关于死后CIED审讯的法医观点:系统性审查和元分析
Maria Sofia Fede1, Paolo Compagnucci2, Angelo Montana1
1Department of Excellence of Biomedical Science and Public Health - Section of Legal Medicine - University Politecnica delle Marche of Ancona, Via Tronto 10/A, Ancona, Italy.
Forensic science international
|May 7, 2024
概括
对心脏植入式电子设备 (CIED) 的死后审讯是一种有价值的法医工具. 这一系统性审查强调了它在确定死亡原因方面的实用性,补充了尸检发现.
科学领域:
- 法医病理学 法医病理学
- 心脏病学 心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 心脏植入式电子设备 (CIED) 具有与法医调查相关的先进诊断功能.
- 目前的指导方针缺乏对死后CIED审讯的具体建议.
- 本综述评估了死后CIED审讯的作用,并提供了实际建议.
研究的目的:
- 提供对死后CIED审讯在法医调查中的作用的最新评估.
- 为了确定CIED审讯和尸检的速度.
- 分析最后的节奏,心律失常,死亡原因/时间的确定,以及设备故障.
主要方法:
- 系统地搜索MEDLINE和Scopus的死后人类CIED审讯报告.
- 不包括病例报告,综述和非CIED设备.
- 用固定效应元分析与异质性的I2统计数据汇集和分析数据.
主要成果:
- 包括25篇文章和3194名死者;88%的人有CIED审讯数据可用.
- 死亡后CIED审讯成功率为89%,异质性是由于设备停用.
- 在34%受访的CIED中记录了心室动脉节律失常,特别是在心脏突然死亡的情况下.
结论:
- 死后CIED审讯是一个有价值的工具,它补充了尸检,以确定死亡原因.
- 法医病理学家必须了解这种诊断检查的实用性,陷和局限性.
- 提供了实际建议,以便在日常实践中可靠地应用.
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