Postmortem Interval and Diagnostic Performance of the Autopsy Methods View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-12

AUTHORS

Juan Carlos Hurtado, Llorenç Quintó, Paola Castillo, Carla Carrilho, Fabiola Fernandes, Dercio Jordao, Lucilia Lovane, Mireia Navarro, Isaac Casas, Rosa Bene, Tacilta Nhampossa, Paula Santos Ritchie, Sónia Bandeira, Calvino Sambo, Valeria Chicamba, Sibone Mocumbi, Zara Jaze, Flora Mabota, Mamudo R. Ismail, Cesaltina Lorenzoni, Assucena Guisseve, Natalia Rakislova, Lorena Marimon, Natalia Castrejon, Ariadna Sanz, Anelsio Cossa, Inacio Mandomando, Khátia Munguambe, Maria Maixenchs, Carmen Muñoz-Almagro, Eusebio Macete, Pedro Alonso, Jordi Vila, Quique Bassat, Clara Menéndez, Miguel J. Martínez, Jaume Ordi

ABSTRACT

Postmortem studies, including the complete diagnostic autopsy (CDA) and the minimally invasive autopsy (MIA), an innovative approach to post-mortem sampling and cause of death investigation, are commonly performed within 24 hours after death because the quality of the tissues deteriorates over time. This short timeframe may hamper the feasibility of the procedure. In this study, we compared the diagnostic performance of the two postmortem procedures when carried out earlier and later than 24 hours after death, as well as the impact of increasing postmortem intervals (PMIs) on the results of the microbiological tests in a series of 282 coupled MIA/CDA procedures performed at the Maputo Central Hospital in Mozambique between 2013 and 2015. 214 procedures were conducted within 24 hours of death (early autopsies), and 68 after 24 hours of death (late autopsies). No significant differences were observed in the number of non-conclusive diagnoses (2/214 [1%] vs. 1/68 [1%] p = 0.5645 for the CDA; 27/214 [13%] vs. 5/68 [7%] p = 0.2332 for the MIA). However, increasing PMIs were associated with a raise in the number of bacteria identified (rate: 1.014 per hour [95%CI: 1.002-1.026]; p = 0.0228). This increase was mainly due to rising numbers of bacteria of the Enterobacteriaceae family and Pseudomonas genus strains. Thus, performing MIA or CDA more than 24 hours after death can still render reliable diagnostic results, not only for non-infectious conditions but also for many infectious diseases, although, the contribution of Enterobacteriaceae and Pseudomonas spp. as etiological agents of infections leading to death may be overestimated. More... »

PAGES

16112

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41598-018-34436-1

DOI

http://dx.doi.org/10.1038/s41598-018-34436-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1107849812

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30382145


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