Abstract

CASTANER MORENO, Juan et al. Diagnosis of chronic terminal renal damage in necropsis. Rev Cub Med Mil [online]. 2010, vol.39, n.2, pp.77-84. ISSN 0138-6557.

OBJECTIVE: to determine the frequency of Terminal chronic renal damage diagnosis in necropsies of deceased persons aged 15 or more in the ""Dr. Luis Díaz Soto" Central Military Hospital over 35 years (1973-2008). METHODS: the International Classification of Diseases, Traumata and death causes was applied and the Automated System of Registry and Control of Pathological Anatomy were used. The diagnosis of terminal chronic renal damage was made when there were morphological elements of renal sclerosis and a clinical diagnosis of chronic renal failure. RESULTS: a total of 12 278 necropsies was reviewed in 466 patients (3.79 %) a diagnosis of terminal chronic renal damage was made. The 53.3 % included the male sex of total of deceased underwent necropsies and the 52.4 % of those with terminal chronic renal damage. There was a yearly average of 341 necropsies and 13 diagnosis of terminal chronic renal damage. The bronchopneumonia (23.39 %), pulmonary edema (13.95 %) and chock (11.16 %) were the leading direct causes of death. The more frequent basic death causes were the renal sclerosis (22.96 %), high blood pressure (16.30 %), coronary atherosclerosis (12.66 %), diabetes mellitus (9.87 %) and atherosclerosis (8.15 %). CONCLUSIONS: the terminal chronic renal damage was a frequent diagnosis in study deceased, its frequency increased according to age with predominance of male sex. The leading direct causes of death were the infectious complications and the cardiovascular ones, whereas the atherosclerosis, the high blood pressure and the diabetes mellitus were the basic diseases of death.

Keywords : Chronic renal damage; renal sclerosis; chronic renal failure.

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