Analysis of the cause of death established by coroner's inquest

Nermin Sarajlić, Lovre Kršan Milostić, Vedo Tuco, Rifat Kešetović, Adis Salihbegović, Anes Jogunčić

Abstract


Objectives: The main goal was to analyze the specific causes of death in the Federation of Bosnia and Herzegovina in the period from 2009 to 2013 based on death certificates.

Materials and Methods: The data used came from the Demographic Statistics, Health and Statistical Yearbook and Population health and health care in the Federation. The research covered the period of 5 years, from 2009 to 2013 and totaled 102,036 deceased.

Results: The leading cause of death in the Federation B&H in the period from 2009 to 2013 is a group Diseases of the circulatory system (I00-I99) with 53.2%. In the age group 75-79 is reported the highest number of deaths, 19.82% of the total sample. Male population deaths (50.97%) are more prevalent. Female population is more represented in the group Diseases of the circulatory system (I00-I99) with 53.06%.Group “Certain conditions originating in the perinatal period” (P00-P96) is with the highest number of deaths in the infant period (age group 0-1) with 59.77%.Accidents holds the largest share in the number of violent deaths 56,89%. The largest number of deaths was determined by the coroner MD, up to 76.59%. An increase in the number of unidentified causes of death is spotted, from, which is in direct correlation with the decrease in the number of autopsies.

Conclusion: Causes of death established by coroner's inquest are relevant and reliable only if they are complemented by autopsy. The continued decline in autopsy performance, despite better training of professional staff and an advanced diagnostic procedure leads to an increased number of undetermined deaths.


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References


Habek D. History of forensic medicine in Bjelovar. Arh Hig Rada Toksikol. 2013; 64:463-474.

Sarajlić N. Sudskomedicinska obdukcija i njen značaj u istragama krivičnih djela. U: Korajlić N. Istraživanje krivičnih djela. Pravni fakultet Univerziteta u Sarajevu, Sarajevo, 2012.

Pravilnik o pregledu umrlih i utvrđivanju smrti. Službene novine Federacije BiH, 2013; 79:100.

International Classification of Diseases. URL: http://www.who.int/classifications/icd/en/ (pristup: 7.04.20015)

Rutty GN, Duerden RM, Carter N, Clark JC. Are coroners' necropsies necessary? A prospective study examining whether a “view and grant“ system of death certification could be introduced into England and Wales. J Clin Pathol. 2001; 54:279-284.

Karger B, Lorin de la Grandmaison G, Bajanowski T, Brinkmann B. Analysis of 155 consecutive forensic exhumations with emphasis on undetected homicides. Int J Legal Med. 2004; 118: 90–94.

Priručnik o popunjavanju potvrde o smrti. Ministarstvo zdravstva Federacije BiH, Zavod za javno zdravstvo Federacije BiH i Udruženje/Udruga sudskih medicinara u BiH. Sarajevo, 2011.

Demografska statistika. Federalni zavod za statistiku, Federacija BiH 2009-2013.

Zdravstveno statistički godišnjak Federacije BiH. Zavod za javno zdravstvo Federacije BiH 2009-2013.

International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). URL: http://www.cdc.gov/nchs/data/icd/10cmguidelines_2016_Final.pdf (accesed: 25.05.2015)

Hrvatski zdravstveno-statistički ljetopis za 2009. godinu. URL: http://www.hzjz.hr/wp-content/uploads/2013/11/Ljetopis_2009.pdf (accesed: 25.05.2015)

Hrvatski zdravstveno-statistički ljetopis za 2010. godinu. URL: http://www.hzjz.hr/wp-content/uploads/2013/11/Ljetopis_2010.pdf (accesed: 25.05.2015)

Hrvatski zdravstveno-statistički ljetopis za 2011. godinu. URL: http://www.hzjz.hr/wp-content/uploads/2013/11/Ljetopis_2011.pdf (accesed: 25.05.2015)

Hrvatski zdravstveno-statistički ljetopis za 2012. godinu. URL: http://www.hzjz.hr/wp-content/uploads/2013/11/Ljetopis_2012.pdf (accesed: 25.05.2015)

Hrvatski zdravstveno-statistički ljetopis za 2013. godinu. URL: http://www.hzjz.hr/wp-content/uploads/2013/11/Ljetopis_2013.pdf (accesed: 25.05.2015)

Deaths, Percent of Total Deaths, and Death Rates for the 15 Leading Causes of Death: United States and Each State, 1999-2013. URL: http://www.cdc.gov/nchs/nvss/mortality/lcwk9.htm (accesed:25.05.2015)

LCWK1. Deaths, percent of total deaths, and death rates for the 15 leading causes of death in 5-year age groups, by race and sex: United States, 2010.

URL: http://www.cdc.gov/nchs/data/dvs/LCWK1_2010.pdf (accesed: 25.05.2015)

Deaths, Percent of Total Deaths, and Death Rates for the 15 Leading Causes of Death: United States and Each State, 1999-2013. URL: http://www.cdc.gov/nchs/nvss/mortality/lcwk9.htm (accesed:25.05.2015)

Global Health Observatory (GHO) data: Life expectancy URL: http://www.who.int/gho/mortality_burden_disease/life_tables/situation_trends/en/ (accesed: 26.05.2015)

Deaths, Percent of Total Deaths, and Death Rates for the 15 Leading Causes of Death: United States and Each State, 1999-2013. URL: http://www.cdc.gov/nchs/nvss/mortality/lcwk9.htm (accesed:25.05.2015)

User guide to the 2012 natality public use file. URL: ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/DVS/periodlinked/LinkPE12Guide.pdf (accesed: 26.05.2015)

User guide to the 2013 natality public use file. URL: ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/DVS/periodlinked/LinkPE13Guide.pdf (accesed: 26.05.2015)

User guide to the 2011 natality public use file. URL: ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/DVS/periodlinked/LinkPE11Guide.pdf (accesed: 26.05.2015)

User guide to the 2010 natality public use file. URL: ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/DVS/periodlinked/LinkPE10Guide.pdf (accesed: 26.05.2015)

User guide to the 2009 natality public use file. URL: ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/DVS/periodlinked/LinkPE09Guide.pdf (accesed: 26.05.2015)

Injuries and violence: the facts 2014. URL: http://apps.who.int/iris/bitstream/10665/149798/1/9789241508018_eng.pdf?ua=1&ua=1&ua=1 (accesed: 26.05.2015)

Škavić J, Zečević D. Načela sudskomedicinskih vještačenja. Naknada Ljevak, Zagreb. 2010.

Dunjić D. Utvrđivanje smrti - Pregled umrlih - Sudsko-medicinska obdukcija. Beograd, Zebra. 2004; 74-95.


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