Validación de la causa básica de defunción en las muertes que requieren intervención medicolegal

Abstract

The validity of the external causes in the Mortality Register is low due to under-reporting and the high proportion of symptoms signs and ill-defined causes. According to the results, incorporating information from forensic sources to the Mortality Register increases the quality of mortality statistics.

B-learning training in the certification of causes of death

“…19,20 This improvement in the process of certification is probably due to several reasons: larger teaching experience of the lecturers, the introduction of a forensic scientist to explain the medical and legal aspects and the higher emphasis on the validity of external causes and the possibility of on-line training. The greatest difficulty when making a decision currently lies on the question of whether the certification should be filled in by the doctor who checked the death or if there are doubts on the type of death (natural or violent) and of whether the certification should or should not be issued.…”

“…It will also be useful to assess the multicausality of diseases, because its study is not possible with the current model of certification, unless all the morbid or pathological processes associated or related with the underlying or basic cause are taken into account and assessed in the section of Other Processes. 19,20 Consequently, ICT must be introduced as an innovation in Higher Education and Continuing Professional Development, because this experience, which is based on the introduction of online training systems, has been positive and effective, which will in turn lead to an improvement in the quality of mortality statistics. Further studies must assess whether there are differences among on-site and on-line teaching-learning systems through the ICT on which the self-learning section of the CERTIFICA program is based (Spanish National Health System/Ministry of Health).…”

Lethality of Opioid Overdose in a Community Cohort of Young Heroin Users

“…In order to identify deaths from opioid overdose, we used codes from the 10th revision of the International Classification of Diseases (ICD-10), proposed by EMCDDA (F11, F12, F14-F16, F19, X42, X62, Y12) [20], plus codes X44 and X49, which are often used in Spain to signify overdose deaths not classifiable under any other code [21]. Participants not detected as deceased were considered to be alive at the end of the study period (December 31, 2006).…”

Tendência de mortalidade por lesões autoprovocadas intencionalmente no Brasil no período de 2004 a 2014

“…Além de sub-registro e de subnotificação, há o problema dos suicídios que "se escondem" sob outras denominações de causa de morte, como, por exemplo, acidente automobilístico, afogamento, envenenamento acidental e "morte de causa indeterminada" 39 . Evidencia-se a necessidade de maior conhecimento dos mecanismos socioculturais e econômicos que, direta e/ou indiretamente, constituem os mecanismos das lesões autoprovocadas intencionalmente nas diferentes regiões do Brasil, sendo de fundamental importância para a formulação de políticas públicas específicas que visem contribuir para a redução da tendência desse tipo de mortalidade.…”