Abstract

SANCHEZ HERNANDEZ, Ernesto et al. Variability in the coincidence of the clinical and pathological diagnoses of patients who died in hospital services. MEDISAN [online]. 2017, vol.21, n.9, pp. 1088-1094. ISSN 1029-3019.

A descriptive and cross-sectional study of 89 patients, who died in "Dr. Joaquín Castillo Duany" Teaching Provincial Hospital, was carried out in Santiago de Cuba from September to November, 2016, aimed at identifying some biological and epidemiological elements present at the moment of death, as well as the variability in the clinical-pathological diagnostic coincidence. In the series, deaths were more frequent in women (55.0 %), while hypertension was the predominant risk condition (56.0 %) and bronchopneumonia the main cause of hospital mortality. A higher number of deaths was observed in the clinical services (87.0 %), but the coincidence in the clinical-pathological diagnoses was more acceptable in the surgical specialties. Finally, some risk conditions could be identified at the moment of deaths, as well as diagnostic differences related to the direct causes of death that showed values higher than expected, reason why the review of certain assistance processes in this hospital institution was suggested

Keywords : death; clinical diagnosis; pathological diagnosis; diagnostic difference; risk conditions; death cause.

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