Autopsy and medical death certificates in deaths related to COVID-19

Introduction: The COVID-19 pandemic has been the largest in the current century and the reason for numerous scientific works. In Cuba, the Temporary Group of Pathological Anatomy has been established to study the autopsies of those who died from COVID-19 (more than 400). The medical death certificat...

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Autores principales:	José Domingo Hurtado de Mendoza Amat, Teresita Montero González, Miguel Ángel Martínez Morales, Israel Borrajero Martínez, Virginia Capó de Paz, Laura López Marín, Carlos Domínguez Álvarez, Isisis Alonso Expósito, Vanessa Mazorra Ramos
Formato:	article
Lenguaje:	ES
Publicado:	ECIMED 2021
Materias:	covid-19 autopsia certificado médico de defunción discrepancia diagnóstica causa de muerte sarcap. Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/8b4e069e0e96476aadd3af63720fca75
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spelling	oai:doaj.org-article:8b4e069e0e96476aadd3af63720fca752021-11-30T13:31:08ZAutopsy and medical death certificates in deaths related to COVID-191561-3046https://doaj.org/article/8b4e069e0e96476aadd3af63720fca752021-11-01T00:00:00Zhttp://www.revmedmilitar.sld.cu/index.php/mil/article/view/1657https://doaj.org/toc/1561-3046Introduction: The COVID-19 pandemic has been the largest in the current century and the reason for numerous scientific works. In Cuba, the Temporary Group of Pathological Anatomy has been established to study the autopsies of those who died from COVID-19 (more than 400). The medical death certificates, documents of inestimable value, in Cuba are repaired according to the results of the autopsies, to raise their quality. Objectives: To evaluate the results of autopsies with COVID-19 diagnoses, compared to medical death certificates. Methods: The diagnoses of causes of death of 65 autopsies of the year 2020 were evaluated with their medical death certificates. The diagnoses were processed in the Automated System for the Registration and Control of Pathology. Direct causes of death, basic causes of death, intermediate causes of death, and contributing causes of death were analyzed. The total agreement of both diagnoses was defined, partial agreement, diagnostic mismatch or discrepancy, and insufficient data. Results: Diagnostic discrepancies of basic and direct cause of death are 46.2 % and 60.0 % of all cases and 19.4 % and 64.5 % when COVID-19 was basic cause of death. The high figures for diagnostic discrepancies correspond to those reported in previous studies, both in clinical diagnoses and in medical death certificates. Conclusions: There are high numbers of diagnostic discrepancies compared with the results of autopsies with COVID-19 diagnoses, compared to medical death certificates.José Domingo Hurtado de Mendoza AmatTeresita Montero GonzálezMiguel Ángel Martínez MoralesIsrael Borrajero MartínezVirginia Capó de PazLaura López MarínCarlos Domínguez ÁlvarezIsisis Alonso ExpósitoVanessa Mazorra RamosECIMEDarticlecovid-19autopsiacertificado médico de defuncióndiscrepancia diagnósticacausa de muertesarcap.MedicineRMedicine (General)R5-920ESRevista Cubana de Medicina Militar, Vol 50, Iss 4, Pp e02101657-e02101657 (2021)
institution	DOAJ
collection	DOAJ
language	ES
topic	covid-19 autopsia certificado médico de defunción discrepancia diagnóstica causa de muerte sarcap. Medicine R Medicine (General) R5-920
spellingShingle	covid-19 autopsia certificado médico de defunción discrepancia diagnóstica causa de muerte sarcap. Medicine R Medicine (General) R5-920 José Domingo Hurtado de Mendoza Amat Teresita Montero González Miguel Ángel Martínez Morales Israel Borrajero Martínez Virginia Capó de Paz Laura López Marín Carlos Domínguez Álvarez Isisis Alonso Expósito Vanessa Mazorra Ramos Autopsy and medical death certificates in deaths related to COVID-19
description	Introduction: The COVID-19 pandemic has been the largest in the current century and the reason for numerous scientific works. In Cuba, the Temporary Group of Pathological Anatomy has been established to study the autopsies of those who died from COVID-19 (more than 400). The medical death certificates, documents of inestimable value, in Cuba are repaired according to the results of the autopsies, to raise their quality. Objectives: To evaluate the results of autopsies with COVID-19 diagnoses, compared to medical death certificates. Methods: The diagnoses of causes of death of 65 autopsies of the year 2020 were evaluated with their medical death certificates. The diagnoses were processed in the Automated System for the Registration and Control of Pathology. Direct causes of death, basic causes of death, intermediate causes of death, and contributing causes of death were analyzed. The total agreement of both diagnoses was defined, partial agreement, diagnostic mismatch or discrepancy, and insufficient data. Results: Diagnostic discrepancies of basic and direct cause of death are 46.2 % and 60.0 % of all cases and 19.4 % and 64.5 % when COVID-19 was basic cause of death. The high figures for diagnostic discrepancies correspond to those reported in previous studies, both in clinical diagnoses and in medical death certificates. Conclusions: There are high numbers of diagnostic discrepancies compared with the results of autopsies with COVID-19 diagnoses, compared to medical death certificates.
format	article
author	José Domingo Hurtado de Mendoza Amat Teresita Montero González Miguel Ángel Martínez Morales Israel Borrajero Martínez Virginia Capó de Paz Laura López Marín Carlos Domínguez Álvarez Isisis Alonso Expósito Vanessa Mazorra Ramos
author_facet	José Domingo Hurtado de Mendoza Amat Teresita Montero González Miguel Ángel Martínez Morales Israel Borrajero Martínez Virginia Capó de Paz Laura López Marín Carlos Domínguez Álvarez Isisis Alonso Expósito Vanessa Mazorra Ramos
author_sort	José Domingo Hurtado de Mendoza Amat
title	Autopsy and medical death certificates in deaths related to COVID-19
title_short	Autopsy and medical death certificates in deaths related to COVID-19
title_full	Autopsy and medical death certificates in deaths related to COVID-19
title_fullStr	Autopsy and medical death certificates in deaths related to COVID-19
title_full_unstemmed	Autopsy and medical death certificates in deaths related to COVID-19
title_sort	autopsy and medical death certificates in deaths related to covid-19
publisher	ECIMED
publishDate	2021
url	https://doaj.org/article/8b4e069e0e96476aadd3af63720fca75
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Autopsy and medical death certificates in deaths related to COVID-19

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