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Patología Revista Latinoamericana

2010, Number 1

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Patol Rev Latinoam 2010; 48 (1)

Diagnostic differences in death causes identified by autopsies. Cuba, 1994-2003. Fourth part

Hurtado de Mendoza AJ, Álvarez SR, Borrajero MI

Language: Spanish
References: 22
Page: 3-7
PDF size: 143.18 Kb.


ABSTRACT

Background: The three previous parts of this work sets the background and results obtained in order to clarify the diagnostic discrepancies in causes of death identifiedin Cuba from 1994 to 2003.
Objective: To establish the diagnostic discrepancies variation between causes of death in most presented diseases, direct causes of death (DCD) or basic causes of death (BCD).
Material and method:DCD´s or BCD´s discrepancies were obtained in terms of most presented diseases, according to the classification and processing provided by SARCAP.
Results:The most common DCD figures that shows high discrepancies are the pulmunary embolism, atherosclerosis and, in particular, the complications of aortic aneurysm; liver cirrhosis and tuberculosis have the highest rates of discrepancies of BCD, although there are not in most presented group of diseases. In the case of malign tumor disease as BCD, the most presented is the digestive system, and as an organs, the liver, biliary tract, pancreas and kidney.
Conclusions: The studies of multiple causes of death’s advantages, and its importance in cancer as CBM, were highlighted. It showed the wide possibilities offered by the autopsy and the further study of the sick/illness and quality assurance in medicine, and how to get the most use of it.


REFERENCES

  1. Hurtado de Mendoza AJ, Álvarez Santana R, Borrajero Martínez I. Discrepancias diagnósticas en las causas de muerte Patología Rev Latinoam 2008;46(2):85-95.

  2. Hurtado de Mendoza AJ, Álvarez Santana R, Borrajero Martínez I. Discrepancias diagnósticas en las causas de muerte Patología Rev Latinoam 2009:47(2):81-89.

  3. Hurtado de Mendoza AJ, Álvarez Santana R, Borrajero Martínez I. Discrepancias diagnósticas en las causas de muerte Patología Rev Latinoam 2009;47(3):195-199.

  4. Gibson TN, Shirley SE, Escoffery CT, et al. Discrepancies between clinical and post-mortem diagnoses in Jamaica: A study from the University Hospital of the West Indies. J Clin Pathol 2004;57:980-985.

  5. Valladares Reyes D, Hurtado de Mendoza AJ, Méndez Rosabal A. Coincidencia clínico-patológica en 403 autopsias de pacientes fallecidos por tromboembolismo pulmonar. Rev Cubana Med Milit 2007;36(3). Disponible en http:// scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138- 65572007000300006&lng=es&nrm=iso of the autopsy. South Med J 2006;99(7):728-733.

  6. Koch S, Bredahl J, Wirtz SP, et al. How often is bronchopneumonia overlooked as the cause of death in intensive care unit patients? Anaesthesist 2008;57(1):37-42.

  7. Aalten CM, Samson MM, Jansen PA. Diagnostic errors; the need to have autopsies. Neth J Med 2006;64(6):186- 190.

  8. von Bierbrauer A, Dilger M Fink T. Acute aortic dissection--vascular emergency with numerous pitfalls. Vasa 2008;37(1):53- 59.

  9. Lum D, Koelmeyer T. Tuberculosis in Auckland autopsies, revisited. N Z Med J 2005;118(1211):U1356.

  10. Theegarten D, Kahl B, Ebsen M. Frequency and morphology of tuberculosis in autopsies: increase of active forms. Dtsch Med Wochenschr 2006;131(24):1371-1376.

  11. Salkade HP, Divate S, Deshpande JR, et al. P. A study ofcity in India. J Postgrad Med 2005;51(3):169-173.

  12. Brown PD, Carrington DG, Gravekamp C, et al. Direct detection of leptospiral material in human postmortem samples. Res Microbiol 2003;154(8):581-586.

  13. Graudal N, Leth P, Marbjerg L, et al. Characteristics of cirrhosis undiagnosed during life: a comparative analysis of 73 undiagnosed cases and 149 diagnosed cases of cirrhosis, detected in 4929 consecutive autopsies. J Intern Med 1991;230(2):165- 171.

  14. Machnik G, Peukert M. Incidence of liver cirrhosis in autopsy cases. A statistical autopsy study. Zentralbl Allg Pathol 1983;127(1-2):33-38.

  15. Fujimoto K, Sawabe M, Sasaki M, et al. Undiagnosed cirrhosis occurs frequently in the elderly and requires periodic follow ups and medical treatments. Geriatr Gerontol Int 2008;8(3):198- 203.

  16. Holzner JH. The role of autopsy in the control of mortality in Austria. IARC Sci Publ 1991;25-35.

  17. Vuichard P, Magnenat P, Schindler AM, et al. Discordance anatomo- cliniques: analyse d’une série consécutive d’autopsies. Schweiz Med Wschr 1992;122:1869-1874.

  18. Coradazzi AL, Morganti AL, Montenegro MR. Discrepancies Biol Res 2003;36:385-391.

  19. Santoso JT, Lee CM, Aronson J. Discrepancy of death diagnosis in gynecology oncology. Gynecol Oncol 2006;101(2):311-314.

  20. Enfermedades, Traumatismos y Causas de Defunción. 9a ed. Washington 1978.

  21. Enfermedades y Problemas Relacionados con la Salud. 10a ed. Washington 1997.

  22. Hurtado de Mendoza AJ. Autopsia. Garantía de calidad en la medicina. La Habana. Editorial Ciencias Médicas 2009. Disponible en: http://www.sld.cu/galerias/pdf/sitios/scap/ librocompleto.pdf.




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