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

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Gustafsson, TorfinnUmeå universitet,Rättsmedicin (author)

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

Article/chapterEnglish2023

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

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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

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Annan medicin och hälsovetenskap Rättsmedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Other Medical and Health Sciences Forensic Science hsv//eng
diagnostic precision
fire
forensic pathology
histology
immersion
interobserver agreement
medico-legal autopsy
suspension
traffic

Added entries (persons, corporate bodies, meetings, titles ...)

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

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

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By the author/editor: Gustafsson, Torf ...; Bäckstrom, Björn; Ottosson, Anders; Rietz, Anders; Michard, Jean-Fr ...; Loisel, Johanna; show more...; Sandberg, Oscar; Eriksson, Anders; Beer, Torfinn; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Other Medical an ...; and Forensic Science

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By the university: Umeå University; Lund University

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