Viaz'min A M, Solov'ev A G, Mordovskiĭ É A, Kuzin S G, Tsugulia S V
Sud Med Ekspert. 2014 May-Jun;57(3):29-33.
The objective of the present study was the comparative analysis of the data obtained from the available medical documentation with a view to estimating the effectiveness of taking into account the mortality associated with alcohol consumption. The data subjected to the analysis included the age and the gender of the deceased subjects, complete forensic medical diagnoses from 1607 expert reports and acts of forensic medical expertise of the corpses (form 171/y), and information about the cause of death (item 19) from the relevant medical death certificates (form 106y/08). The mortality associated with alcohol consumption estimated based on the expert reports and acts of forensic medical expertise of the corpses (form 171/y) amounted to 6.7% (95% CI: 5.5- 8.1%); the occurrence of pathology attributable to alcohol consumption was estimated at 7.2% (95% CI: 5.9-8.5%) of the total number of deaths. It was shown that forensic medical experts do not employ in the full measure the diagnostic potential of the International Classification of Diseases (ICD-10) when having to deal with the mortality associated with alcohol consumption. The results of the study confirm the qualitative transformation of the alcohol attributable mortality structure associated with the transfer of information from the expert reports and acts of forensic medical expertise of the corpses (form 171/y) to the medical death certificates (form 106/y-08).
本研究的目的是对从现有医疗文档中获取的数据进行比较分析，以评估考虑与酒精消费相关的死亡率的有效性。纳入分析的数据包括死者的年龄和性别、来自1607份专家报告和尸体法医鉴定文书（表格171/y）的完整法医诊断，以及来自相关医疗死亡证明（表格106y/08）中关于死亡原因（第19项）的信息。根据专家报告和尸体法医鉴定文书（表格171/y）估算的与酒精消费相关的死亡率为6.7%（95%置信区间：5.5 - 8.1%）；归因于酒精消费的病理发生率估计占死亡总数的7.2%（95%置信区间：5.9 - 8.5%）。结果表明，法医专家在处理与酒精消费相关的死亡率时，并未充分利用国际疾病分类（ICD - 10）的诊断潜力。研究结果证实了与酒精消费相关的可归因死亡率结构的质性转变，这种转变与信息从尸体法医鉴定文书（表格171/y）和专家报告向医疗死亡证明（表格106/y - 08）的转移有关。
