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Trends in prevalence of fatal surgical diseases at forensic autopsy

Acosta, Stefan LU and Krantz, Peter LU (2007) In ANZ Journal of Surgery 77(9). p.718-721
Abstract
Background: In 1992, there were major changes in Swedish law of the deceased, which had led to a dramatic decrease in autopsy rates. The aim of this study was to investigate the prevalence of fatal or potential fatal surgical diseases within a Swedish forensic autopsy cohort, before and after this change in legislation. Methods: Deaths referred for forensic autopsy at the Institution of Forensic Medicine, Lund University Hospital, Sweden, between 1970-1982 and 2000-2004, were studied regarding the prevalence of aorto-iliac diseases, acute abdomen and abdominal cancer. Results: The forensic autopsy rates in the population during the two time periods were 14.0% (29 399 patients) and 5.3% (4487 patients), respectively. The total prevalence of... (More)
Background: In 1992, there were major changes in Swedish law of the deceased, which had led to a dramatic decrease in autopsy rates. The aim of this study was to investigate the prevalence of fatal or potential fatal surgical diseases within a Swedish forensic autopsy cohort, before and after this change in legislation. Methods: Deaths referred for forensic autopsy at the Institution of Forensic Medicine, Lund University Hospital, Sweden, between 1970-1982 and 2000-2004, were studied regarding the prevalence of aorto-iliac diseases, acute abdomen and abdominal cancer. Results: The forensic autopsy rates in the population during the two time periods were 14.0% (29 399 patients) and 5.3% (4487 patients), respectively. The total prevalence of surgical diseases has increased significantly from 67.3 (95% confidence interval 64.3-70.2) to 83.4 (74.9-91.8) per 1000 autopsies, respectively. The cause-specific mortality ratios in patients with fatal acute abdomen increased significantly from 16.5 (15.1-18.0) to 39.0 (33.2-44.8) per 1000 autopsies, respectively, and there was almost a three-time increase in patients with fatal gastrointestinal haemorrhage and acute alcohol-related pancreatitis. Conclusions: Forensic autopsy data continues to be invaluable, despite changes in legislation in Sweden, for epidemiological studies on fatal or potential fatal surgical diseases. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
fatal surgical disease, forensic autopsy
in
ANZ Journal of Surgery
volume
77
issue
9
pages
718 - 721
publisher
Wiley-Blackwell
external identifiers
  • wos:000248599800006
  • scopus:34447125226
ISSN
1445-2197
DOI
10.1111/j.1445-2197.2007.04213.x
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Emergency medicine/Medicine/Surgery (013240200), Division of Health Economics and Forensic Medicine (Closed 2012) (013040050)
id
cd8c8dc6-0e3c-46df-b1d5-d8e01ebd1f0a (old id 692927)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17685944&dopt=Abstract
date added to LUP
2016-04-01 16:01:50
date last changed
2020-02-19 03:29:02
@article{cd8c8dc6-0e3c-46df-b1d5-d8e01ebd1f0a,
  abstract     = {Background: In 1992, there were major changes in Swedish law of the deceased, which had led to a dramatic decrease in autopsy rates. The aim of this study was to investigate the prevalence of fatal or potential fatal surgical diseases within a Swedish forensic autopsy cohort, before and after this change in legislation. Methods: Deaths referred for forensic autopsy at the Institution of Forensic Medicine, Lund University Hospital, Sweden, between 1970-1982 and 2000-2004, were studied regarding the prevalence of aorto-iliac diseases, acute abdomen and abdominal cancer. Results: The forensic autopsy rates in the population during the two time periods were 14.0% (29 399 patients) and 5.3% (4487 patients), respectively. The total prevalence of surgical diseases has increased significantly from 67.3 (95% confidence interval 64.3-70.2) to 83.4 (74.9-91.8) per 1000 autopsies, respectively. The cause-specific mortality ratios in patients with fatal acute abdomen increased significantly from 16.5 (15.1-18.0) to 39.0 (33.2-44.8) per 1000 autopsies, respectively, and there was almost a three-time increase in patients with fatal gastrointestinal haemorrhage and acute alcohol-related pancreatitis. Conclusions: Forensic autopsy data continues to be invaluable, despite changes in legislation in Sweden, for epidemiological studies on fatal or potential fatal surgical diseases.},
  author       = {Acosta, Stefan and Krantz, Peter},
  issn         = {1445-2197},
  language     = {eng},
  number       = {9},
  pages        = {718--721},
  publisher    = {Wiley-Blackwell},
  series       = {ANZ Journal of Surgery},
  title        = {Trends in prevalence of fatal surgical diseases at forensic autopsy},
  url          = {http://dx.doi.org/10.1111/j.1445-2197.2007.04213.x},
  doi          = {10.1111/j.1445-2197.2007.04213.x},
  volume       = {77},
  year         = {2007},
}