Friberg N, Ljungberg O, Berglund E, et al. - The autopsy reports and autopsy referrals of 2,410 adult deceased people (age > 17) referred to two University hospitals in Sweden during two plus two years, a decade apart were analyzed in order to assess over time the use and outcomes of clinical autopsies in Sweden. A reduction in the number of autopsies performed over time was noted, nevertheless, essentially in one of the two hospitals. The proportion of autopsy referrals from the emergency department rose from 9 to 16%, whereas the proportion of referrals from usual hospital wards was nearly halved. A high predominance of cardiovascular disease, with myocardial infarction and cerebrovascular lesion discovered in 40% and 19% of all cases, respectively, was shown by the autopsies. In a large proportion of cases (> 30%), important verdicts of disease were not expected prior to the autopsy, as estimated from the referral record and supplementary data collected in some though not all cases. According to the former research, this study authenticates a decreasing rate of autopsy even at tertiary, academic hospitals and shows potential factors included in the reduction.