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The utility of hist...
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, Torfinn (författare)
- Umeå universitet,Rättsmedicin
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- Bäckstrom, Björn (författare)
- Umeå University,Umeå universitet,Rättsmedicin
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- Ottosson, Anders (författare)
- Lund University,Lunds universitet,Rättsmedicin,Forskargrupper vid Lunds universitet,Forensic Medicine,Lund University Research Groups
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- Rietz, Anders (författare)
- Umeå University,Umeå universitet,Rättsmedicin
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- Michard, Jean-François (författare)
- Institut Médico-Légal de Paris, Paris, France,Institut Médico-Légal de Paris (IML)
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- Loisel, Johanna (författare)
- National Board of Forensic Medicine, Stockholm, Sweden,Swedish National Board of Forensic Medicine, Stockholm
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- Sandberg, Oscar (författare)
- Umeå University,Umeå universitet,Rättsmedicin
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- Eriksson, Anders (författare)
- Umeå University,Umeå universitet,Rättsmedicin
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- Beer, Torfinn (författare)
- Umeå University
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(creator_code:org_t)
- 2023-01-16
- 2023
- Engelska.
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Ingår i: Journal of Forensic Sciences. - : John Wiley & Sons. - 0022-1198 .- 1556-4029. ; 68:2, s. 509-517
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Abstract
Ämnesord
Stäng
- 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
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Rättsmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Forensic Science (hsv//eng)
Nyckelord
- diagnostic precision
- fire
- forensic pathology
- histology
- immersion
- interobserver agreement
- medico-legal autopsy
- suspension
- traffic
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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