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2015, Number 1

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Rev Cub Med Mil 2015; 44 (1)

Hypertension in Autopsy Database of Automated System for Registration and Control of Pathological Anatomy

de Mendoza AJH, Montero GTJ, Deschapelles HE

Language: Spanish
References: 16
Page: 3-10
PDF size: 104.25 Kb.


ABSTRACT

Introduction: hypertension is one of the most common diseases worldwide, but it has been little studied as the underlying cause of death and obtaining information from autopsies.
Objective: identify hypertension as underlying cause of death and establish its relation to other causes of death and the deceased clinic patients included in the autopsy database of Automated System for Registration and Control of Pathology (SARCAP).
Methods: 6 133 autopsies were extracted with hypertension diagnosis from SARCAP autopsies database at “Dr. Luis Díaz Soto” Central Military Hospital, out of which, 1286 were analyzed due to hypertension diagnosis as the underlying cause of death. SARCAP was used for the study and presentation of results.
Results: a high prevalence of hypertension was found. Male hypertension predominated as underlying cause of death; in this group, decreased life expectancy was significantly. Most of the cases studied died in intensive and emergency medicine. The 48 h or less stay dominated. Infection, cancer and multiple organ damage were less frequent when hypertension was the underlying cause of death.
Conclusions: it is necessary to deepen the analysis to pinpoint the disease that starts the process (the underlying cause of death), complications they produce (indirect cause of death) and the final episode that brings death (direct cause of death); because if this process is expected actions can be timely taken and avoid death.


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