Document 2552
 DOCN  M94A2552
 TI    Necropsy: as a source of information in Sao Paulo.
 DT    9412
 AU    Barbieri DD; Pasqualucci C; Gianna MC; Domingues C; Ruiz E; Kalichman
       AO; Scapolan V
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):278 (abstract no. PC0031). Unique
       Identifier : AIDSLINE ICA10/94370023
 AB    OBJECTIVE: Study AIDS case in which the diagnosis was established by
       necropsy. METHODS: We analysed for the first semester of 1993, the
       records of 163 necropsies from de Necropsy Service in which the cause of
       death was initially unknown, and the definitive diagnosis was AIDS.
       RESULTS: Of the 396 cases notified as AIDS in the municipality after
       death, 163 were submitted to necropsy; of these, 102 (84.6%) already
       were AIDS cases, and 61 (15.4%) need necropsy to establish the
       diagnosis. Of the 61, 55 patients (90.16%) died in hospitals and 6
       (9.84%) in their homes; 49 (89.1%) of the hospital patients only
       received emergency care, 5 (9.1%) were hospitalized and only 1 (1.8%)
       was in intensive care. In thirteen (21, 31) patients typical
       opportunistic infections were identified (CDC criteria 87). In the
       remaining 48 (78.69%) the diagnosis of AIDS was made through Caracas
       criteria. CONCLUSION: In a significant number of AIDS cases, the
       diagnosis is established through necropsy. Patients frequently seek
       health services alone and in very bad conditions, making it difficult to
       establish precise place of residence, and regional epidemiological
       analysis. The number of patients that die in emergency rooms show that
       access to inpatient care and more specific care is difficult and late,
       either to an insufficient number of services or a very great demand in
       some regions of the city.
 DE    Acquired Immunodeficiency Syndrome/*DIAGNOSIS/THERAPY  *Autopsy  Brazil
       Human  MEETING ABSTRACT

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