%0 Journal Article
%T Valor del diagn¨®stico de la tuberculosis pulmonar por autopsia en Cuba
%A Mart¨ªnez Portuondo
%A Ana Ivonne
%A Hurtado de Mendoza Amat
%A Jos¨¦
%A Gonz¨¢lez Ochoa
%A Edilberto
%J Revista Habanera de Ciencias M£¿£¿dicas
%D 2012
%I Ministerio de Salud Publica
%X the quality of medical care and the behaviour of the illness can be valued through the achievement of the pulmonary tuberculosis diagnosis by autopsy. objective: to determine the patients who died with pulmonary tuberculosis and because of it and to establish the agreement between the clinical and the pathological diagnoses in the analized period. method: a total of 77 341 necropsies taken from the cuban national autopsies register were analized taking as reference a period of ten years (1994-2003).the clinical records were examined in those cases in which active tuberculosis was found. results: the 0,2 % of the patients died with pulmonary tuberculosis and a 0.04 % died because of it. the average age was 69 years and 71 % of the persons were men. broncho-pneumonia was the most important cause of death. the diagnostic discrepancy between clinical and pathological diagnosis showed a 26 % as the direct cause of death and a 53 % as the basic cause of death. conclusion: an important percent of the deaths were by broncho-pneumonia and most of the patients died at an advanced age. it was confirmed a low frecuency of active pulmonary tuberculosis and there was diagnostic agreement in half of the patients. there was also a diagnostic disagreement in a third of the cases with direct cause of death. other investigations could define the factors of the post-mortem cases diagnosed with pulmonary tuberculosis which keep hidden the transmission of this disease.
%K pulmonary tuberculosis
%K autopsies
%K pathological
%K epidemiology.
%U http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S1729-519X2012000100010&lng=en&nrm=iso&tlng=en