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Magrupov B.A.

Center for the Development of Professional Qualifications of Medical Workers;
Republican Scientific Center for Emergency Medical Care

Sharipova V.Kh.

Republican Scientific Center for Emergency Medical Care

Ubaydullaeva V.U.

Center for the Development of Professional Qualifications of Medical Workers;
Republican Scientific Center for Emergency Medical Care

Vervekina T.A.

Center for the Development of Professional Qualifications of Medical Workers;
Republican Scientific Center for Emergency Medical Care

Alimov A.Kh.

Republican Scientific Center for Emergency Medical Care

Rashidov D.Z.

Republican Scientific Center for Emergency Medical Care

Karimov A.A.

Republican Scientific Center for Emergency Medical Care

Kochetov V.E.

Republican Scientific Center for Emergency Medical Care

Comparison of the final clinical and autopsy detected diagnoses in sepsis

Authors:

Magrupov B.A., Sharipova V.Kh., Ubaydullaeva V.U., Vervekina T.A., Alimov A.Kh., Rashidov D.Z., Karimov A.A., Kochetov V.E.

More about the authors

Journal: Russian Journal of Archive of Pathology. 2022;84(4): 38‑44

DOI: 10.17116/patol20228404138

Views: 3645

Downloaded: 121

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Table of contents

To cite this article:

Magrupov BA, Sharipova VKh, Ubaydullaeva VU, et al. . Comparison of the final clinical and autopsy detected diagnoses in sepsis. Russian Journal of Archive of Pathology. 2022;84(4):38‑44. (In Russ.)
https://doi.org/10.17116/patol20228404138

Подписка 2025 (Russian Journal of Archive of Pathology)
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With sepsis, more than a third of patients die, while the immediate causes of death may remain unknown. Autopsy largely helps to establish them.

OBJECTIVE

Identification of discrepancies in the final clinical and autopsy detected diagnoses in patients with sepsis who died in the surgical intensive care unit.

MATERIAL AND METHODS

107 cases of patients with sepsis who died in the Department of Surgical Resuscitation of the Republican Scientific Center for Emergency Medical Care in 2020-2021 were studied. Autopsy was performed in 60 (56%) of the deceased. The autopsy was performed within 24 hours after the death was pronounced. The final clinical and pathoanatomic diagnoses were compared in accordance with the International Goldman System and the Russian Classification of categories of diagnosis discrepancies.

RESULTS

As a result of autopsies, 3 (5%) of the deceased had a discrepancy in the diagnoses of class I and 14 (23%) — class II according to the International Goldman System. During his lifetime, diseases or their complications were not recognized in 17 (28%) cases, mainly acute myocardial infarction of type 2 (3 cases) and liver abscesses (3 cases).

CONCLUSION

A pathoanatomic autopsy is a modern and important diagnostic tool that can clarify the causes of death.

Keywords:

autopsy
sepsis
discrepancy of diagnoses

Authors:

Magrupov B.A.

Center for the Development of Professional Qualifications of Medical Workers;
Republican Scientific Center for Emergency Medical Care

Sharipova V.Kh.

Republican Scientific Center for Emergency Medical Care

Ubaydullaeva V.U.

Center for the Development of Professional Qualifications of Medical Workers;
Republican Scientific Center for Emergency Medical Care

Vervekina T.A.

Center for the Development of Professional Qualifications of Medical Workers;
Republican Scientific Center for Emergency Medical Care

Alimov A.Kh.

Republican Scientific Center for Emergency Medical Care

Rashidov D.Z.

Republican Scientific Center for Emergency Medical Care

Karimov A.A.

Republican Scientific Center for Emergency Medical Care

Kochetov V.E.

Republican Scientific Center for Emergency Medical Care

Received:

05.02.2022

Accepted:

27.04.2022

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