Resumen

YGUALADA CORREA, Ygnacio; HURTADO DE MENDOZA AMAT, José  y  MONTERO GONZALEZ, Teresita de J. Autopsies in "Comandante Manuel Fajardo Rivero" hospital. Rev Cub Med Mil [online]. 2013, vol.42, n.1, pp. 62-71. ISSN 0138-6557.

Objectives: to show the main results of autopsy and to use tehm in the continuous improvement of care quality. Methods: a retrospective, longitudinal study was conducted in SARCAP autopsy database at "Comandante Manuel Fajardo Rivero" Military Hospital from 1991 to 2011. Different items were analyzed such as sex, age, specialties of discharge, the hospital stay, major diseases, causes of death and its premortem diagnostic evaluation. Results: 2 480 autopsies were studied; most of them were male (51.7 %) and the mean age rate of 75-84 years (31 %). 79,65 % of the died cases happened in the area of attention to the serious patients and 47,8 % of the cases died with up to 48 hours of hospital stay. Bronchopneumonia and heart attacks were the main direct causes of death, while coronary, cerebral and generalized atherosclerosis were the basic causes of death. Hypertension and diabetes mellitus were the main contributing causes. Discrepancies for basic and direct causes of death were one in four autopsies. Conclusions: this multicausal-death study allowed characterizing those major health problems. Applying SARCAP and BMD diagnosis have been an important achievement in the specialty of this institution. The gained methodology during this autopsy study and its use in the continuous improvement of medical care quality in this center is a reference to other hospitals.

Palabras clave : autopsy; SARCAP; quality.

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