Arzuaga ÁI, Savón ML, Ferrer MD, Chávez JD, Palma ML, Pilco ACE, Mejía RCP, Tenelema CLV

Language: Spanish
References: 0
Page: 148-154
PDF size: 395.99 Kb.

ABSTRACT

Introduction: The importance of the autopsy is recognized as a quality audit of diagnoses.
Objective: To describe the characteristics of mortality with necropsic verification at the Emergency Service of the Hospital Joaquín Albarrán, considering the rela-tionship of diagnostic coincidence of the direct and basic causes of death.
Method: A retrospective longitudinal descriptive observational study was con-ducted during a semester. Autopsies’ protocols and clinical histories were re-viewed, demographic data were analyzed, as well as clinical diagnoses, of autopsy, and their coincidence. The Microsoft Excel programs and the EPI-Info statistical system were used.
Results: In the second semester of 2016, 331 patients died in this hospital, 117 of them at the Emergency Service and 95 (28.7%) underwent clinical autopsy. There was a predominance of males, between 60 and 69 years of age, in the Emergency Intensive Care Unit. The acute myocardial infarction was the most frequent direct cause of death, being the atherosclerotic disease, the basic cause.
Conclusions: There exist diagnostic quality problems. There is reaffirmed the im-portance of the autopsy as a source of information that is transmitted to health statistics and as an audit resource in the primary health care.