Autopsy in older medical patients: concordance in ante- and post-mortem findings and changing trends

Despite modern diagnostics, the discordance between ante- and postmortem diagnoses is still around 25%, reiterating the need for high post-mortem rates. In our study, 3.5% had class I errors that, had they been detected during life, would or might have affected short-term outcome. Another 14% had major errors, conditions recorded as primary cause of death that were clinically missed or unrecorded but would not have affected the outcome.