Characterization of autopsies performed at a Peruvian national hospital. 1993-2022.
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| Title: | Characterization of autopsies performed at a Peruvian national hospital. 1993-2022. |
|---|---|
| Alternate Title: | Caracterización de autopsias en un hospital nacional de Perú. 1993- 2022. |
| Authors: | Sack Roque-Roque, Joel1,2 sackroque@gmail.com, Eduardo Huarcaya-Portilla, Andrés3, Claudia Santander-Cahuantico, Ana3, Paul Agustin-Paredes, Cristhian1,2, Oscar Verona-Rubio, Rogger1, Chian-García, César1,4 |
| Source: | Revista Facultad de Medicina de la Universidad Nacional de Colombia. 2024, Vol. 72 Issue 3, p1-10. 10p. |
| Subjects: | RANK correlation (Statistics), DIGESTIVE system diseases, CAUSES of death, PUBLIC hospitals, PARASITIC diseases |
| Geographic Terms: | PERU |
| Abstract (English): | Introduction: An autopsy is a procedure that allows determining the cause of death. A decrease in clinical autopsies has been reported in several countries. Objective: To describe the characteristics, including diagnostic findings and trends, of medical autopsies performed at a national hospital in Peru between 1993 and 2022. Materials and methods: Descriptive study performed using data from 943 autopsies (nonviolent deaths) obtained from the autopsy registry of the Hospital Nacional Arzobispo Loayza (Lima, Peru). The annual proportion of autopsies was calculated for the periods 1993-1997 and 2005-2022. A trend analysis of the annual proportion of autopsies was performed using the Spearman rank correlation coefficient, considering a statistical significance value of p<0.05. Results: Autopsies were more frequent in women (55.04%) and older adults (27.78%). Furthermore, 50.16% of the autopsies were performed partially, and 48.46% of the patients died in the internal medicine inpatient service. The most frequent diagnostic findings were respiratory system diseases (19.25%), digestive system diseases (15.73%), and infectious/parasitic diseases (10.27%). The absolute frequency of autopsies showed an overall downward trend (95 autopsies in 1996, 47 in 2003, and 6 in 2022). On the other hand, the annual proportion of autopsies showed an increasing trend between 1993 and 1995 (6.17% vs. 9.44%; Rho=0.50; p=0.667), although this proportion decreased in 1997 (9.44% vs. 4.75%). In the period 2005-2022, an overall downward trend was observed (1.62% vs. 0.35%; Rho=-0.85; p<0.001). Conclusion: The frequency of autopsies showed an overall downward trend between 1993 and 2022. Moreover, autopsies were performed more frequently in women, older adults, and patients who died in the internal medicine inpatient service. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción. La autopsia es un procedimiento que permite determinar las causas de la muerte. En varios países se ha reportado un descenso en la cantidad de autopsias clínicas. Objetivo. Realizar una caracterización, incluyendo hallazgos diagnósticos y tendencias, de las autopsias médicas realizadas en un hospital nacional de Perú entre 1993 y 2022. Materiales y métodos. Estudio descriptivo realizado con datos de 943 autopsias (muertes no violentas) obtenidos del registro de autopsias del Hospital Nacional Arzobispo Loayza (Lima, Perú). Se calculó la proporción anual de autopsias para los periodos 1993-1997 y 2005-2022. El análisis de tendencia de la proporción anual de autopsias fue realizado mediante el coeficiente de correlación de Spearman; se consideró un valor de significancia estadística de p<0.05. Resultados. Las autopsias fueron más frecuentes en mujeres (55.04%) y adultos mayores (27.78%). Además, 50.16% de las autopsias fueron parciales y 48.46% de estos pacientes fallecieron en el Servicio de Hospitalización de Medicina Interna. Los hallazgos diagnósticos más frecuentes fueron enfermedades del sistema respiratorio (19.25%), enfermedades del sistema digestivo (15.73%) y enfermedades infecciosas/parasitarias (10.27%). La frecuencia absoluta de autopsias mostró una tendencia general decreciente (95 autopsias en 1996, 47 en 2003 y 6 en 2022). Por otra parte, la proporción anual de autopsias mostró una tendencia ascendente entre 1993 y 1995 (6.17% vs 9.44%; Rho=0.50; p=0.667), aunque dicha proporción disminuyó en 1997 (9.44% vs. 4.75%). En el periodo 2005-2022, se observó una tendencia general decreciente (1.62% vs. 0.35%; Rho=-0.85; p<0.001). Conclusión. La frecuencia de autopsias mostró una tendencia general decreciente entre 1993 y 2022. Además, las autopsias se realizaron con mayor frecuencia en mujeres, adultos mayores y pacientes que fallecieron en el Servicio de Hospitalización de Medicina Interna. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
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