IP International Journal of Forensic Medicine and Toxicological Sciences

Print ISSN: 2581-9844

Online ISSN: 2456-9615

CODEN : IIJFA2

IP International Journal of Forensic Medicine and Toxicological Sciences (IJFMTS) open access, peer-reviewed quarterly journal publishing since 2016 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster more...


  • Article highlights
  • Article tables
  • Article images

Article statistics

Viewed: 137

PDF Downloaded: 74

Singh, Choudhary, Nigam, Gour, Yadav, and Dohre: Profile and pattern of post-mortem cases in mortuary of district hospital (associated with government medical college, Vidisha). — A cross-sectional study


Introduction

Atal Bihari Vajpayee Government Medical College situated in Vidisha. District Hospital Vidisha is associated with Medical College. It is an important tertiary health care hospital not only for Vidisha but also for surrounding many Districts. Being a tertiary care hospital such a health set up caters to variety of medico-legal cases like road traffic accidents, industrial accidents, poisoning cases, Burn cases , bites etc. which are basically accidental, suicidal and homicidal involving various aspects of the law of the land. The term ‘Autopsy’ originates from ancient ‘Autopsia’ which is derived from ‘Autos’ i.e. ‘Oneself’ and ‘Opsis’ i.e. ‘to see for oneself’. An autopsy is frequently done in cases of sudden death where a doctor is not able to give a death certificate or when death is believed due to a unnatural cause.1 Section 174 and 176 Code of Criminal Procedure (Cr. P.C.) mention the concept of a medico-legal autopsy during the investigations of a sudden, suspicious, unnatural death.2 The objective of medico-legal post-mortem examination is to establish the identity of a body, when not known; to ascertain the time since death and the cause of death; and whether the death was natural or unnatural and if unnatural, whether it was homicidal, suicidal or accidental. In case of new born infants, the question of live birth and viability assume importance and should be determined.3 A complete autopsy involves opening all body cavities and all organs of the trunk, chest, and head.4 Objective of the study to identify the pattern of Post-mortem Cases, with regard to various criteria like age, sex, and cause of death etc

Materials and Methods

This is a retrospective study, conducted in medico legal section and casualty of District Hospital (Associated with Government Medical College, Vidisha) during the period from 1st January 2018 to 31st December 2018. Post-mortem cases of above duration included in this study. Data were collected using a pre-designed format from Post mortem registers/records, Inquest papers and Post mortem reports, the data was tabulated using Microsoft excel work sheet and analysis was done using Epi-info software (version 3.2). Descriptive results are presented in table form.

Observations

Of these cases 247 (74.84%) were males, 54 (25.15%) were females and 276 (83.63%) were identified whereas 54 (16.36%) were unidentified. Younger 11 to 30 years age group were commonest 170(51.45%).1 – 10 years were 4(1.21%), 31-40 were 61 (18.48%),41-50 were 45 (13.63%) and above 61 years were 31 (9.39%).(Table 1)

Table 1

Age wise distribution of cases (n=330)

Age groups

No. of cases

Percentage (%)

1-10

4

01.21 %

11-20

51

15.45%

21-30

119

36.06%

31-40

61

18.48%

41-50

45

13.63%

51-60

19

5.75%

61 & above

31

9.39%

Total

330

100%

Post -mortem cases were more in number in summer season from April to July 151(45.75%). less in number in winter from December to march 77 (23.33%). August to November cases were 102 (30.9%). (Table 2)

Table 2

Months wise Distribution (n=330)

Month

No. of cases (Percentage)

January

16(4.84%)

February

14(4.24%)

March

22(6.66%)

April

36(10.9%)

May

44(13.33%)

June

40(12.12%)

July

31(9.39%)

August

26(7.87%)

September

29(8.78%)

October

28(8.48%)

November

19(5,75%)

December

25(7.57%)

Total

330(100%)

Among the natural deaths, Some pathology was seen in30 (10.89%) cases, Cardiac pathology in 06 (1.81%%) cases Among Un-Natural death, Accident 142(43%) was prominent cause of death specially in males 130 (39.39%). Poisoning 98 (29.69%) is common cause of death in females 60 (18.18%). Assault cases were infrequent 24 (7.27%) and found only in males. Hanging cases were 19 (5.75%) then, Drowning 7 (2.12%), Electrocution 2 (2.12%), Snake bite 2 (2.12%) respectively. (Table 3)

Table 3

Pattern of Post-mortem cases with sex wise distribution (n=330)

Cause of Death

Male

Female

Total

Poisoning

38 (11.51%)

60 (18.18%)

98(29.69%)

Accident

130 (39.39%)

12 (3.63%)

142 (43%)

Hanging

15 (4.54%)

4 (1.21%)

19 (5.75%)

Assault

24 (7.27%)

0 (0 %)

24 (7.27%)

Pathological

23 (6, 96%)

7 (2.12%)

30 (9.09%)

Cardiac Pathology

6 (1.81%)

0 (0%)

6 (1.81%)

Drowning

7 (2.12%)

0 (0%)

7 (2.12%)

Electrocution

2(2.12%)

0 (0%)

2 (2.12%)

Snake bite

2 (2,12%

0 (0%)

2 (2.12%)

Total

247 (74.84%)

83 (25.15%)

330 (100%)

Discussion

Out of 159 cases maximum number of autopsy cases were in the age group of 21-30 years which is the most productive year in one’s life. These findings are in consistency with findings of Kannan K(3), Mathiharan K5, Curran WJ6 & ME Bansude.7 In our study majority of victims were males(74.84%). Similar findings are seen in studies done by Murthy et al.8, 9 who studied 150 cases out of which 123(82%) were males & 27(18%) females. Mugadlimath et al.10 studied 64 cases out of which 39(61%)were males & 25 (39%) females. The reason being that as males are bread earners and females usually doing household work, which makes the males more vulnerable to accidents, violence and stress & also males predisposed for risk taking behaviour Deaths due to road traffic accidents & its complications constituted majority of cases 43% followed by poisoning 29.69% Similar findings are observed in studies done by K Awdesh et al.9 and ME Bansude.7 The reason being that our centre being tertiary care hospital, most of the accident cases are referred to our hospital including from rural areas. According to month wise distribution of cases, findings of our study showed more number of cases between April to July (45.75%). Similar findings are seen in studies by Patel et al.11 and Awdesh et al.9

Conclusion

Study conducted at Atal Bihari Vajpayee Government Medical College situated in Vidisha. District Hospital Vidisha is associated with Medical College., to know the profile of medico-legal autopsies during a period of one year from January 2018 to December 2018 comprising a total of 330 medico-legal autopsies. In our study we found that majority of cases were in 3rd decade of life, males outnumbered females, rural residents were more in number, RTA, Poisoning are leading cause of death, among road traffic accidents 2 wheeler accidents were more in number. Maximum number of cases were seen in the period between April-June. This study helps to interpret different types of medico-legal autopsy cases, thereby providing an insight to the policy-makers, law custodians, and the community to look into the specific aspects of the cases and then to take proper measures to reduce mortality.

Conflict f Interest

None.

Source of Funding

None.

References

1 

K Vij Text book of Forensic Medicine & Toxicology: Principles & Practice5th Edition2008245https://www.elsevier.com/books/textbook-of-forensic-medicine-and-toxicology-principles-and-practice/vij/978-81-312-2684-1

2 

Sections 174& 176 of the Code of Criminal Procedure, 1973. In: Basu’s Criminal Court Handbook containing Criminal Major Acts, 10thed 2007. Orient Publishing Company, New Delhi:19731346https://indiankanoon.org/doc/411677/

3 

K Kannan K Mathiharan Ed A Textbook of Medical Jurisprudence and Toxicology2952012360https://www.amazon.in/Textbook-Medical-Jurisprudence-Toxicology/dp/8180387747

4 

4.The Punjab Medical Manual, 2nded. 1933. Superintendent, Government Printing, Punjab, Lahore; App. XXXVII: CII, Chapter X, p. 154, Para 595595

5 

K Kannan K Mathiharan Modi : a textbook of medical jurisprudence and toxicology2952012360https://www.worldcat.org/title/modi-a-textbook-of-medical-jurisprudence-and-toxicology/oclc/880320241

6 

W J Curran The Medico-legal autopsy and Medicolegal investigationBull N Y Acad Med197147776675

7 

MEBansude R V Kachare C R Dode Trends of unnatural deaths in latur district of MaharashtraJournal Forensic Med201221279

8 

M S N Murthy B N Dutta V Ramalingaswami Coronary atherosclerosis in North India (Delhi area)J Pathol Bacteriol19638519310110.1002/path.1700850109

9 

A Kumar T B Singh S K Pondey A descriptive study on trend of unnatural deaths in VaranasiInt J Curr Res201571404185

10 

A Mugadlimath S Kadagoudar S Sheelvant K Bambeshwar Profile of medico legal autopsy cases at tertiary care centre in BagalkotIndian J Forensic Med Pathol2017102636

11 

J B Patel P Chandegara U Patel S Parkhe G Govekar Profile of autopsy cases at New Civil Hospital, Surat: a retrospective studyInt J Med Sci Public Health201651101010.5455/ijmsph.2016.060420153



jats-html.xsl

© This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Article type

Original Article


Article page

40-42


Authors Details

Narendra Singh, Nidhi Choudhary, Manish Nigam, Vinayak Gour, Vikas Yadav, Sharad Dohre


Article History

Received : 24-05-2021

Accepted : 25-05-2021

Available online : 26-07-2021


Article Metrics


View Article As

 


Downlaod Files

   








Wiki in hindi