de Mendoza AJH, Álvarez SR, Borrajero MI

Language: Spanish
References: 21
Page: 81-89
PDF size: 444.99 Kb.

ABSTRACT

Background: In Cuba the autopsy index is about 40% and the mortality rate among in-patients is 60%, thus, Cuba is one of the first countries doing autopsies. Since 1985 an automated system (SARCAP) was developed. To take advantage of data from biopsies and autopsies, the research “Quality assessment of the cause of death premortem diagnoses according to autopsies done in Cuba from 1994 to 2003”.
Objective: To present the main results of the research “Quality assessment of the cause of death premortem diagnoses according to autopsies done in Cuba from 1994 to 2003”.
Material and methods: a total of 105,094 autopsies were processed, and from this number 83,183 relevant to adults from the period 1994-2003 were studied. These autopsies were done according to the conventional methodology and the final report was recovered in a model whose data were introduced in SARCAP. Death cause criteria were the established by World Health Organization. The analysis was multicausal.
Results: The main basic death causes consisted of cardiovascular disorders and malignant tumors, particularly atherosclerosis and lung cancer, and their complications agreed to the main direct death causes. Cardiovascular disorders, infections, and multiorganic damage and their main manifestations were also frequent as associated morbidity. There was a 25.3% of diagnostic discrepancy in basic death causes and 23.3% in direct death causes.
Conclusions: The autopsies done, according to the established methodology, led, besides information uniformity, to increase their quality developing in all the country the analysis of the death process and to determine precisely their diagnoses in the multicausal way, according to the established by World Health Organization. It is necessary to highlight the importance of multicausal study to identify the death causes and to know the importance of certain disorders; even when the task to avoid them as direct causes of death is more limited and it is circumscribed to hospitals, if they are prevented and treated properly several human lives could be saved.

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