Autopsies performed at Comandante Manuel Fajardo Rivero Hospital

Ygnacio Ygualada Correa; José Hurtado de Mendoza Amat; Teresita Montero González

2015, Number 2

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Rev Cub Med Mil 2015; 44 (2)

Autopsies performed at 'Comandante Manuel Fajardo Rivero' Hospital

Ygualada CY, Hurtado de Mendoza AJ, Montero GT

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Language: Spanish
References: 12
Page: 170-178
PDF size: 112.75 Kb.

ABSTRACT

Objective: to conduct a multi-causal analysis of death on autopsies performed at "Comandante Manuel Fajardo Rivero" Hospital.
Methods: a retrospective, longitudinal study was conducted in 2480 autopsies from SARCAP autopsy database, at "Comandante Manuel Fajardo Rivero" Military Hospital from 1991 to 2011. Variables were analyzed including sex, age, hospital stay, major diseases, and causes of death and assessment of their pre-mortem diagnosis.
Results: there was 51.7 % predominance of males and 31 % of the 75-84 year-age group. 79.6 % of the patients who died were in the assistance area of severe patients and 47.8 % of patients who died were up to 48 hours in hospital. The main direct causes of death were bronchopneumonia and cardiac infarction; while widespread coronary and cerebral atherosclerosis was the basic infections. High blood pressure and diabetes mellitus were among the major contributing causes. Discrepancies for direct and underlying causes of death occurred in one of every four autopsies.
Conclusions: the multi-causal study of death allows characterizing main health problems. SARCAP application and diagnosis of multiple organ failure has been important achievements in the specialty at this institution. The methodology for autopsy study and its use in the continuous improvement of the quality of medical care at this facility is a milestone to other hospitals.

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