scholarly journals Profile of autopsy cases in central level hospital of Nepal. A retrospective study of two years

2020 ◽  
Vol 11 (3) ◽  
pp. 47-50
Author(s):  
Madan Prasad Baral

Background: Autopsy is a systemic scientific examination of dead body by the help of which information about the cause of death can be obtained in unnatural death cases. Various countries have to follow their own law to perform an autopsy. Aims and Objectives: This study aims to analyze the pattern of autopsy cases with manner and various cause of death, which was conducted in central level hospital. Material and Methods: It is a retrospective type record based study conducted in two years period at central level hospital of Nepal in 775 corpse. Result: Out of 775 cases of autopsy, 465 males and 310 females which accounts 60% of male and 40% of female cases.In context of age group the highest number of cases came for autopsy is 21-30 years of age group which accounts 39.35% of total cases followed by 31-40 years of age group and accounts 31.61% of total cases. Suicidal death cases are the highest number of cases presented 59.09% for autopsy. This is followed by accidental deaths of 27.48% and thenundetermined 9.29% and lastly homicidal 4.12%. Regarding the cause of death blunt injury cases are highly presented with 44.54% and the firearm injury cases are presented very less with only 0.25% in total 775 cases. Conclusion: In the current study it can be concluded that the Medico legal autopsy was performed in 775 corpse in a period of 2 years at central level hospital where the Male cases are predominated over Female with presence of the highest number of cases in an age group of 21-30 years. Suicidal manner of death cases are highest in number with the leading cause of death as Blunt injury.

2016 ◽  
Vol 38 (4) ◽  
pp. 201
Author(s):  
Mohammad Tegar Indrayana ◽  
Dedi Afandi ◽  
Stella Putri Wanda ◽  
Popi Novia ◽  
Satrio Mandala Tinardy

AbstrakAutopsi pada anak memiliki peranan penting guna mengetahui penyebab kematian tidak wajar pada anak. Penelitian ini bertujuan untuk mengetahui profil kasus autopsi pada anak di Provinsi Riau periode tahun 2010-2014. Data diperoleh dari Visum et Repertum jenazah milik Biddokkes Polda Riau yang dianggap dapat mewakilkan gambaran se-Provinsi Riau. Hasil penelitian didapatkan angka autopsi pada anak di Provinsi Riau periode tahun 2010-2014 berjumlah 15 kasus. Karakteristik korban anak didominasi anak laki-laki (66,7%) berumur 0-5 tahun (46,7%). Didapatkan 5 kasus kekerasan tumpul, 3 kasus kekerasan tajam dan 7 kasus tidak dapat digolongkan jenis kekerasannya. Jenis luka akibat kekerasan tajam didominasi oleh luka sayat (66,7%) dengan lokasi luka tersering di leher (100%) sedangkan jenis luka akibat kekerasan tumpul didominasi oleh luka memar (60%) dengan lokasi luka tersering di kepala (80%). Seluruh kasus merupakan kematian tidak wajar dengan kasus terbanyak adalah dugaan pembunuhan (60%). Polsek Kabupaten Kampar merupakan asal polsek tersering (40%).AbstractAutopsy is an important procedure to detecting cause of death in child unnatural death cases. This study aims to describe the profile of child autopsy in Riau Province, Indonesia 2010-2014. Data was obtained from medicolegal autopsy reports that belongs to Riau Regional Police on Medicine and Health. Data is assumed could covered Riau Province child autopsy insidences. There were 15 child medicolegal autopsies recorded between 2010 and 2014 with boy (66,7%) aged 0 to 5 years old (46,7%) were dominant victims. Of the 15 child medicolegal autopsies, 5 cases were blunt force violence, 3 cases were sharp force violence, and 7 were uncategorized. Incised wound (66,7%) was lead type of wounds on sharp force violence which localized on neck (100%). Contusions (60%) was lead type of wounds on blunt force violence which often localized on head (80%). Our study highlights that homicide was the predominant manner of death (60%) and found that Kampar Regency was frequently requested for medicolegal autopsies reports.


2018 ◽  
Vol 10 (3) ◽  
pp. 195
Author(s):  
Angela A. Pangemanan ◽  
James Siwu ◽  
Nola T. S. Mallo

Abstract: Alcohol is an addictive substance that could cause adverse effects to human body. Moreover, it is also related to a variety of criminal acts. North Celebes is one of the provinces with the highest alcohol consumption in Indonesia. This study was aimed to describe the death cases exposed to alcohol that were autopsied at Prof. Dr. R. D Kandou Hospital Manado during 2014-2017. This was a descriptive retrospective study using data of visum et repertum. The results showed that there were 17 death cases exposed to alcohol. The majority were in 2016 as many as 6 cases (35.3%). The most common age group was 26-35 years as many as 7 cases (41.2%). All cases were males (100%). The most cause of death in these cases were due to violence using sharp objects as many as 15 cases (88.2%). Conclusion: Most death cases exposed to alcohol were males aged 26-35 years, and the cause of death was violence using sharp object.Keywords: alcohol, death casesAbstrak: Alkohol adalah zat adiktif yang dapat berdampak buruk bagi tubuh manusia serta terkait juga dengan berbagai tindakan kriminalitas. Sulawesi Utara merupakan salah satu provinsi dengan konsumen alkohol terbanyak di Indonesia. Penelitian ini bertujuan untuk mengetahui gambaran kasus kematian pada korban terpapar alkohol yang diautopsi di RSUP Prof. Dr. R. D Kandou periode 2014-2017. Jenis penelitian ialah deskriptif retrospektif menggunakan data hasil visum et repertum. Jenis penelitian ialah deskriptif retrospektif. Hasil penelitian mendapatkan 17 kasus kematian korban terpapar alkohol. Kasus terbanyak pada tahun 2016 yaitu 6 kasus (35,3%). Kelompok usia terbanyak 26-35 tahun yaitu 7 kasus (41,2%) dan jenis kelamin laki-laki (100%). Penyebab kematian terpapar alkohol terbanyak karena kekerasan benda tajam yaitu 15 kasus (88,2%). Simpulan: Sebagian besar kasus kematian akibat terpapar alkohol berada dalam kelompok usia 26-35 tahun, semua berjenis kelamin laki-laki, dengan jenis penyebab kematian akibat kekerasan benda tajam.Kata kunci: alkohol, kasus kematian


Author(s):  
Kenan Kaya ◽  
Mete Korkut Gülmen ◽  
Ayşe Serin ◽  
Necmi Çekin ◽  
Ahmet Hilal

Background: Deaths occuring without a known disease and/or a known cause, deaths with non-lethal diseases are interpretated as sudden-unexpected-suspected deaths. Autopsy should always required to evaluate the cause of death. Some of the cases can be termed as negative autopsy since the cause of death can not be determined. This is one of the main interests of the future forensics. Molecular autopsies are one of the main practices of to reduce the negative autopsy ratios. Thus, post-mortem KCNQ1 genetic variation tests are done in sudden unexpected death cases. Material and methods: In this study 0 – 50 years old sudden-unexpected deaths autopsy cases were handled. Samples taken from cases were evaluated and “KCNQ1” genetic variation tests were done in our Department. Results: This study included 47 cases of 42 sudden unexpected death cases (0 – 50 age group) and 5 control group. 15 cases were between 40 – 50 age group and number of cases were increasing with age. 29 of cases (% 69) were male. Evaluation of body-mass index of cases were done and normal weighted cases were the most common with 21 cases (% 50). According to death locations; 17 cases had died (% 45,9) at home. Death location records of 5 cases couldn’t be found. Pathological examinations of all cases were done. We had identified fibrosis and fatty change appearances in SA node of 9 cases (% 21,4) and AV node of 13 cases (% 30,9) especially in conduction tissue examinations. As the result of KCNQ1 genetic analysis of cases, we identified sequence variations in 1638th nucleotid of exon 13 and 1986th nucleotid of exon 16. Conclusion: Cases with conduction system pathology and sequence variations of KCNQ1 genetic analysis shows that we are in need of these tests among routine practice to reduce negative autopsy ratios. Key words: KCNQ1, molecular autopsy, sudden unexpected death, conduction system, negative autopsy.


e-CliniC ◽  
2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Charissa P. Ango ◽  
Djemi Tomuka ◽  
Erwin Kristanto

Abstract: Unnatural deaths are not caused by diseases but by others such as accidents, killings, and suicide. The death of someone which is suspected unnaturally, needs to be found out with certainty about the cause of death through an autopsy by a forensic doctor. This study was aimed to obtain the causes of unnatural death cases autopsied at RS Bhayangkara tingkat III Manado and Prof. Dr. R. D. Kandou Hospital Manado in 2017-2018. This was a retrospective and descriptive study using Visum et Repertum data. The results showed 77 cases of unnatural deaths. As many as 45 cases were autopsied in 2017 and 32 cases in 2018. Most victims were male (68 cases), aged 17-25 years (late adolescence; 18 cases). The most common cause of death was sharp violence (45 cases). In conclusion, most autopsy cases of unnatural deaths were performed on males, aged 17-25 years (late adolescence), and sharp violence as the cause of death.Keywords: unnatural death, cause of death, autopsy Abstrak: Kematian tidak wajar adalah kematian yang tidak disebabkan oleh penyakit, seperti kecelakaan, pembunuhan dan bunuh diri. Kematian seseorang yang diduga tidak wajar, perlu dicari tahu secara pasti penyebab kematiannya melalui autopsi oleh dokter forensik. Penelitian ini bertujuan untuk mengetahui gambaran sebab kematian pada kasus kematian tidak wajar yang diautopsi di RS Bhayangkara Manado dan RSUP Prof. Dr. R. D. Kandou Manado tahun 2017-2018. Jenis penelitian ialah deskriptif retrospektif menggunakan data hasil Visum et Repertum. Hasil penelitian mendapatkan 77 kasus kematian tidak wajar yang diautopsi, yaitu pada tahun 2017 sebanyak 45 kasus dan pada tahun 2018 sebanyak 32 kasus. Jenis kelamin laki-laki lebih banyak daripada perempuan (68 kasus vs 9 kasus). Usia terbanyak ialah 17-25 tahun (masa remaja akhir) sebanyak 18 kasus. Penyebab kematian terbanyak ialah kekerasan tajam sebanyak 45 kasus. Simpulan penelitian ini ialah sebagian besar kasus kematian tidak wajar yang diautopsi dilakukan pada usia 17-25 tahun (masa remaja akhir), jenis kelamin laki-laki, dengan sebab kematian kekerasan tajam.Kata kunci: kematian tidak wajar, sebab kematian, autopsi


1970 ◽  
Vol 37 (2) ◽  
pp. 50-51
Author(s):  
Tejendra Chandra Das ◽  
Mostaque Rahim ◽  
Md Nazmul Hoq ◽  
Mosahef Uddin Ahmed ◽  
Sharmin Yasmin ◽  
...  

Suicide is one of the commonest causes of unnatural death in the world. The number of suicide is increasing over the period of time. Our research focused on a number of factors associated with the occurrence of suicide, these includes- age, gender, religion, cause of death, modes of death. A total of 95 cases of suicide were studied in Sir Salimullah Medical College morgue house in the year 2008. The victims were composed of 33 males (34%) & 62 females (66%) and the age group of 21-30 years was the most common, which indicates occurrence of suicide is more common in young females. Of 95 cases, the most common cause of death was due to asphyxia, 88 cases (92%). Other cases include respiratory failure- 3 cases (3%), hemorrhage & shock- 4 cases (5%). In the discrimination of cause of death, we obtained information on victims & witness as well as investigating the scene & post mortem examination of the victim.   DOI: 10.3329/bmj.v37i2.3593 Bangladesh Medical Journal 37(2) 2008 50-51


2019 ◽  
Vol 26 (05) ◽  
Author(s):  
Kishwar Naheed ◽  
Shirza Nadeem ◽  
Muhammad Iqbal ◽  
Altaf Pervez Qasim ◽  
Summyia Sadia ◽  
...  

Background:  Due to high increase in the population, there is sharp increase in the accidental, homicidal, suicidal and natural deaths. Objective: To evaluate and audit the frequency of death patterns in the city of Faisalabad. Study Design: It is a cross sectional study.  Setting & Duration:  Study was conducted in the Department of Forensic Medicine, Faisalabad Medical University (FMU) Faisalabad for a period of one year i.e. 1st January, 2017 to 31st December, 2017. Methodology:  The record of all unnatural deaths brought for medicolegal autopsies during the study period were examined in detail with special reference to the frequency of death patterns, manners & modalities of those cases. The data was entered in the predesigned performa & analysed by using SPSS.  Results: Study revealed that frequency of unnatural death in Faisalabad is similar to those conducted in other cities, but higher rates may be due to the fact that Faisalabad is thickly populated & third largest city of Pakistan. Out of total 255 cases of unnatural deaths reported for medico-legal autopsies in FMU Faisalabad (80.40 %) were male and (19.6%) females.     Accidental deaths occurred in (28.62%) cases, homicidal deaths involved (50.58%), suicide took the lives of (3.9%) cases and (2.7%) persons died of natural causes whereas manner of death remained undetermined in (14.11%) cases. Unnatural deaths were reported more frequently in the age group 20–29 years involving (24.70%) cases. Conclusion: Homicide is higher in this region and Firearm is the weapon of choice for assailants. This increasing death toll of homicide may be due to increase in frustration and intolerance in the society.


e-CliniC ◽  
2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Charissa P. Ango ◽  
Djemi Tomuka ◽  
Erwin Kristanto

Abstract: Unnatural deaths are not caused by diseases but by others such as accidents, killings, and suicide. The death of someone which is suspected unnaturally, needs to be found out with certainty about the cause of death through an autopsy by a forensic doctor. This study was aimed to obtain the causes of unnatural death cases autopsied at RS Bhayangkara tingkat III Manado and Prof. Dr. R. D. Kandou Hospital Manado in 2017-2018. This was a retrospective and descriptive study using Visum et Repertum data. The results showed 77 cases of unnatural deaths. As many as 45 cases were autopsied in 2017 and 32 cases in 2018. Most victims were male (68 cases), aged 17-25 years (late adolescence; 18 cases). The most common cause of death was sharp violence (45 cases). In conclusion, most autopsy cases of unnatural deaths were performed on males, aged 17-25 years (late adolescence), and sharp violence as the cause of death.Keywords: unnatural death, cause of death, autopsy Abstrak: Kematian tidak wajar adalah kematian yang tidak disebabkan oleh penyakit, seperti kecelakaan, pembunuhan dan bunuh diri. Kematian seseorang yang diduga tidak wajar, perlu dicari tahu secara pasti penyebab kematiannya melalui autopsi oleh dokter forensik. Penelitian ini bertujuan untuk mengetahui gambaran sebab kematian pada kasus kematian tidak wajar yang diautopsi di RS Bhayangkara Manado dan RSUP Prof. Dr. R. D. Kandou Manado tahun 2017-2018. Jenis penelitian ialah deskriptif retrospektif menggunakan data hasil Visum et Repertum. Hasil penelitian mendapatkan 77 kasus kematian tidak wajar yang diautopsi, yaitu pada tahun 2017 sebanyak 45 kasus dan pada tahun 2018 sebanyak 32 kasus. Jenis kelamin laki-laki lebih banyak daripada perempuan (68 kasus vs 9 kasus). Usia terbanyak ialah 17-25 tahun (masa remaja akhir) sebanyak 18 kasus. Penyebab kematian terbanyak ialah kekerasan tajam sebanyak 45 kasus. Simpulan penelitian ini ialah sebagian besar kasus kematian tidak wajar yang diautopsi dilakukan pada usia 17-25 tahun (masa remaja akhir), jenis kelamin laki-laki, dengan sebab kematian kekerasan tajam.Kata kunci: kematian tidak wajar, sebab kematian, autopsi


2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Yutti Amornlertwatana ◽  
Paitoon Narongchai ◽  
Siripun Narongchai

Abstract Background Methomyl is the most common cause of suicidal death but heroin is the most common cause of accidental death. The problem is to determine the exact cause and manner of death between methomyl or heroin toxicity. The evidence from autopsy includes crime scene investigation, toxicological analysis by liquid chromatography with mass spectrometry, and knowledge of methomyl and heroin intoxication. Case presentation A 35-year-old Thai man and a 30-year-old Thai woman were found showing evidence of cyanosis, with a fine froth around the nose and mouth. Postmortem interval time was 24 hours. According to the police’s and hotel owner’s records, the couple stayed together for 1 day before being found dead in bed, naked, with a foul and a fine froth around the nose and mouth. A methomyl insecticide sachet and a plastic box containing white powder form of heroin were found at the scene. Laboratory tests of the male corpse identified the presence of methomyl in the blood of the stomach and morphine, codeine, methadone, and tramadol in the systemic blood. Blood cholinesterase enzyme activity and morphine concentration was 3416 U/L or 53% (normal 6400 U/L) and 0.058 μg/ml respectively. Laboratory test of the female corpse identified the presence of methomyl in the stomach and blood, and cholinesterase enzyme activity was 1965 U/L or 30.7%. Conclusions Cause of death of the male corpse was deemed to be due to heroin intoxication as the blood concentration of morphine was more than the lethal concentration with a morphine/codeine ratio of more than 1:1. Methomyl intoxication of the male corpse was unlikely to be the cause of death because methomyl systemic blood concentration was found to be very low, < 2.5 μg/ml, and cholinesterase enzyme levels did not indicate lethal activity (< 10–15% of normal). The main problem regarding an insurance claim is that the policy will not pay out in the case of heroin-associated deaths, as it is an addictive drug. The policy would pay out on death by suicide with methomyl insecticide, which was not prohibited by the insurance company after 1 year of insurance. So, it is not clear whether or not the family will receive money from the insurance company.


2017 ◽  
Vol 3 (1) ◽  
pp. 29
Author(s):  
Uchendu J O ◽  
Nwachokor N F ◽  
Ijomone A E

Aim: To describe the various medico legal autopsy cases with respect to sex, age, cause and manner of death. Material and Methods: This is a descriptive retrospective study of  972 medico-legal autopsy cases studied in Warri Metropolis from 1st Jan. 2003 to 31th December 2016. The relevant information was extracted and subsequently   analyzed statistically using SPSS version 22. Results: A total of 972 cases of medico legal autopsies of 843 males against 129 females were studied. Their ages of victims ranged from 0.4 years to 85 years, with a mean of   34.45 years and a peak age group in their 3rd decade. Homicidal, accidental, sudden natural, suicidal, and indeterminate cases accounted for 55.7% (541), 24.7% (240), 17.3% (168), 1.4% (14) and 0.9% (9) of the cases respectively. Firearm injuries, sharp weapon and blunt injuries, accounting for 374 (69.1%), 122(22.6%)  and 37(6.8%) of homicide cases. Road traffic accident, drowning,  burns injury and electrocution accounted for  119(49.6%), 34(14.2%), 26(10.8%) and 19(7.9%)  of accidental cases respectively. Cardiovascular, Central nervous system-related and infectious diseases are responsible for 79(47.0%), 21(12.5%) and 15(8.9%) of sudden natural deaths observed in this study.  Hanging and corrossive chemical ingestion accounted for 10(71.4%) and 4(28.6%) respectively of the suicide cases, and together representing a MFR of   3.7:1. Conclusion: Our study showed that firearm injuries, road traffic accident and sharp weapons injuries are the leading cause of unnatural death while cardiovascular diseases account for most cases of sudden natural deaths


2018 ◽  
Vol 33 (1) ◽  
pp. 28-31
Author(s):  
Md Zahid Alam ◽  
Shabnam Jahan Hoque ◽  
Md Jubaidul Islam ◽  
Mohammad Shakhawat Hossain ◽  
Aparna Rahman ◽  
...  

Background and objectives: Cardiovascular disease is the most common cause of death worldwide and Coronary Care Unit (CCU) plays a central role in reducing this mortality. Currently the data on mortality in CCU is very limited in our country. Our purpose of this study to provide data on mortality so that we can focus and improve the factors determining deaths in CCU. Methodology: The data of all death cases admitted in the CCU of a tertiary level hospital between 1 January 2016 and 31 December 2017 were included for assessing the data on demography, diagnosis, and comorbidities at the time of death.Results: Among 802 cases admitted in CCU in two years, 40 patients died (5%). Male was 55% and female was 45%. Most of the death occurred in their 6th decade of life, due to Non-ST-Elevation Myocardial Infarction (NSTEMI) and sepsis, within 24-hour of CCU admission.Common associated co-morbidities were DM (75%), hypertension (42.5%), CKD (27.5%), and hypokalemia (12.5%).Conclusions: The death rate is much lower in our CCU in comparison to global rate. The common cause of death is still NSTEMI. The common co-morbidities we found are DM, hypertension and CKD. Most of the deathsoccurred within 24-hour of admission.Bangladesh Heart Journal 2018; 33(1) : 28-31


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