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Usefulness of postmortem imaging to determine cause of death in CPAOA cases

Research Project

Project/Area Number 25870845
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Emergency medicine
Legal medicine
Research InstitutionSt. Marianna University School of Medicine

Principal Investigator

Kato Akihito  聖マリアンナ医科大学, 医学部, 助教 (50459179)

Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords死後画像 / 心肺停止
Outline of Final Research Achievements

Although an autopsy is necessary for determining cause of death, Japan has the lowest autopsy rate among advanced nations. We examined whether postmortem imaging is useful for investigating cause of death in cardiopulmonary arrest on arrival (CPAOA) at emergency hospitals. We found that postmortem CT was useful for detecting post-traumatic changes and hemorrhagic lesions, but not ischemic lesions or infections. In some cases, postmortem CT was performed to assess therapeutic efficacy. A death certificate or postmortem certificate was issued for many patients without further examination such as clinical laboratory tests, and cause of death was not accurately determined. Postmortem images are considered vital to implementation of the Medical Accidents Investigation System. The establishment of widespread postmortem imaging and corroborating complementary examinations, not to mention an increased autopsy rate, are urgently needed to achieve accurate cause of death investigations.

Report

(4 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (1 results)

All 2014

All Presentation (1 results)

  • [Presentation] Autopsy imagingによる死因究明について 二次救急病院と三次救急病院の違いから2014

    • Author(s)
      加藤晶人
    • Organizer
      第42回日本救急医学会総会・学術集会
    • Place of Presentation
      福岡国際会議場(福岡)
    • Year and Date
      2014-10-28 – 2014-10-30
    • Related Report
      2014 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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