<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2021000300438</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Concordancia clínico-patológica en fallecidos en el Hospital Pediátrico de Cienfuegos (2000-2015)]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical-pathological concordance in deceased at the Cienfuegos Pediatric Hospital, 2000-2015]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Capote Padrón]]></surname>
<given-names><![CDATA[Jorge Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Mena]]></surname>
<given-names><![CDATA[Yusimí]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Uriarte Méndez]]></surname>
<given-names><![CDATA[Ariel Efrén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández González]]></surname>
<given-names><![CDATA[Alnilam]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Polls Machado]]></surname>
<given-names><![CDATA[Darian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chávez Amaro]]></surname>
<given-names><![CDATA[Dunia María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pediátrico Universitario Paquito González Cueto  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Cienfuegos  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>19</volume>
<numero>3</numero>
<fpage>438</fpage>
<lpage>447</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2021000300438&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2021000300438&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2021000300438&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento  La concordancia y discrepancia de las causas de muerte entre el diagnóstico clínico y el morfológico son, de forma indirecta, indicadores de calidad en la atención hospitalaria, y han tenido un papel fundamental en la educación médica.  Objetivo  describir el comportamiento de la concordancia clínico-patológica en una serie de fallecidos en edades pediátricas.  Métodos  se realizó un estudio observacional, descriptivo, en el Hospital Pediátrico de Cienfuegos, en el periodo comprendido del 1ro. de enero de 2000 hasta el 31 diciembre de 2015, que incluyó 214 fallecidos con necropsias. Del total que fue objeto de análisis, se clasificaron por el método de Goldman 36 fallecidos a partir de 2013.  Resultados  las enfermedades infecciosas predominaron en todos los grupos de edades, y fueron las neumonías y la sepsis, las más frecuentes. El síndrome de disfunción múltiple de órganos fue la afección más descrita como causa directa de muerte, vinculado no solo a enfermedades infecciosas, pues también se manifestó como evento final. Se obtuvo una baja frecuencia de discrepancia diagnóstica clínico-patológica, tanto para las causas básicas de muerte como para las directas, con 13,6 % y 18,2 %, respectivamente. Según la clasificación de Goldman, en el 69,4 % de los fallecidos no hubo discrepancias entre ambos diagnósticos.  Conclusión  existió una correlación clínico-patológica aceptable durante el periodo de estudio. Esta variable resulta útil como patrón para la evaluación de la calidad de la asistencia médica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background  Causes of death concordance and discrepancy between the clinical and the morphological diagnoses are, indirectly, indicators of quality in hospital care, and have played a fundamental role in medical education.  Objective  to describe the behavior of the clinical-pathological concordance in a series of pediatric deaths.  Methods  an observational, descriptive study was carried out in the Cienfuegos Pediatric Hospital, from January the 1st 2000 to December the 31st, 2015, which included 214 deaths with autopsies. Of the total that was analyzed, 36 deceased from 2013 were classified by the Goldman method.  Results  infectious diseases predominated in all age groups, pneumonia and sepsis were the most frequent. Multiple organ dysfunction syndrome was the condition most described as a direct cause of death, linked not only to infectious diseases, as it also manifested as a final event. A low frequency of clinicopathological diagnostic discrepancy was obtained, both for the basic causes of death and for the direct ones, with the 13.6% and the 18.2%, respectively. According to the Goldman classification, the 69.4% of the deceased did not present discrepancies.  Conclusion  there was an acceptable clinicopathological correlation during the study period. This variable is useful as a standard for evaluating the medical care quality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Diagnóstico clínico]]></kwd>
<kwd lng="es"><![CDATA[causas de muerte]]></kwd>
<kwd lng="es"><![CDATA[necrosis]]></kwd>
<kwd lng="es"><![CDATA[hospitales pediátricos]]></kwd>
<kwd lng="en"><![CDATA[Clinical diagnosis]]></kwd>
<kwd lng="en"><![CDATA[cause of death]]></kwd>
<kwd lng="en"><![CDATA[necrosis]]></kwd>
<kwd lng="en"><![CDATA[hospital, pediatrics]]></kwd>
</kwd-group>
</article-meta>
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