Reparation of Causes of Death in children under 1 year registered as "Cause Bad Defined". Cordoba 2017-2018

In the Province of Córdoba, many infant deaths are recorded as “Cause Badly Defined” according to ICD10 (R90-R99). In 2017, of 495 cases, 46 appeared with that diagnosis and in 2018 of 391, 44. The purpose of this study was to describe the real cause of death obtained from the judicial autopsy repor...

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Autores principales: Yanover, M, Dib, D, Oro, A, Rodriguez, S, Toledo, L, Parolini, S
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/26097
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id I10-R327-article-26097
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic child mortality
respiratory diseases
mortalidad Infantil
enfermedades respiratorias
spellingShingle child mortality
respiratory diseases
mortalidad Infantil
enfermedades respiratorias
Yanover, M
Dib, D
Oro, A
Rodriguez, S
Toledo, L
Parolini, S
Reparation of Causes of Death in children under 1 year registered as "Cause Bad Defined". Cordoba 2017-2018
topic_facet child mortality
respiratory diseases
mortalidad Infantil
enfermedades respiratorias
author Yanover, M
Dib, D
Oro, A
Rodriguez, S
Toledo, L
Parolini, S
author_facet Yanover, M
Dib, D
Oro, A
Rodriguez, S
Toledo, L
Parolini, S
author_sort Yanover, M
title Reparation of Causes of Death in children under 1 year registered as "Cause Bad Defined". Cordoba 2017-2018
title_short Reparation of Causes of Death in children under 1 year registered as "Cause Bad Defined". Cordoba 2017-2018
title_full Reparation of Causes of Death in children under 1 year registered as "Cause Bad Defined". Cordoba 2017-2018
title_fullStr Reparation of Causes of Death in children under 1 year registered as "Cause Bad Defined". Cordoba 2017-2018
title_full_unstemmed Reparation of Causes of Death in children under 1 year registered as "Cause Bad Defined". Cordoba 2017-2018
title_sort reparation of causes of death in children under 1 year registered as "cause bad defined". cordoba 2017-2018
description In the Province of Córdoba, many infant deaths are recorded as “Cause Badly Defined” according to ICD10 (R90-R99). In 2017, of 495 cases, 46 appeared with that diagnosis and in 2018 of 391, 44. The purpose of this study was to describe the real cause of death obtained from the judicial autopsy reports in children under 1 year of age whose death was recorded in the 2017-2018 period as Cause Badly Defined in the Statistical Death Report (SDR). A descriptive cross-sectional observational epidemiological study, was carried out in the Province of Córdoba during the years 2017 and 2018 on 46 and 44 cases respectively, of deceased children under one year of age whose basic cause of death was reported as “ Badly Defined Cause” with intervention of the Institute of Forensic Medicine (IMF). Based on the SDR provided by the Statistics Department, information on the real cause of death was sought in the Autopsy Protocols. Of the 46 cases in 2017, 19 (41%) could not be defined, 3 (6.5%) were labeled as Death of Doubtful Etiology (DDE); the remaining 24 were diagnosed as: 11 (24%) respiratory diseases, 7 (15.2%) Sudden Infant Death (SID), 2 (4.3%) lymphocyte myocarditis and 1 (8% in total) for each of the following Diagnoses: bronchoaspiration, metabolopathy, splenomegaly and myelomeningocele. Of the 44 cases of 2018: 23 (52%) could not be defined, 8 (18%) were labeled as DDE; the remaining 13 were diagnosed as: 7 (16%) respiratory diseases, 2 (4.5%) SID, 2 (4.5%) congenital heart disease, 1 (2.27%) bronchoaspiration and 1 (2.27%) child abuse. The results allow to conclude that, in the cases were the cause could be established, the diagnosis of Low Acute Respiratory Infections was the most frequent, these pathologies being the 3rd cause of death in the postneonatal period. The retrieval of forensic information has a very important impact on mortality statistics since, of 24 cases of death in 2017, 11 were due to respiratory pathology and 13 in 2018, 7 cases. Knowledge of basic cause of death is essential for informed decisions-making in this regard.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2019
url https://revistas.unc.edu.ar/index.php/med/article/view/26097
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spelling I10-R327-article-260972024-08-27T18:26:49Z Reparation of Causes of Death in children under 1 year registered as "Cause Bad Defined". Cordoba 2017-2018 Reparo de Causas de Muerte en menores de 1 año registradas como “Causa Mal Definida”. Córdoba 2017-2018 Yanover, M Dib, D Oro, A Rodriguez, S Toledo, L Parolini, S child mortality respiratory diseases mortalidad Infantil enfermedades respiratorias In the Province of Córdoba, many infant deaths are recorded as “Cause Badly Defined” according to ICD10 (R90-R99). In 2017, of 495 cases, 46 appeared with that diagnosis and in 2018 of 391, 44. The purpose of this study was to describe the real cause of death obtained from the judicial autopsy reports in children under 1 year of age whose death was recorded in the 2017-2018 period as Cause Badly Defined in the Statistical Death Report (SDR). A descriptive cross-sectional observational epidemiological study, was carried out in the Province of Córdoba during the years 2017 and 2018 on 46 and 44 cases respectively, of deceased children under one year of age whose basic cause of death was reported as “ Badly Defined Cause” with intervention of the Institute of Forensic Medicine (IMF). Based on the SDR provided by the Statistics Department, information on the real cause of death was sought in the Autopsy Protocols. Of the 46 cases in 2017, 19 (41%) could not be defined, 3 (6.5%) were labeled as Death of Doubtful Etiology (DDE); the remaining 24 were diagnosed as: 11 (24%) respiratory diseases, 7 (15.2%) Sudden Infant Death (SID), 2 (4.3%) lymphocyte myocarditis and 1 (8% in total) for each of the following Diagnoses: bronchoaspiration, metabolopathy, splenomegaly and myelomeningocele. Of the 44 cases of 2018: 23 (52%) could not be defined, 8 (18%) were labeled as DDE; the remaining 13 were diagnosed as: 7 (16%) respiratory diseases, 2 (4.5%) SID, 2 (4.5%) congenital heart disease, 1 (2.27%) bronchoaspiration and 1 (2.27%) child abuse. The results allow to conclude that, in the cases were the cause could be established, the diagnosis of Low Acute Respiratory Infections was the most frequent, these pathologies being the 3rd cause of death in the postneonatal period. The retrieval of forensic information has a very important impact on mortality statistics since, of 24 cases of death in 2017, 11 were due to respiratory pathology and 13 in 2018, 7 cases. Knowledge of basic cause of death is essential for informed decisions-making in this regard. En la Provincia de Córdoba muchas muertes infantiles son registradas como “Causa Mal Definida” según CIE10 (R90-R99). En 2017, de 495 casos, 46 figuraron con ese diagnóstico y en 2018 de 391, 44.  El objetivo de este trabajo fue describir la causa real de muerte obtenida a partir de los informes de autopsias judiciales en menores de 1 año cuyo fallecimiento fue registrado en el periodo 2017-2018 como Causa Mal Definida en el Informe Estadístico de Defunción (IED). Se realizó un estudio epidemiológico observacional descriptivo de corte transversal,  en la Provincia de Córdoba durante los años 2017 y 2018 sobre 46 y 44 casos respectivamente, de fallecidos menores de 1 año cuya causa básica de muerte fue informada como “Causa Mal Definida” con intervención del Instituto de Medicina Forense (IMF). A partir del IED aportado por el Departamento de Estadística se buscó información sobre la causa real de muerte en los Protocolos de Autopsias.     Del total de 46 casos del 2017, 19 (41%) no se pudieron definir, 3 (6,5 %) fueron caratulados como Muerte de Etiología Dudosa (MED); los 24 restantes fueron diagnosticados como: 11 (24 %) enfermedades respiratorias, 7 (15,2 %) Muerte Súbita del Lactante (MSL), 2 (4,3 %) miocarditis linfocitaria y 1 (8% en total) para cada uno de los siguientes diagnósticos: broncoaspiración, metabolopatía, esplenomegalia y  mielomeningocele.  De los 44 casos de 2018: 23 (52 %) no se pudieron definir, 8 (18%) fueron caratulados como MED; los 13 restantes fueron diagnosticados como: 7 (16 %) enfermedades respiratorias, 2 (4,5 %) MSL, 2 (4,5 %) cardiopatías congénitas, 1 (2,27 %) broncoaspiración y 1 (2,27 %) maltrato infantil.  Los resultados permiten concluir que, en los casos en que se pudo establecer la causa, el diagnóstico de Infecciones Respiratorias Agudas Bajas fue el más frecuente, siendo estas patologías la 3ra causa de muerte en el período postneonatal. La recuperación de la información forense tiene un impacto muy importante en la estadística de mortalidad ya que, de 24 casos de muerte en 2017, 11 fueron por patología respiratoria y de 13 en 2018, 7 casos. Conocer la causa básica de muerte es fundamental para la toma de decisiones informadas. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-10-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/26097 Revista de la Facultad de Ciencias Médicas de Córdoba.; 2019: Suplemento JIC XX Revista de la Facultad de Ciencias Médicas de Córdoba; 2019: Suplemento JIC XX Revista da Faculdade de Ciências Médicas de Córdoba; 2019: Suplemento JIC XX 1853-0605 0014-6722 10.31053/1853.0605.v76.nSuplemento spa https://revistas.unc.edu.ar/index.php/med/article/view/26097/27936 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0