A Retrospective Study of Postmortem Examinations at MGM Hospital, Warangal
DOI:
https://doi.org/10.48165/jiafm.2024.46.2.7Keywords:
Unnatural deaths, Poisoning, Hanging, Head injury, Multiple injuries, BurnsAbstract
An autopsy (post mortem examination) or necropsy is a common, up-to-date medical technique in which the tissues and organs of a deceasedperson'sbodyarethoroughlyexaminedsurgicallywiththegoalofidentifyingthecauseofdeathandanycontributingfactors.Now a days poisoning and road traffic accidents cause most of the casualties, which lead to many deaths. To create a profile of fatalities brought on by unnatural sources that we can focus our efforts on reducing their frequency, we retrospectively studied the death cases brought for medico legal postmortem examination at the Mortuary, Department of Forensic Medicine and Toxicology at Kakatiya Medical College/MGM Hospital Warangal, Telangana, India, in the year 2019 to 2021. During this period, a total of 4657 autopsy cases were conducted. Themost autopsy cases [443(10%)] out of the total 4657 cases were performed in June. There were [3516(75.5%)] more male cases than female [1141(24.5%)] cases, which predominated. The largest percentage of cases [2868(62%)] belonged to the 25–54 age range. There were mostly 1644 (35%) cases of poisoning. Injury-related deaths, 988 (21%) and 557 (12%) were attributable to head injuries and multiple injuries respectively. 485 deaths by hanging (10%) and 253 deaths from thermal injury (5%) were reported. Poisoning was found to be the most common cause of mortality, and then followed by road-traffic accidents. Vehicle accidents involving head injuries were the leading cause of death.
Downloads
References
Morar S, Cristian A, Perju-Dumbrava D. Ethical and legal aspects of the use of the dead human body for teaching and scientific purposes. Rev Rom Bioet. 2008; 6:65-83.
Wittekind C, Gradistanac T. Post-mort emexaminationas a quality improvement instrument. Dtsch Arztebl Int. 2018;115:653-8.
Choprapawon C, Porapakkham Y, Sablon O, Panjajaru R, Jhantharatat B. Thailand's national death registration reform: VerifyingthecausesofdeathbetweenJuly1997and December 1999.Asia Pac J Public Health. 2005;17:110-6.
Swift B, West K. Death certification: An audit of practice enteringthe 21st century. J Clin Pathol. 2002;55:275-9.
Sibai AM. Mortality certification and cause-of-death reporting in developing countries. Bull World Health Organ. 2004; 82:83.
Lakki reddy DR, Gowda MS, Murray CW, Basarakodu KR, Vacek JL. Death certificate completion: Howwell are physician strained and are cardio vascular causes overstated? Am J Med. 2004;117:492-8.
Salvatore M, Basu D, Ray D, et al. Comprehensive public health evaluation of lock down asanon-pharmaceutical intervention on COVID-19 spread in India: national trends maskingstate-levelvariations. BMJ Open. 2020;10:e041778. doi:10.1136/bmjopen-2020-041778
Nemetz PN, Ludwig J, Kurland LT. Assessing the autopsy. Am J Pathol.1987;128:362-79.
https://www.indexmundi.com/india/age_structure.html On 11/02/2023at15:58.
Radha Krishna KV, Makhani CS, Sisodiya CN, Chourasia S, Sarala M, Khan RN. Profile of medicolegal autopsie sat tertiary medicolegal centre in south western India. Int J Healthcare Biomed Res. 2015;3(2):70–5.
Sharma BR, Singh VP, Sharma R, Sumedha S. Unnatural deaths in northern India a profile. J Indian Acad Forensic Med.2004;26(4):140–6.
Wasnik RN. Trends of unnatural deaths in Nagpur, India. Medico-Legal Update.2011;11(2):114–7.
Shrivastava P, Som D, Nandy S, Saha I, Pal PB, Ray TG, etal. Profile of post mortem cases conducted at a morgue of a tertiary care hospital in Kolkata. J Indian Med Assoc. 2010;108(11):730–3.
Zine KU, Wakde SD, Tandle RM, Varma NM, Jambure MP, Tasgaonker GV. Study of deaths in industrial areas around Aurangabadcity. J Indian Acad Forensic Med.2012;34 (2):111–3.
Qasim AP, Tariq SA, Naeem M. Profile of unnatural deaths; in Faisalabad. Med Forum2014;25(5):51–4.[Lastaccessedon 19:14 14 Feb 2023]. Available at: http:// www.medforum.pk/ index.php/articledatabase/9articles/9 profile of unnatural deaths.
Afandi D. Profile of medicolegal autopsies in Pekanbaru, Indonesia 2007–2011. Malays J Pathol. 2012;34(2):123–6.
Patel JB, Chandegara PV, Patel UP, Parkhe SN, Govekar G.
Profile of autopsy cases at New Civil Hospital, Surat: a retrospective study. Int J Med Sci Public Health. 2016 Jan 1;5(1):10-3.
Sorenson SB. Gender disparities in injury mortality: Consistent, persistent, and larger than you'd think. Am J Public Health 2011;101Suppl.1:S353-8.
Arya V, Page A, Spittal MJ, Dandona R, Vijayakumar L, Munasinghe Satal. Suicide in India during the first year of the COVID-19 pandemic. J Affect Disord. 2022 Jun 15;307:215- 220 .doi:10.1016/j. jad.2022.03.066.Epub2022Apr6. PMID:35395323;PMCID:PMC8983610.
Pirkis J, John A, Shin S, Del Pozo-Banos M, Arya V. Analuisa- Aguilar P. etal.Volume 8, Issue 7;2021:579-588.
Sakamoto H, Ishikane M, Ghaznavi C, Ueda P. Assessment of Suicidein Japan During the COVID19 Pandemic vs Previous Years. JAMAN etw Open.2021 ;4( 2):e 2037378. doi:10.1001/jamanetworkopen.2020.37378
Osváth P, Bálint L, Németh A, Kapitány B, Rihmer Z, & Döme P (2021). A magyarországiöngyilkosságihalálozás változásaia COVID–19-járványelsőévében, Orvosi Hetilap, 162(41):1631-1636.doi:https://doi.org/10.1556/650.2021. 32346
Kumar S,Verma AK, Bhattacharya S, Rathore S. Trends in rates and methods of suicide in India. Egypt J Forensic Sci. 2013.https://doi.org/10.1016/j.ejfs.2013.04.003