de Mendoza AJH, Álvarez SR, Borrajero MI

Language: Spanish
References: 6
Page: 193-197
PDF size: 92.81 Kb.

ABSTRACT

Background: In the second and third part of this article were established the background and the results obtained from diagnostic discrepancies of death causes, analyzed by autopsy in Cuba, from 1994 to 2003.
Objective: To specify diagnostic discrepancies of direct and basic causes of death.
Material and methods: These discrepancies were analyzed according to periods, counties, main hospitals, sex, age groups, specialty of discharge and hospital length of stay. The great sample size allowed very precise estimates, a fact reflected in the small width of the 95% confidence intervals obtained for percentages.
Results: Important differences were not observed among categories of the different variables regarding percentages of discrepancies. The observed distribution of discrepancies through the different categories of sex, age and hospital length of stay is similar to the one reported by most similar studies.
Conclusions: Nevertheless, diseases, direct or basic causes of death, show bigger differences and therefore require special attention. We devote the fourth part of this work to this issue.

REFERENCES

1. Hurtado de Mendoza AJ, Álvarez SR, Borrajero MI. Discrepancias diagnósticas en las causas de muerte identificadas por autopsias. Cuba 1994-2003. Primera parte. Patología 2008;46(2):85-95.

2. Hurtado de Mendoza AJ, Álvarez SR, Borrajero MI. Discrepancias diagnósticas en las causas de muerte identificadas por autopsias. Cuba, 1994-2003. Segunda parte. Patología Rev Latinoam 2009:47(2):81-89.

3. Spiliopoulou C, Papadodima S, Kotakidis N, Koutselinis A. Clinical diagnoses and autopsy findings: a retrospective analysis of 252 cases in Greece. Arch Pathol Lab Med 2005;129:210-4.

4. Peres LC, Ribeiro-Silva A. The autopsy in a tertiary teaching hospital in Brazil. Ann Clin Lab Sci 2005;35:387-90.

5. Gibson TN, Shirley SE, Escoffery CT, Reid M. Discrepancies between clinical and postmortem diagnoses in Jamaica: a study from the University Hospital of the West Indies. J Clin Pathol 2004;57(9):980-5.

6. Tavora F, Crowder CD, Sun CC, Burke AP. Discrepancies between clinical and autopsy diagnoses: a comparison of university, community, and private autopsy practices. Am J Clin Pathol 2008;129(1):102-9.