Håheim L L
Livsforsikringsselskapenes Medisinsk-Statistiske Institutt, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1999 Feb 28;119(6):826-30.
In Norway the percentage of autopsies has gradually decreased during the 1986 to 1994 period. As a consequence, the Cause of Death Registry has to rely to a greater extent on physicians' certificates only. The overall percent of autopsies was reduced from 13.8% in 1986 to 9.1% in 1994 (Haukeland Hospital, Bergen, not included). The frequency decreased with age, was lowest in women, and differed according to cause of death. In the examined age groups of 0 year, 1-59 years and 60 years and above the percentage changes were as follows in women: 69.9% to 48.9%, 35.8% to 27.2%; 11.5% to 5.7%. In men the changes were: 72.2% to 54.7%; 44.5% to 39.2%; 15.1% to 8.65%. Deaths due to cancer, congenital disorders and perinatal deaths were all validated if possible. About 40% of deaths due to accidents, poisoning and violence were validated. Myocardial infarctions were autopsied more frequently than stroke. The extent of validation of cause of death during this period is discussed.
在挪威，1986年至1994年期间尸检的比例逐渐下降。因此，死因登记处不得不越来越多地仅依赖医生开具的证明。尸检的总体比例从1986年的13.8%降至1994年的9.1%（卑尔根哈肯兰医院未包括在内）。频率随年龄下降，在女性中最低，并且因死因不同而有所差异。在0岁、1至59岁以及60岁及以上的受调查年龄组中，女性的百分比变化如下：从69.9%降至48.9%，从35.8%降至27.2%；从11.5%降至5.7%。男性的变化为：从72.2%降至54.7%；从44.5%降至39.2%；从15.1%降至8.65%。因癌症、先天性疾病和围产期死亡导致的死亡，若有可能均会进行验证。约40%因事故、中毒和暴力导致的死亡得到了验证。心肌梗死的尸检频率高于中风。本文讨论了这一时期死因验证的程度。
