Sudden Natural Deaths in Ontario,Canada:A Retrospective Autopsy Analysis(2012-2016)

作     者：Jayantha C.Herath Olivia Liu 

作者机构：Ontario Forensic Pathology Service Department of Laboratory Medicine and PathobiologyUniversity of TorontoToronto Department of Anthropology(Forensic Science)University of Toronto MississaugaMississaugaONCanada 

出 版 物：《Journal of Forensic Science and Medicine》 (法庭科学与法医学杂志（英文）)

年 卷 期：2020年第6卷第1期

页      面：18-26页

学科分类：0301[法学-法学] 083002[工学-环境工程] 0830[工学-环境科学与工程（可授工学、理学、农学学位）] 1001[医学-基础医学(可授医学、理学学位)] 08[工学] 

主　　题：Cause of death epidemiology forensic pathology forensic science Ontario sudden natural death 

摘      要：This study was performed to identify the categories and distribution of sudden natural deaths(SNDs)in Ontario(ON)from January 2012 to December 2016 as no such reports have been published in ON,and the authors sought to find out the distribution of SND across ON by organ system,age,and *** medicolegal databases were searched,and eight major categories of SND were identified and evaluated using multinomial logistic *** the 5-year period,10,880 autopsies were performed on individuals aged 1–100,who died of sudden and natural *** 800 causes of SNDs were recorded from January 2012 to December *** largest category of SND was attributed to diseases and complications of the cardiovascular system(64.1%)followed by the respiratory system(9.1%),gastrointestinal system(6.9%),central nervous system(6.0%),metabolic diseases(3.8%),chronic alcoholism(3.5%),other(2.4%),infectious diseases(2.2%),and cancer(1.8%).The five most common causes of SND were also cardiovascular in origin,which included atherosclerotic heart disease(n=2127,19.5%),atherosclerotic and hypertensive heart disease(n=711,6.5%),myocardial infarction(n=723,6.6%),hypertensive heart disease(n=518,4.8%),and pulmonary embolism(n=377,3.5%).Determination of cause of death in natural deaths is an important part in death investigation,which can provide crucial information in the interest of public health by identifying public health risks and monitoring disease trends.