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分析 2013 年至 2022 年土耳其法医死亡统计数据和尸检实践。

Analysis of Forensic Death Statistics From 2013 to 2022 and Autopsy Practices in Türkiye.

机构信息

Forensic Medicine, Council of Forensic Medicine, Kahramanmaraş, Türkiye

Forensic Medicine, Tekirdağ Namık Kemal University, Tekirdağ, Türkiye

出版信息

Balkan Med J. 2024 Jan 3;41(1):38-46. doi: 10.4274/balkanmedj.galenos.2023.2023-9-10. Epub 2023 Nov 27.

Abstract

BACKGROUND

Autopsy rates are significantly lower that what they should be worldwide. Additionally, autopsy practices vary between countries.

AIMS

To examine the autopsy rates, the distribution and temporal changes of forensic autopsy cases, so as to identify the areas in the death investigation system that require improvement in Türkiye.

STUDY DESIGN

Cross-sectional study.

METHODS

“Forensic Death Examination Statistics” of the Council of Forensic Medicine (CFM) and “Death Statistics” of the Turkish Statistical Institute were compared and analyzed for the years 2013-2022 in Türkiye.

RESULTS

The number of forensic death cases sent to the CFM has increased over time. For all causes of deaths, the autopsy rate is approximately 3.6-4.8%. The cause-specific mortality rates for deaths due to sharp instrument trauma, blunt trauma, occupational accident, undetermined, and poisoning have increased over the years. “The percentage of “undetermined” deaths, which are important to demonstrate negative autopsies, was 14.2% in 2021.

CONCLUSION

Although the autopsy rates have slightly increased in a volatile trend over time in Türkiye, they are still not at the desired level. Thus, it is essential to further raise awareness among all professionals involved in death investigations about the importance of autopsies.

摘要

背景

全球范围内,尸检率明显低于应有的水平。此外,各国的尸检实践存在差异。

目的

检查尸检率、法医解剖案例的分布和时间变化,以确定在土耳其需要改进的死因调查系统领域。

研究设计

横断面研究。

方法

比较和分析土耳其法医委员会(CFM)的“法医死亡检查统计数据”和土耳其统计局的“死亡统计数据”,时间范围为 2013 年至 2022 年。

结果

送交 CFM 的法医死亡案件数量随时间增加。所有死因的尸检率约为 3.6-4.8%。由于锐器创伤、钝器创伤、职业事故、原因不明和中毒导致的死亡率逐年上升。“未确定”死亡的比例(对展示阴性尸检很重要)在 2021 年达到 14.2%。

结论

尽管土耳其的尸检率在一段时间内呈波动趋势略有上升,但仍未达到理想水平。因此,必须进一步提高所有参与死因调查的专业人员对尸检重要性的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/960c/10767775/19d636e94b08/BMJ-41-38-g1.jpg

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