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Sökning: onr:"swepub:oai:DiVA.org:umu-204065" > The utility of hist...

  • Gustafsson, TorfinnUmeå universitet,Rättsmedicin (författare)

The utility of histology in assessing the cause of death in medico-legal autopsies in selected trauma deaths : suspension-, immersion-, fire-, and traffic-related

  • Artikel/kapitelEngelska2023

Förlag, utgivningsår, omfång ...

  • 2023-01-16
  • John Wiley & Sons,2023
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:umu-204065
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-204065URI
  • https://doi.org/10.1111/1556-4029.15193DOI
  • https://lup.lub.lu.se/record/e51b7f4e-0445-415b-8aba-c683e55bad36URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • The goal of a medico-legal autopsy is primarily to determine the cause and manner of death. To this end, the pathologist often uses auxiliary analyses, including histology. However, the utility of routine histology in all medico-legal autopsies is unknown. Earlier studies on the utility of routine histology have shown inconsistent effects, with some studies recommending it and others rejecting it. To study the degree to which histology informs on the underlying cause of death, we sent autopsy reports from suspension-, immersion-, fire-, and traffic-related deaths to senior board-certified forensic pathologists and had them assess the cause of death, first without knowledge of the histological findings and then with knowledge thereof. Fifty cases were identified in each of four subgroups: fire-, immersion-, suspension-, and traffic-related deaths. The autopsy reports were anonymized, and the histological findings and conclusions were removed. Two board-certified forensic pathologists independently reviewed the reports in each subgroup and assessed the manner and underlying cause of death (including their certainty of this assessment on a five-level scale) with and without access to histological findings. The probability of changing the underlying cause of death posthistology was low in all study groups. There was a slight increase in the degree of certainty posthistology in cases where the underlying cause of death was not changed, but only when the antehistology certainty was low. Our results suggest that histology does not meaningfully inform on the underlying cause of death in suspension-, immersion-, fire-, and traffic-related deaths except when antehistology certainty is low.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Bäckstrom, BjörnUmeå University,Umeå universitet,Rättsmedicin(Swepub:umu)bjnbam04 (författare)
  • Ottosson, AndersLund University,Lunds universitet,Rättsmedicin,Forskargrupper vid Lunds universitet,Forensic Medicine,Lund University Research Groups(Swepub:lu)med-ado (författare)
  • Rietz, AndersUmeå University,Umeå universitet,Rättsmedicin(Swepub:umu)anspon02 (författare)
  • Michard, Jean-FrançoisInstitut Médico-Légal de Paris, Paris, France,Institut Médico-Légal de Paris (IML) (författare)
  • Loisel, JohannaNational Board of Forensic Medicine, Stockholm, Sweden,Swedish National Board of Forensic Medicine, Stockholm (författare)
  • Sandberg, OscarUmeå University,Umeå universitet,Rättsmedicin (författare)
  • Eriksson, AndersUmeå University,Umeå universitet,Rättsmedicin(Swepub:umu)aner0001 (författare)
  • Beer, TorfinnUmeå University (författare)
  • Umeå universitetRättsmedicin (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Journal of Forensic Sciences: John Wiley & Sons68:2, s. 509-5170022-11981556-4029

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