Journal List > Korean J Leg Med > v.38(4) > 1087948

Kim, Park, Cho, Seo, Choi, and Na: The Discrepancy of the Cause and Manner of Death between Death Certificates and Autopsy Reports

Abstract

Both death certificates and postmortem examination certificates are used as proof of death. These certificates sometimes contain erroneous information but how frequently they do so is unknown. In particular, only a few studies have measured the accuracy of the cause and manner of death on Korea death documents. In this study, we compared the cause and manner of death on both kinds of certificates with those on autopsy reports to determine the frequency of errors, and to identify way to improve the accuracy of these certificates. In 2012, 528 autopsies were requested of out institute, and certificates were submitted in 241 of the cases. The manner of death was classified as natural, unnatural, or unknown. The cause of death in the autopsy report matched that on the death certificate in 37 of 63 cases (58.7%), and the manner of death matched in 40 of 63 cases (63.5%). The cause of death in the autopsy report matched that on the postmortem examination certificate in 62 of 178 cases (34.8%), and the manner of death matched in 74 of 178 cases (41.6%). Death certificates and postmortem examination certificates are important documents. We identified many incorrect reports of causes and manners of death on both kinds of documents, especially the postmortem death certificates. These inaccuracies are presumably due to a lack of forensic information and education, as well as lack of interest on the part of medical doctors.

References

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Table 1.
The Comparison Analysis of 241 Death Certificates about COD and MOD
Death certificate No. (%)
Medical death certificate 063 (26.1)
COD Accorded 37 (58.7)
  Discorded 26 (41.3)
MOD Accorded 40 (63.5)
  Discorded 23 (36.5)
Postmortem examination certificate 178 (73.9)
COD Accorded 62 (34.8)
  Discorded 116 (65.2)
MOD Accorded 074 (41.6)
  Discorded 104 (58.4)

COD, cause of death; MOD, manner of death.

Table 2.
The Comparison Analysis of Manner of Death between Death Certificates and Autopsy Reports
Death certificate No. (%)
Medical death certificate 63 (100)
Accorded 40 (63.5)
Discorded 23 (36.5)
Type 1 1 (4.3)
Type 2 4 (17.4)
Type 3  
Type 4 16 (69.6)
Type 5 2 (8.7)
Postmortem examination certificate 178 (100)
Accorded 74 (41.6)
Discorded 104 (58.4)
Type 1 04 (3.8)
Type 2 03 (2.9)
Type 3 04 (3.8)
Type 4 86 (82.7)
Type 5 07 (6.8)
Table 3.
The Comparison Analysis of the MOD According to Discrepancy of the COD
Death certificate No. (%)
Medical death certificate 63 (100)
COD accorded 37 (58.7)
MOD accorded 34 (91.9)
MOD discorded 3 (8.1)
COD discorded 26 (41.3)
MOD accorded 6 (23.1)
MOD discorded 20 (76.9)
Postmortem examination certificate 178 (100)
COD accorded 62 (34.8)
MOD accorded 47 (75.8)
MOD discorded 15 (24.2)
COD discorded 116 (65.2)
MOD accorded 27 (23.3)
MOD discorded 89 (76.7)

COD, cause of death; MOD, manner of death.

Table 4.
Discrepancy of the COD According to Manner of Death of Autopsy Reports
Manner of death No. (%)
Natural death 98 (34.9)
Accorded COD 17 (17.3)
Discorded COD 81 (82.7)
Unnatural death 128 (45.6)
Suicide 23 (18.1)
Accorded COD 16 (69.6)
Discorded COD 07 (30.4)
Homicide 29 (22.6)
Accorded COD 17 (58.6)
Discorded COD 12 (41.4)
Accident 64 (50.0)
Accorded COD 32 (50.0)
Discorded COD 32 (50.0)
Undetermined 12 (9.3)
Accorded COD 9 (75.0)
Discorded COD 3 (25.0)
Unknown 12 (4.3)
Accorded COD 8 (66.7)
Discorded COD 4 (33.3)

COD, cause of death.

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