Fernández RF, Hurtado de Mendoza AJ, Montero GTJ, Santamaría CC, Mera FAE

Language: Spanish
References: 13
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ABSTRACT

Introduction: autopsy is a useful tool to guarantee the most complete study of the sick person and of the disease, and to evaluate the quality of the physician's work. The study of pediatric autopsies provides a huge volume of information.
Objective: to prove the usefulness of autopsy for the evaluation of the quality of pediatric medical care.
Methods: retrospective longitudinal study of 363 pediatric autopsies conducted at "Luis Diaz Soto" central military hospital since its opening in 1962 through 2011. To this end, the Automated System of Registration and Control in Pathological Anatomy was used.
Results: predominance of males (56.1 %) and of the group aged 28 days to one year (70.8 %). The main causes of death were digestive, respiratory and brain infections. The main direct and intermediate cause of death was pulmonary thromboembolism. The clinical and pathological discrepancy was 14.7% in the main cause and 10.3 % in the direct cause of death.
Conclusions: the combined scientific work in 50 years by the pediatrics and pathological anatomy specialties proved the usefulness of autopsy to evaluate the quality of the physician's work and the support given by the Automated System of Registration and Control of Pathological Anatomy.

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