Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! By
A Three-Year Investigation on Corpses Referred to Legal Medicine Organization From an Iranian General Hospital: A Cross-Sectional Study Publisher



S Dahaghin SABA ; A Aghakhani AVA ; A Memarian AZADEH ; P Monjezi PARDIS ; K Aghakhani KAMRAN
Authors

Source: Medical Journal of the Islamic Republic of Iran Published:2024


Abstract

Background: A Medical Certificate of Cause of Death (MCCD) is a legal and enforceable document issued by the attending physician. However, according to the instructions, in many cases such as sudden, unexplained, and extraordinary deaths, along with some uncommon causes, such as cases suspicious of murder, the deceased patient must be referred to the Iranian Legal Medicine Organization (ILMO). Moreover, the unnecessary referral of corpses to ILMO can increase the workload of the staff, finally confronting the family of the deceased with high emotional and financial costs. Methods: In this cross-sectional study, the medical records of all deceased patients referred from Hazrat Rasool Hospital to the ILMO (565 cases) in a three-year period from April 2016 to March 2019 were investigated and analyzed using SPSS22 software with chi-squared and T-test. Results: Among all the patients who passed away during this time (4,239 patients), 565 were referred to ILMO, accounting for 13.3% of deaths. The most common causes of referral were car and motorcycle accidents, with a total prevalence of 27.1%, dead-onarrival (DOA) prevalence of 21.3%, and death with an unknown cause prevalence of 15.3%. Significant correlation was also detected between causes of referral with gender, time of death, and age. For example, Car accidents and lawsuits against medical staff were more common in men and women, respectively. Conclusion: Car and motorcycle accidents, DOA, and unknown causes were the most prevalent causes of referral in this study. In general, few studies have been conducted regarding the causes of referral of the deceased to the Legal Medicine Organization. In this study, we collected relevant variables to investigate this issue thoroughly. © 2024 Elsevier B.V., All rights reserved.
Related Docs
View other Related Docs
1. Assessment of Mechanism, Type and Severity of Injury in Multiple Trauma Patients: A Cross Sectional Study of a Trauma Center in Iran, Chinese Journal of Traumatology - English Edition (2017)
2. Review of Ordering Don’T Resuscitate in Iranian Dying Patients, Journal of Religion and Health (2018)
3. Analysis of Medico-Legal Claims Related to Deliveries: Caesarean Section Vs. Vaginal Delivery, PLoS ONE (2024)
Experts (# of related papers)
View all Related Experts
Vafa Rahimi-Movaghar (4)
Mahdi Sharif-Alhoseini (2)
Other Related Docs
4. National and Subnational Patterns of Cause of Death in Iran 1990-2015: Applied Methods, Archives of Iranian Medicine (2017)
5. Sustaining the National Spinal Cord Injury Registry of Iran (Nscir-Ir) in a Regional Center: Challenges and Solutions, Iranian Journal of Public Health (2020)
6. Estimation of Oncologists’ Active Supply in Iran: Three Sources Capture-Recapture Method, Iranian Red Crescent Medical Journal (2017)
7. Islamic Jurisprudential and Ethical Considerations of Practicing Medical Procedures on Nearly Dead Patients; Part I-The Theoretical Section, Journal of Medical Ethics and History of Medicine (2018)
8. Trend of Fatal Poisoning at National and Provincial Levels in Iran From 1990 to 2015, Public Health (2019)
9. Causes of Death in Children Aged Under Five Years in Tehran Province, Iran: A Forensic Epidemiological Study of Autopsy Data, Iranian Journal of Pediatrics (2022)
10. Investigating Factors Affecting of the Occurrence of Suicides Leading to Death in Bodies Referred to the Forensic Medicine Organization of Tehran Province From 2010 to 2019, Journal of Payavard Salamat (2022)
11. Comparison of Clinical, Para-Clinical and Laboratory Findings in Survived and Deceased Patients With Covid-19: Diagnostic Role of Inflammatory Indications in Determining the Severity of Illness, BMC Infectious Diseases (2020)
12. Hospital Expenditure at the End-Of-Life: A Time-To-Death Approach, International Journal of Health Policy and Management (2022)
13. Determinants and Causes of Maternal Mortality in Iran Based on Icd-Mm: A Systematic Review, Reproductive Health (2019)
14. How Long It Takes Patients’ Initial Statements of Concerns? Brief Report, Tehran University Medical Journal (2015)
15. Islamic Jurisprudential and Ethical Considerations of Practicing Medical Procedures on Nearly Dead Patients: Part Ii (Shiite Jurisprudents’ Viewpoints), Journal of Medical Ethics and History of Medicine (2018)
16. The Completeness of the Registration System and the Economic Burden of Fatal Injuries in Iran; [Iran’Da Kayit Sisteminin Butunlugu Ve Olumcul Yaralanmalarin Ekonomik Yuku], Ulusal Travma ve Acil Cerrahi Dergisi (2020)
17. Development of the Draft Clinical Guideline on How to Resuscitate Dying Patients in the Iranian Context: A Study Protocol, Indian Journal of Palliative Care (2016)
18. The Burden of Road Traffic Injuries in Kermanshah Province, Iran, in 2010–2011: Gbd 2010 Method, International Journal of Injury Control and Safety Promotion (2017)
19. Measuring Medical Errors and Adverse Events in a Hospital Using Global Trigger Tool, Tehran University Medical Journal (2020)
20. Investigating the Association Between Covid-19 Prognosis and Demographic and Clinical Features, Underlying Diseases, and Drug and Supplement Use in Patients Hospitalized in Zabol, Iran: A Single-Center Retrospective Study, Infection# Epidemiology and Microbiology (2023)