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ISSN 0187-5337 (Print)
Instituto Nacional de Perinatología

2003, Number 1

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Perinatol Reprod Hum 2003; 17 (1)

Causas de muerte de un grupo de niños con atresia de esófago sometidos a autopsia

Villegas-Álvarez F, González-Zamora JF, Braun-Roth G, López-Corella E

Language: Spanish
References: 33
Page: 28-35
PDF size: 85.87 Kb.


ABSTRACT

Objective: To identify the causes of high mortality in children with esophageal atresia that ingress to the Instituto Nacional de Pediatría by means to study of autopsy data. Methodology: The source was clinical file date of 87 autopsies in children with the diagnosis of esophageal atresia. Seven variables were studied considered as pronostic factor and they were classified in 2 groups: in the group 1, patients with not corrected surgically and the group 2, patients with surgical correction of the esophageal defect; with these data and the information obtained in material autopsy was determinate the cause of death. Results: In the group 1, there were 39 patients with not corrected surgically, in this group the cause of the death was determinate in 43% of the cases: the principal causes were multifactorial problems, incompatible with the life malformations and severe prematurity. In the group 2, there were 48 patients operated for the esophageal defect and whose cause of death was etermine d in 60% of the cases. The principal causes of death were identified: Derived complications from the surgical procedure, multifactorial problems and incompatible with the life malformations. Conclusions: In the cases that the causes of the death could be identified, the principal causes they were: surgical complications and those derived of events that were outside of medical treatment. When it was considered from a multifactorial way, the combination of events were: delay admission to the hospital, associate malformations, initial ventilatory support and the opportunists infections; they were to play a more important paper in the fatal outcome.


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