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10.1136/jclinpath-2021-208003 http://scihub22266oqcxt.onion/10.1136/jclinpath-2021-208003 35039447!ä!35039447 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Clin+Pathol 2023 ; 76 (7): 457-462 Nephropedia Template TP {{tp|p=35039447|t=2023. Coronial postmortem reports and indirect COVID-19 pandemic-related mortality |pdf=|usr=}}{{35039447}} gab.com Text Coronial postmortem reports and indirect COVID-19 pandemic-related mortality JO: J Clin Pathol http://www.kidney.de/pget.php?&tw=1&pmid=35039447 #FOAvip AIMS: Widespread disruption of healthcare services and excess mortality not directly attributed to COVID-19 occurred between March and May 2020. We undertook the first UK multicentre study of coroners' autopsies before and during this period using postmortem reports. METHODS: We reviewed reports of non-forensic coroners' autopsies performed during the first COVID-19 lockdown (23 March to 8 May 2020), and the same period in 2018. Deaths were categorised as natural non-COVID-19, COVID-19-related, non-natural (suicide, drug and alcohol-related, traumatic, other). We provided opinion regarding whether delayed access to medical care or changes in behaviour due to lockdown were a potential factor in deaths. RESULTS: Seven centres covering nine coronial jurisdictions submitted a total of 1100 coroners' autopsies (498 in 2018, 602 in 2020). In only 54 autopsies was death attributed to COVID-19 (9%). We identified a significant increase in cases where delays in accessing medical care potentially contributed to death (10 in 2018, 44 in 2020). Lockdown was a contributing factor in a proportion of suicides (24%) and drug and alcohol-related deaths (12%). CONCLUSIONS: Postmortem reports have considerable utility in evaluating excess mortality due to healthcare and wider societal disruption during a pandemic. They provide information at an individual case level that is not available from assessment of death certification data. Detailed evaluation of coroners' autopsy reports, supported by appropriate regulatory oversight, is recommended to mitigate disruption and indirect causes of mortality in future pandemics. Maintaining access to healthcare, including substance misuse and mental health services, is an important consideration. Twit Text FOAVip Coronial postmortem reports and indirect COVID-19 pandemic-related mortality ????J Clin Pathol http://www.kidney.de/pget.php?&tw=1&pmid=35039447 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=35039447 #FOAvip English Wikipedia <ref>{{Cite pmid|35039447}}</ref> Coronial postmortem reports and indirect COVID-19 pandemic-related mortality #MMPMID35039447 Pell R; Suvarna SK; Cooper N; Rutty G; Green A; Osborn M; Johnson P; Hayward A; Durno J; Estrin-Serlui T; Mafham M; Roberts ISD J Clin Pathol 2023[Jul]; 76 (7): 457-462 PMID35039447show ga AIMS: Widespread disruption of healthcare services and excess mortality not directly attributed to COVID-19 occurred between March and May 2020. We undertook the first UK multicentre study of coroners' autopsies before and during this period using postmortem reports. METHODS: We reviewed reports of non-forensic coroners' autopsies performed during the first COVID-19 lockdown (23 March to 8 May 2020), and the same period in 2018. Deaths were categorised as natural non-COVID-19, COVID-19-related, non-natural (suicide, drug and alcohol-related, traumatic, other). We provided opinion regarding whether delayed access to medical care or changes in behaviour due to lockdown were a potential factor in deaths. RESULTS: Seven centres covering nine coronial jurisdictions submitted a total of 1100 coroners' autopsies (498 in 2018, 602 in 2020). In only 54 autopsies was death attributed to COVID-19 (9%). We identified a significant increase in cases where delays in accessing medical care potentially contributed to death (10 in 2018, 44 in 2020). Lockdown was a contributing factor in a proportion of suicides (24%) and drug and alcohol-related deaths (12%). CONCLUSIONS: Postmortem reports have considerable utility in evaluating excess mortality due to healthcare and wider societal disruption during a pandemic. They provide information at an individual case level that is not available from assessment of death certification data. Detailed evaluation of coroners' autopsy reports, supported by appropriate regulatory oversight, is recommended to mitigate disruption and indirect causes of mortality in future pandemics. Maintaining access to healthcare, including substance misuse and mental health services, is an important consideration. |*COVID-19[MESH] |*Suicide[MESH] |Autopsy[MESH] |Cause of Death[MESH] |Communicable Disease Control[MESH] |Coroners and Medical Examiners[MESH] |Humans[MESH] |Multicenter Studies as Topic[MESH]Coronial postmortem reports and indirect COVID-19 pandemic-related mor(epmc).pdf DeepDyve Pubget Overpricing