Bogdanović, Milenko (57203508508)Milenko (57203508508)BogdanovićHadžibegović, Adi (57191339256)Adi (57191339256)HadžibegovićMedarević, Aleksandar (56807172000)Aleksandar (56807172000)MedarevićBabić, Miloš (57211453780)Miloš (57211453780)BabićJečmenica, Dragan (22034806500)Dragan (22034806500)JečmenicaAlempijević, Đjorđje (55282549400)Đjorđje (55282549400)Alempijević2025-07-022025-07-022020https://doi.org/10.1177/0025802419878314https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074024248&doi=10.1177%2f0025802419878314&partnerID=40&md5=9cdbf7f7a152d5cce0f6af8ac36628e7https://remedy.med.bg.ac.rs/handle/123456789/12592Advances 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)=2.522, p<0.001), while the influence of sex on the risk of misdiagnosis was not statistically significant (OR=0.981, 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. © The Author(s) 2019.Clinical diagnosisdiscordanceforensicpost-mortem diagnosisDiscordance between clinical and post-mortem diagnoses at a tertiary hospital