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围产期尸检:其在澳大利亚的实施与报告

The perinatal autopsy: its conduct and reporting in Australia.

作者信息

Buetow S A

机构信息

Department of Geography, University of Waikato, Hamilton, New Zealand.

出版信息

Med J Aust. 1992 Apr 6;156(7):492-4. doi: 10.5694/j.1326-5377.1992.tb126478.x.

DOI:10.5694/j.1326-5377.1992.tb126478.x
PMID:1556978
Abstract

OBJECTIVE

To assess the conduct and reporting on death certificates of perinatal autopsies in Australia.

DATA SOURCES

(i) Medical certificates of cause of perinatal death in all States and Territories; (ii) registrations of perinatal deaths in New South Wales in 1985 and 1986.

DATA EXTRACTION

Death certificates are assessed on three criteria: (i) an indication that an autopsy was performed; (ii) an indication whether the stated causes of death were based on autopsy findings; and (iii) an indication whether the clinical diagnosis was confirmed by autopsy.

DATA SYNTHESIS

Perinatal death certificates give insufficient information in all three areas. Assessment of the accuracy and usefulness of autopsies requires better information.

CONCLUSION

A two-part death certificate is suggested. The first part would report clinical diagnoses of the causes of death. The second part would compare these results with those of any autopsy.

摘要

目的

评估澳大利亚围产期尸检死亡证明的开具及报告情况。

数据来源

(i)所有州和领地的围产期死亡医学证明;(ii)1985年和1986年新南威尔士州围产期死亡登记。

数据提取

根据三项标准评估死亡证明:(i)表明进行了尸检;(ii)表明所述死亡原因是否基于尸检结果;(iii)表明临床诊断是否经尸检证实。

数据综合

围产期死亡证明在所有这三个方面提供的信息都不足。评估尸检的准确性和有用性需要更完善的信息。

结论

建议采用两部分式死亡证明。第一部分报告死亡原因的临床诊断。第二部分将这些结果与任何尸检结果进行比较。

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