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العنوان
Perioperative deaths in Egypt :
الناشر
Amany Ahmed Almomaggad Shabaiek ,
المؤلف
Amany Ahmed Almomaggad Shabaiek
هيئة الاعداد
باحث / Amany Ahmed Almomaggad Shabaiek
مشرف / Nour Elhoda Sayed Ismael
مشرف / Sahar Abdelhamid Tabak
مشرف / Lubna Omar Alfarouk Abdelsalam
تاريخ النشر
2019
عدد الصفحات
178 P. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
علم الأمراض والطب الشرعي
تاريخ الإجازة
6/6/2020
مكان الإجازة
جامعة القاهرة - كلية الطب - Pathology
الفهرس
Only 14 pages are availabe for public view

from 209

from 209

Abstract

Background: Clinical autopsy is deficient in Egypt. Worldwide, the number of autopsies has declined in many hospitals in the last few decades. One factor in this trend is probably the greater confidence with which physicians can establish a pre mortem diagnosis. However, when a malpractice suit is filed after a postoperative death, the plaintiff often considers the medical chart data inadequate or untrustworthy. In this situation, an autopsy could have confirmed the cause of death and eventually determine whether a fault occurred. Objective: to review perioperative deaths in Egypt and reach their leading causes on histopathological basis in order to identify inappropriate and hazardous practices as well as formulating recommendations with the goal of improving the safety of future patients. Material and methods: A retrospective descriptive study was conducted for all deaths coming to Pathology Department fulfilling the definition of perioperative deaths 2The deaths occurring during or after invasive therapeutic or diagnostic procedures, up to a week after discharge, and excluding cases of major trauma from suicides, homicides, as well as road and industrial accidents3, In a time period (2011-2014).Data available and circumstances in each case were collected and records were reviewed. Results: About 60% of the study group was of female sex, with third decade predominance. Among all invasive procedures, pregnancy related procedures represented the highest category by 30.5% of total study cases with 26.5% of them were caesarian section. Hypovolemia and shock category represented 35.2% of causes of death followed by sepsis and bronchopneumonia category (16.3%). Unknown cause of death represented 25.5% of all study cases. In 5.1% of cases, perioperative possible anaphylaxis was the underlying cause of death. CD117 immunohistochemistry for mast cells was used in diagnosis