accurate and precise diagnostic procedures have been considered to be the main reason for the reduction in autopsy rates. However, there is still a discrepancy between clinical and autopsy diagnoses. This retrospective study, designed as a cross-sectional study, included a sample of 931 patients who died at the Clinical Hospital Centre ‘Zemun’. We analysed sex, age, length of hospitalisation and clinical and post-mortem diagnoses, including the discrepancies between them. In 314 (34%) cases, there was complete agreement between the clinical and autopsy diagnoses, complete disagreement in the same percentage and incomplete agreement in 303 (32%) cases. In people aged >60 years, the risk of misdiagnosis was 2.5-fold higher than in the those aged <60 years (odds ratio (OR)1⁄42.522, p<0.001), while the influence of sex on the risk of misdiagnosis was not statistically significant (OR1⁄40.981, p>0.05). An increase in the number of autopsies would be one of the best methods to make discrepancies between clinical and post-mortem diagnoses visible, and a good method for continuous evaluation of diagnostic tests, as well as for providing a wider perspective on presentations of different clinical conditions. Free full text at https://journals.sagepub.com/doi/10.1177/0025802419878314?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed Key words: clinical diagnosis, post-mortem diagnosis, discordance, forensic 91552100 125557001 1552101 2042-1818 1552099 10.1177/0025802419878314 2023-10-06T18:57:19.602Z 44 yes 46 Milenko Bogdanović 30815591 0000-0002-4471-5011 2019 46 Adi Hadžibegović 23089767 0000-0003-4956-3093 2019 46 Aleksandar Medarević 96690697 0000-0002-7483-3625 2019 46 Miloš D. Babić 104886537 0000-0002-3226-003X 2019 46 Dragan Ječmenica 12594279 0000-0002-7424-3182 2019 46 Đorđe Alempijević 12732775 0000-0002-0810-9559 2019 application/pdf 102794 https://unilib.phaidrabg.rs/o:2920 no yes 17 Podatak o licenci prema https://v2.sherpa.ac.uk/id/publication/24171 70 616‑071:616‑091.5 92000001 71A11 Medicine, Science and the Law 60 1 11 15 2019