Halottvizsgálati bizonyítványok adatainak elemzése nem boncolt elhunytak esetén | Analysis of death certificates in postmortem examination waivers

Absztrakt: Bevezetes es celkitűzes: Harom megyeben vizsgaltak a halottvizsgalati bizonyitvanyok kitolteset boncolasra kerult, valamint boncolasmellőzott elhunytak eseteben, kulonos tekintettel az erőszakos halalesetekre. Modszer: A harom megyeben valamennyi, 2006 es 2010 kozott bekovetkezett halalesetet vizsgaltak. A halottvizsgalati bizonyitvanyok tekinteteben rogzitettek az alapbetegseget, a kozvetlen halalokot, a halalozas jelleget, valamint a halottvizsgalatot kitoltő orvos kapcsolatat a halalesettel. Eredmenyek: A boncolasok mellőzesenek kerdeseben a harom megyeben jelentős kulonbsegek adodtak, attol fuggően, hogy ki toltotte ki a halottvizsgalati bizonyitvanyt. Az erőszakos halalesetek korebe sorolhato baleseti jellegű halalozas eseten 844 esetben, nem meghatarozott seruleses mechanizmus eseten 28 esetben mellőztek a boncolast. Ongyilkossag eseten 25 esetben, emberoles tekinteteben egy esetben nem kerult sor boncolasra. Kovetkeztetesek: A magyarorszagi jogszabalyok szerint minden olyan esetben, amikor a halal nem termeszetes vagy ketseges, hogy termeszetes uton allt be, hatosagi vagy igazsagugyi orvosi boncolast kell vegezni. A halottvizsgalati bizonyitvanyok adatai alapjan nem erthető, hogy erőszakos halalesetekben miert kerul sor a boncolas mellőzesere. Orv. Hetil., 2016, 157(52), 2082–2087. | Abstract: Introduction and aim: The practices of autopsies and waivers in three Hungarian counties subject to the same statutory framework in a 5-year interval have been examined, with special attention to cases of non-natural death. Method: The summary data included in the post mortem examination certificates, for the years between 2006 and 2010, in a breakdown according to counties, covering all cases of death were analysed. The work was assisted by a Java-based software programme. Results: In terms of the waiving of autopsies, a comparison of the three counties revealed significant differences. The persons who issue waivers from the performance of autopsies also vary across the counties. In case of deaths caused by accidents, no autopsy was performed in 844 cases. Similar situation was found in case of various identified and non-identified injuries, which were entered as the direct cause of death in 28 cases, as well as road traffic accidents entered in 32 cases and the unidentified consequences of road traffic accidents, which we found in 26 cases. No autopsy was performed in 25 cases of deaths assumed to be suicides and in one homicide. Conclusions: The Hungarian laws follow the recommendation of the Committee of Ministers to Member States of the Council of Europe, and provide that in all cases where the death is due to non-natural causes or the possibility of non-natural causes is raised, an autopsy should be performed. In this given legal context it is unclear how autopsies in the cases of death due to homicides, suicides and accidents as detailed above could possibly be dispensed with. The purpose of this paper was to provide a baseline study on the current practice of certification. The findings could be used in the course of governmental reviews for the purpose of drawing up recommendations. Orv. Hetil., 2016, 157(52), 2082–2087.