Cause of death during the first 24 hours after hospitalization: An autopsy study
Introduction/Objective Postmortem examination has a significant role in evaluating the quality of health care. The objective of the paper is to analyze the cause of death as determined by postmortem examination in patients who had undergone emergency hospitalization and had subsequently died within...
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City Medical emergency department, Belgrade
2020-01-01
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| Series: | Halo 194 |
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| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2020/2334-64772003113J.pdf |
| _version_ | 1818670271292243968 |
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| author | Janković Radmila Jordanova Elena Jevtić Jovan Simić Ljubica Baralić Marko |
| author_facet | Janković Radmila Jordanova Elena Jevtić Jovan Simić Ljubica Baralić Marko |
| author_sort | Janković Radmila |
| collection | DOAJ |
| description | Introduction/Objective Postmortem examination has a significant role in evaluating the quality of health care. The objective of the paper is to analyze the cause of death as determined by postmortem examination in patients who had undergone emergency hospitalization and had subsequently died within 24h, as well as the factors that contributed to the fatal outcome and correlation with available clinical data. Methods the analysis included autopsy reports and protocols, as well as clinical data from medical records and autopsy referrals during the three year period (2018-2020) for patients who had undergone a postmortem examination at the Insitute of Pathology, Medical Faculty, University of Belgrade. The correlation between the clinical diagnosis and postmortem findings was evaluated using Goldman criteria. Results the patients analysed were predominantly male (52/90; 58%). Women were statistically significantly older than men (p=0.024). The most common clinical diagnosis was cardiovascular disease (32.2%). The majority of the patients reported experiencing the first symptoms a few hours before seeking medical help (80%). The majority of the patients were being treated for chronic disease (80%) before hospitalization. The immediate cause of death determined by postmortem examination was most commonly heart failure (38/90, 42.2%). The most common clinically unrecognised causes of death include: bronchopneumonia (8/90), myocarditis (3/90), acute ischemic lesion/acute myocardial infarction (3/90) and bowel infarction (3/90). Conclusion the correlation between clinical and postmortem findings is very important because it enables the discovery of diagnostic and treatment errors and promotes new knowledge crucial for medical advancement. |
| first_indexed | 2024-12-17T07:05:27Z |
| format | Article |
| id | doaj.art-57767511e41246edaa28c476799dabb6 |
| institution | Directory Open Access Journal |
| issn | 2334-6477 2334-6477 |
| language | English |
| last_indexed | 2024-12-17T07:05:27Z |
| publishDate | 2020-01-01 |
| publisher | City Medical emergency department, Belgrade |
| record_format | Article |
| series | Halo 194 |
| spelling | doaj.art-57767511e41246edaa28c476799dabb62022-12-21T21:59:10ZengCity Medical emergency department, BelgradeHalo 1942334-64772334-64772020-01-012631131182334-64772003113JCause of death during the first 24 hours after hospitalization: An autopsy studyJanković Radmila0https://orcid.org/0000-0001-5733-9505Jordanova Elena1https://orcid.org/0000-0003-2698-6843Jevtić Jovan2Simić Ljubica3Baralić Marko4https://orcid.org/0000-0001-5585-9793Univerzitet u Beogradu, Medicinski fakultet, Institut za patologiju, Beograd, SerbiaKliničko-bolnički centar Zemun, Klinika za internu medicinu, Služba nefrologije, Beograd, SerbiaUniverzitet u Beogradu, Medicinski fakultet, Institut za patologiju, Beograd, SerbiaUniverzitet u Beogradu, Medicinski fakultet, Institut za patologiju, Beograd, SerbiaKlinički centar Srbije, Klinika za nefrologiju, Beograd, SerbiaIntroduction/Objective Postmortem examination has a significant role in evaluating the quality of health care. The objective of the paper is to analyze the cause of death as determined by postmortem examination in patients who had undergone emergency hospitalization and had subsequently died within 24h, as well as the factors that contributed to the fatal outcome and correlation with available clinical data. Methods the analysis included autopsy reports and protocols, as well as clinical data from medical records and autopsy referrals during the three year period (2018-2020) for patients who had undergone a postmortem examination at the Insitute of Pathology, Medical Faculty, University of Belgrade. The correlation between the clinical diagnosis and postmortem findings was evaluated using Goldman criteria. Results the patients analysed were predominantly male (52/90; 58%). Women were statistically significantly older than men (p=0.024). The most common clinical diagnosis was cardiovascular disease (32.2%). The majority of the patients reported experiencing the first symptoms a few hours before seeking medical help (80%). The majority of the patients were being treated for chronic disease (80%) before hospitalization. The immediate cause of death determined by postmortem examination was most commonly heart failure (38/90, 42.2%). The most common clinically unrecognised causes of death include: bronchopneumonia (8/90), myocarditis (3/90), acute ischemic lesion/acute myocardial infarction (3/90) and bowel infarction (3/90). Conclusion the correlation between clinical and postmortem findings is very important because it enables the discovery of diagnostic and treatment errors and promotes new knowledge crucial for medical advancement.https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2020/2334-64772003113J.pdfautopsypostmortem examinationcause of deathnatural deathcorrelation between clinical and pathological findings |
| spellingShingle | Janković Radmila Jordanova Elena Jevtić Jovan Simić Ljubica Baralić Marko Cause of death during the first 24 hours after hospitalization: An autopsy study Halo 194 autopsy postmortem examination cause of death natural death correlation between clinical and pathological findings |
| title | Cause of death during the first 24 hours after hospitalization: An autopsy study |
| title_full | Cause of death during the first 24 hours after hospitalization: An autopsy study |
| title_fullStr | Cause of death during the first 24 hours after hospitalization: An autopsy study |
| title_full_unstemmed | Cause of death during the first 24 hours after hospitalization: An autopsy study |
| title_short | Cause of death during the first 24 hours after hospitalization: An autopsy study |
| title_sort | cause of death during the first 24 hours after hospitalization an autopsy study |
| topic | autopsy postmortem examination cause of death natural death correlation between clinical and pathological findings |
| url | https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2020/2334-64772003113J.pdf |
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