Formulation of the final clinical, pathological, forensic diagnosis, selection and coding according to ICD-10 of the original cause of death in lethal outcomes associated with pathology of transplanted organs

Abstract

Introduction. When compiling the final clinical, pathoanatomical and forensic diagnoses, as well as choosing and coding according to ICD-10 the initial cause of death in patients after organ transplantation, difficulties often arise due to the lack of unified recommendations.Materials and methods. We analyzed 60 protocols of post-mortem autopsies of lethal outcomes in patients after organ transplantation at the Sklifosovsky Research Institute of Emergency Medicine, Moscow for 7 years (from 2016 to 2022).Results. Based on the results of the analysis, taking into account the literature data, recommendations were formulated on the formulation of the final clinical, pathoanatomical and forensic diagnoses, selection and coding according to ICD-10 of the initial cause of death in patients after solid organ transplantation.Findings. The developed recommendations on the formulation of the final clinical, pathoanatomical and forensic diagnoses in cases of death of patients after solid organ transplantation can be used in the daily practice of clinical doctors, pathologists and forensic experts.

Keywords

• transplantation complications
• pathology of transplanted organs
• diagnosis formulation
• icd-10
• coding of causes of death
• medical certificate of death