Refine your search
Collections
Year
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Bai, Manjula
- Comparison of Clinical and Autopsy Diagnosis of Cause of Death at Belgaum, Karnataka
Abstract Views :281 |
PDF Views:0
Authors
M. N. Hemanth Raj
1,
Manjula Bai
2,
A. G. Vijay Kumar
3,
J. Suresh
4,
T. S. Ajay Kumar
5,
Vinay R. Hallikeri
6
Affiliations
1 Department of Forensic Medicine & Toxicology, S.S. Institute of Medical Science and Research Centre, Davanagere, Karnataka, IN
2 Department of Forensic Medicine and Toxicology, KLE University's J N Medical College, Belgaum, Karnataka, IN
3 Department of Forensic Medicine & Toxicology, Adichunchanagiri Institute of Medical Sciences, Mandya, Karnataka, IN
4 Department of Forensic Medicine & Toxicology, Chettinad Hospital and Research institute, Tamil Nadu, IN
5 Department of Forensic Medicine & Toxicology, Sri Devaraj Urs Medical College, Kolar, Karnataka, IN
6 Dept. of Forensic Medicine & Toxicology, KLE University's J. N. Medical College, Belgaum, Karnataka, IN
1 Department of Forensic Medicine & Toxicology, S.S. Institute of Medical Science and Research Centre, Davanagere, Karnataka, IN
2 Department of Forensic Medicine and Toxicology, KLE University's J N Medical College, Belgaum, Karnataka, IN
3 Department of Forensic Medicine & Toxicology, Adichunchanagiri Institute of Medical Sciences, Mandya, Karnataka, IN
4 Department of Forensic Medicine & Toxicology, Chettinad Hospital and Research institute, Tamil Nadu, IN
5 Department of Forensic Medicine & Toxicology, Sri Devaraj Urs Medical College, Kolar, Karnataka, IN
6 Dept. of Forensic Medicine & Toxicology, KLE University's J. N. Medical College, Belgaum, Karnataka, IN
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 7, No 1 (2013), Pagination: 65-69Abstract
Introduction: Law has not tried to define death. By Black's law dictionary, death means "cessation of life or ceasing to exist". Medico-legal definition of death is 'permanent and irreversible cessation of functions of the three interlinked vital systems of the body which are called the tripod of life, namely the nervous, circulatory and respiratory systems'.Objectives: 1. To study the autopsy diagnosis of cause of death. 2. To compare the clinical and autopsy diagnosis of cause of death. 3. To evaluate the accuracy of clinical diagnosis of cause of death.
Results: During the present study period, a total of 100 medicolegal autopsies were conducted. Out of these, 58 (58%) cases were Road Traffic Accident (RTA), burns cases were 24(24%) followed by poisoning cases 8 (8%). There were 4 cases of fall from height (4%), snake bite 3 (3%) cases and 3 (3%) hanging cases.
Discussion: It was observed that in 6 (10%) cases out of 58 cases of the total RTA cases, there was discordance regarding the opinion of cause of death. In the other 52 cases i.e. in 90% of the cases there was complete agreement with respect to the cause of death.
Conclusion: From this study it is concluded that medico legal autopsies revealed many unexpected findings that are of clinical importance, and a continued emphasis on autopsy correlation is necessary for the improvement of the quality of patient care.
Keywords
Cause of Death, Road Traffic Accident, Burns, Poisoning, Fall from Height, Snake Bite, Hanging
References
- Nandy A. Principles of Forensic Medicine. 4 ed. Calcutta: New Central book Agency (P) Ltd; 2010.
- Reddy KSN. The Essentials of Forensic Medicine and toxicology. 29 ed. Hyderabad: K Suguna Devi; 2010.
- Spiliopoulou, Chaido, Papadodima, Stavroula, Kotakidis, Nikolaos et al. Clinical diagnosis and autopsy findings: A retrospective analysis of 252 cases in Greece. Arch Pathol Lab Med 2005; 129:210-14.
- Perkins DG, McAnley FD, Davies S, Gao F. Discrepancies between clinical and postmortem diagnosis in critically ill patients : an observational study. Critical care 2003; 7:129-132.
- Kurian KM, Forbes RB, Colville S, Swingler RJ. Cause of death and clinical grading criteria in a cohort of amyotrophic lateral sclerosis cases undergoing autopsy from the Scottish Motor Neurone Disease Register. J Neurol Neurosurg Psychiatry 2002; 80:84-7.
- Joseph J, Stambouly MD, Kahn MD, Robert A, Boxer MD. Correlation between clinical diagnoses and autopsy findings in critically ill children. PEDIATRICS 1993; 92 (2): 248-251.
- Ullah K, Alamgir W. Comparison of clinical causes of death with autopsy diagnosis using discrepancy classification. J Coll Physicians Surg Pak 2006; 16(12):768-72.
- Aguirre OJ, Camacho VG, Lopez G, Gonzalez GA, Nva GIJ. Concordance between premortem and postmortem diagnosis in the autopsy: result of a 10 year study in a tertiary care center. Ann Diagn Pathol 2003; 7(4):223-30.
- Zarbo, Richard J, Baker, Peter B, Peter J. Autopsy as a performance measurement tool—diagnostic discrepancies and unresolved clinical questions: A college of American pathologists Q-Probes study of 2479 autopsies. Arch Pathol Lab Med Mar 1999;123(3):191-98.
- Dessmon Y H, Tai, Bilbeisi El, Tewari S, Mascha EJ, Wiedemann HP, Arroliga AC. A study of consecutive autopsies in a medical ICU: A comparison of clinical cause of death and autopsy diagnosis. CHEST 2001; 119:530-6.
- Cardoso MP, Bourguignon DC, Gomes MM, Saldiva PH, Pereira CR, Troster EJ . Comparison between clinical diagnoses and autopsy findings in a pediatric intensive care unit in São Paulo, Brazil. Pediatr Crit Care Med 2006; 7(5):423-7.
- Sharma BR, Harish D, Singh VP, Bangar S. Septicemia as a cause of death in burns: An autopsy study. Journal of the international society for burn injuries 2006; 32(5):545-9.
- Kumar V, Mohanty MK, Kanth S. Fatal burns in Manipal area: A 10 year study. Journal of forensic and legal medicine 2007; 14(1):3-6.
- Shetty VB, Pawar GS, Inamadar PI. Profile of poisoning cases in district and medical college hospitals of north Karnataka. Indian journal of forensic medicine and toxicology 2008; 2(2).
- Mohanty MK, Siddhartha P. Correlation between postmortem diagnoses and survival time in poisoning deaths. JIAFM 2005; 27(1):23-7.
- Manjeet S, Siddhartha s, Iftikhar WH, Agnivesh T, Farid MH, Nirdosh M, Dara S. Spine injuries in a tertiary health care hospital in Jammu: A clinic epidemiological study. The internet journal of neurosurgery 2009 ;5(2) .
- Kalita J. Clinicoradiological observation in three patients with suicidal hanging. Journal of the neurological sciences 2002; 198(1):21-4.