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Postmortem injury evaluation using the Forensic Injury Severity Score Template (FISST): a preliminary study
Dae Geon Kim1, Hae-Sung Choi1, Tae Hwan Lee1
1Department of Medicine, Pusan National University School of Medicine, 49 Busandaehak-ro Mulgeum-eup, Yangsan, 50612, Republic of Korea.
Forensic Science, Medicine, and Pathology
|February 7, 2023
Summary
The Forensic Injury Severity Score Template (FISST) offers objective postmortem injury assessment, improving upon clinical tools like the Abbreviated Injury Scale (AIS) for forensic applications.
Area of Science:
- Forensic Medicine
- Trauma Research
- Injury Assessment
Background:
- Clinical injury scales like the Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS) lack forensic applicability.
- Objective and quantitative evaluation of postmortem injuries is crucial for forensic medicine.
Purpose of the Study:
- To introduce the Forensic Injury Severity Score Template (FISST) for objective postmortem injury assessment.
- To evaluate the utility of FISST in forensic medicine through retrospective case analysis.
Main Methods:
- Retrospective study of 119 autopsies conducted between 2018 and 2021.
- Application of the newly developed Forensic Injury Severity Score Template (FISST), based on AIS and ISS principles.
- Categorization and analysis of autopsy data using FISST scores.
Main Results:
- Mean FISST scores varied by demographics and cause of death (e.g., men: 53.6, women: 46.8; unnatural death: 66.3, natural death: 13.8).
- Statistically significant differences in FISST scores were observed between natural and unnatural deaths, suicidal and accidental deaths, and trauma subtypes.
- FISST demonstrated objective and quantitative evaluation of autopsy-identified injuries.
Conclusions:
- The Forensic Injury Severity Score Template (FISST) is a valuable tool for objective postmortem injury evaluation in forensic medicine.
- FISST provides a quantitative method for assessing injuries from a postmortem perspective, addressing limitations of existing clinical scales.
