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Added value of post-mortem computed tomography (PMCT) to clinical findings for cause of death determination in adult "natural deaths".
Vester, M E M; van Rijn, R R; Duijst, W L J M; Beenen, L F M; Clerkx, M; Oostra, R J.
Afiliación
  • Vester MEM; Academic Medical Center Amsterdam, University of Amsterdam, Amsterdam, Netherlands. marloes.vester@gmail.com.
  • van Rijn RR; Department of Radiology and Nuclear Medicine, Amsterdam UMC, University of Amsterdam, Room G2-231, Meibergdreef 9, Amsterdam, the Netherlands. marloes.vester@gmail.com.
  • Duijst WLJM; Department of Forensic Medical Investigations, Netherlands Forensic Institute, The Hague, the Netherlands. marloes.vester@gmail.com.
  • Beenen LFM; Amsterdam Center for Forensic Science and Medicine, Amsterdam, the Netherlands. marloes.vester@gmail.com.
  • Clerkx M; Department of Radiology and Nuclear Medicine, Amsterdam UMC, University of Amsterdam, Room G2-231, Meibergdreef 9, Amsterdam, the Netherlands.
  • Oostra RJ; Department of Forensic Medical Investigations, Netherlands Forensic Institute, The Hague, the Netherlands.
Int J Legal Med ; 134(4): 1457-1463, 2020 Jul.
Article en En | MEDLINE | ID: mdl-31853676
PURPOSE: The aim of this study was to investigate whether post-mortem computed tomography (PMCT) provides additional information regarding the cause of death and underlying diseases in a general practitioners' (GP), out-of-hospital population. METHODS AND MATERIALS: Bodies donated to our anatomy department between January 2014 and January 2018, who consecutively underwent a total body PMCT and had given permission for retrieval of their medical records during life, were included. PMCT scans were assessed by a radiologist and compared with the cause of death as stated in the medical records. Discrepancies were analyzed with an adjusted Goldman classification. RESULTS: Ninety-three out of the 274 scanned donors during the inclusion period had given consent for the retrieval of their medical records, of which 79 GP's responded to the request thereof (31 men, 48 women, average age 72.8 years, range 36-99). PMCT identified 49 (62%) cases of cancer, 10 (12.7%) cardiovascular diseases, 8 (10.1%) severe organ failures, 5 (6.3%) cases with signs of pneumonia, 2 (2.5%) other causes, and 7 (8.9%) cases without an (underlying) definitive cause of death. Eleven major discrepancies on the Goldman classification scale, with possible relevance to survival between PMCT and GP records, were identified. CONCLUSION: PMCT can have added value for the detection of additional findings regarding the cause of death in an out-of-hospital, GP's population, especially to identify or exclude major (previously non-diagnosed) underlying diseases.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Autopsia / Tomografía Computarizada por Rayos X / Causas de Muerte / Medicina Legal Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Int J Legal Med Asunto de la revista: JURISPRUDENCIA Año: 2020 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Autopsia / Tomografía Computarizada por Rayos X / Causas de Muerte / Medicina Legal Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Int J Legal Med Asunto de la revista: JURISPRUDENCIA Año: 2020 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Alemania