Undetermined Manner of Death: An Autopsy Series

Advenier, Anne‐Sophie; Guillard, Nadege; Alvarez, Jean‐Claude; Martrille, Laurent; Grandmaison, Geoffroy Lorin de la

doi:10.1111/1556-4029.12924

Cited by 13 publications

(10 citation statements)

References 46 publications

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“…The 'manner of death' is a determination made by an expert following an investigation (e.g., a coroner, the police, or a medical examiner). Five manners of death are generally considered: natural, accidental, suicide, homicide, and undetermined (Advenier et al, 2016). Lutz et al (2019) recently collected microbiome samples from 265 corpses from Finland, Italy, and the United States.…”

Section: Manner and Cause Of Deathmentioning

confidence: 99%

Forensic Applications of Microbiomics: A Review

et al. 2021

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The rise of microbiomics and metagenomics has been driven by advances in genomic sequencing technology, improved microbial sampling methods, and fast-evolving approaches in bioinformatics. Humans are a host to diverse microbial communities in and on their bodies, which continuously interact with and alter the surrounding environments. Since information relating to these interactions can be extracted by analyzing human and environmental microbial profiles, they have the potential to be relevant to forensics. In this review, we analyzed over 100 papers describing forensic microbiome applications with emphasis on geolocation, personal identification, trace evidence, manner and cause of death, and inference of the postmortem interval (PMI). We found that although the field is in its infancy, utilizing microbiome and metagenome signatures has the potential to enhance the forensic toolkit. However, many of the studies suffer from limited sample sizes and model accuracies, and unrealistic environmental settings, leaving the full potential of microbiomics to forensics unexplored. It is unlikely that the information that can currently be elucidated from microbiomics can be used by law enforcement. Nonetheless, the research to overcome these challenges is ongoing, and it is foreseeable that microbiome-based evidence could contribute to forensic investigations in the future.

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Section: Manner and Cause Of Deathmentioning

confidence: 99%

Forensic Applications of Microbiomics: A Review

et al. 2021

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“…Determining manner of death is important for the victim's family, police investigation, research, death statistics, and for insurance issues (Advenier et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

A Retrospective Study of Autopsy Cases Carried out in Qena, Luxor and Aswan governorates, Upper Egypt during the Period of 2008 – 2011

Abdellah

Ghandour

Ali

2018

Zagazig Journal of Forensic Medicine

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Background: Medico-legal autopsies are done on request by the police for investigating sudden, suspicious and unnatural deaths. It is done to establish a cause and manner of death. Manner of death could be classified according to the circumstances of death to; unnatural manners e.g. (homicidal, accidental, suicidal), naturally or unidentified. Objective: To identify the epidemiological profile and characteristics of death in medico-legal autopsies in Qena, Luxor and Aswan governorates. Methodology: A retrospective descriptive statistical analysis of the medico-legal autopsies conducted at Qena, Luxor and Aswan governorates, during the period from 2008 to 2011. Results: Total number of medico-legal autopsies performed during the study period was 511 cases. Homicidal cases were 57.34%, accidental cases were 16.83%, 12.72% were suicidal, 4.89% were natural deaths, and manner of death was not identified in 8.22% of autopsies. Most of the homicidal victims were males representing 79.9% of homicidal deaths, 73.3% of accidental deaths and 47.7% of suicidal deaths. Age groups of 21-30 year and 31-40 years accounted for 26.62% and 21.72% of the deaths respectively. Firearm, blunt and stab injuries were the main recorded injuries representing 34.44%, 13.31%, and 12.72% respectively. The Chest was the target of firearm and stab wounds while the head was the target of blunt trauma. Asphyxial deaths represented 8.61 % of all deaths. drowning represented 34.1% of asphyxial deaths. Poisoning was the cause of death in 12.13% of autopsies and 80.65% of poisoning deaths were caused by hair dye. Conclusion: High incidence of homicidal firearm mortality in these districts. High incidence of homicidal death was recorded in males and it was mainly due to firearm, stab and blunt trauma while suicide showed a higher incidence in females ,especially using hair dyes. Males committed suicide by more violent methods; hanging, ligature strangulation and firearms.

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“…Although Shanghai has an established and well-functioning CRVS system, SmartVA for Physicians contributed to an improvement in the accuracy of death certification, as measured by the CSMF, which increased from 0.93 to 0.96 following the introduction of SmartVA. In addition, SmartVA may be a useful tool for inferring some special causes of death, such as those CODs classified as undetermined, which while less of an issue for Shanghai, is a common problem in civil registration systems worldwide (20)(21)(22)(23)(24). In our study, four undetermined CODs were reclassified after the application of SmartVA.…”

Section: Discussionmentioning

confidence: 90%

Assessing the Diagnostic Accuracy of Physicians for Home Death Certification in Shanghai: Application of SmartVA

Chen

Xia

Rampatige

et al. 2022

Front. Public Health

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Approximately 30% of deaths in Shanghai either occur at home or are not medically attended. The recorded cause of death (COD) in these cases may not be reliable. We applied the Smart Verbal Autopsy (VA) tool to assign the COD for a representative sample of home deaths certified by 16 community health centers (CHCs) from three districts in Shanghai, from December 2017 to June 2018. The results were compared with diagnoses from routine practice to ascertain the added value of using SmartVA. Overall, cause-specific mortality fraction (CSMF) accuracy improved from 0.93 (93%) to 0.96 after the application of SmartVA. A comparison with a “gold standard (GS)” diagnoses obtained from a parallel medical record review investigation found that 86.3% of the initial diagnoses made by the CHCs were assigned the correct COD, increasing to 90.5% after the application of SmartVA. We conclude that routine application of SmartVA is not indicated for general use in CHCs, although the tool did improve diagnostic accuracy for residual causes, such as other or ill-defined cancers and non-communicable diseases.

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Undetermined Manner of Death: An Autopsy Series

Cited by 13 publications

References 46 publications

Forensic Applications of Microbiomics: A Review

Forensic Applications of Microbiomics: A Review

A Retrospective Study of Autopsy Cases Carried out in Qena, Luxor and Aswan governorates, Upper Egypt during the Period of 2008 – 2011

Assessing the Diagnostic Accuracy of Physicians for Home Death Certification in Shanghai: Application of SmartVA

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