Ulus Travma Acil Cerrahi Derg. 2016; 22(1): 66-75 | DOI: 10.5505/tjtes.2015.47817

Trafik Kazasýna Maruz Kalan Olgularda Ýkincil Maðduriyet: Adli Olgu Bildirimi Yapýlmadan veya Otopsi Uygulanmadan Defnedilme

Zerrin Erkol¹, Yavuz Hekimoðlu², Bora Büken³, Gözde Þirin⁴, Rýza Yýlmaz⁵, Harun Akkaya^4
1Abant Ýzzet Baysal Üniversitesi, Týp Fakültesi, Adli Týp AD, Bolu, Türkiye
²Yüzüncü Yýl Üniversitesi, Týp Fakültesi, Adli Týp AD, Van, Türkiye
³Düzce Üniversitesi, Týp Fakültesi, Adli Týp AD, Düzce, Türkiye
⁴Adli Týp Kurumu Baþkanlýðý, Ýstanbul, Türkiye
⁵Zonguldak Karaelmas Üniversitesi, Týp Fakültesi, Adli Týp Ad, Zonguldak, Türkiye

Amaç: Çalýþmada; trafik kazasýna maruz kalan ve otopsi yapýlmadan defnedilen olgularýn analizi ile adli olgu bildirimi ve otopsinin öneminin vurgulanmasý amaçlanmaktadýr.
Gereç ve Yöntem: Adli Týp Kurumu Birinci Ýhtisas Kurulu’nda 2004-2008 yýllarý arasýnda düzenlenen raporlar içerisinde trafik kazasýna maruz kalmýþ ve otopsi yapýlmadan defnedilmiþ bulunan toplam 542 ölüm olgusu retrospektif olarak deðerlendirildi.
Bulgular: Olgularýn 376’sý (%69,37) erkek, 166’sý (%30,63) kadýn; ortalama yaþ 58.50±20,91 (3-98 yaþ arasýnda) idi. En fazla olgu 61-üstü yaþ grubunda (301 olgu-%55,53) bulunuyordu. Olgularýn 336’sý (%61,99) hastanede, 241’i (%44,47) kaza sonrasý 1-12 ay içerisinde ölmüþ olup ölü muayenesi sadece 124 (%22,88) olguda yapýlmýþtý. Olgularýn 344’ünde (%63,5) adli olgu bildirimi yapýlmadan Mernis ölüm tutanaðý düzenlendiði belirlendi. Kurul kararýnda; 95 olguda (%17,53) otopsi yapýlmadýðýndan ölüm nedeninin belirlenemediði, 57 (%10,52) olguda ise otopsi yapýlmadýðýndan kaza ile ölüm arasýnda illiyet baðý olup olmadýðýnýn bilinemeyeceði yönünde görüþ belirtilmiþti.
Sonuç: Bulgularýmýz, trafik kazasýna maruz kalan olgularda adli olgu bildiriminin gerçekleþtirilmesinin ve zamanýnda otopsi yapýlmasýnýn önemini vurgulamaktadýr.

Anahtar Kelimeler: Trafik kazasý, Adli olgu bildirimi, Otopsi, Ölü muayenesi, Ölüm nedeni, Ýlliyet baðý.

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Secondary Victimization on the Traffic Accident Victims: Getting Buried Without Decleration of the Forensic Case and Performing the Autopsy

Zerrin Erkol¹, Yavuz Hekimoðlu², Bora Büken³, Gözde Þirin⁴, Rýza Yýlmaz⁵, Harun Akkaya^4
1Abant Izzet Baysal University, Faculty of Medicine, Forensic Medicine Department, Bolu, Turkey
²Yüzüncü Yýl University, Faculty of Medicine, Forensic Medicine Department, Van, Turkey
³Düzce University, Faculty of Medicine, Forensic Medicine Department, Düzce, Turkey
⁴Council of Forensic Medicine, Ýstanbul
⁵Zonguldak Karaelmas University, Faculty of Medicine, Forensic Medicine Department, Zonguldak, Turkey

Introduction and Aim: In this study, it is aimed to analyze the cases of traffic accident related deaths, that were buried without performing autopsy, in order to increase awareness of the physicians about declaration liability of forensic cases and also emphasize the decleration of the forensic case and autopsy importance.
Material and Method: In the First Specialization Board of Council of Forensic Medicine, 542 death cases that was reported between the years 2004-2008, who were exposed to traffic accidents, and buried without an autopsy being performed, were evaluated retrospectively.
Results: It was found that 69.37% of the cases (n: 376) were male, whereas %30.63 (n: 166) were female; the average age was 58.50±20.91 (between 3-98 years). The age 61 and above was the most frequent age group with 301 cases (55.5%). Of the cases, 336 (61.99%) had died in hospital, 241 (44.46%) had died in 1-12 months following the accident and medico-legal corpse examination was performed only in 123 (22.88%) cases. Three hundred fourty four (63.5%) of the cases were not reported as forensic cases and death certificate was signed by any physician other than medical examiner without declerated as a legal case. According to the decisions of Board; since an autopsy was not duly performed, the cause of death could not be determined for 95 cases (17.5%) and for 57 cases (10.5%) it was not possible to determine whether there was a causality between the accident and death.
Conclusion: Our findingsemphasizes the importance of decleration of the forensic cases and performing autopsy in time in traffic accident victims.

Keywords: Traffic accident, Decleration of the Forensic Case, Autopsy, Corpse examination, Cause of death, Causality relationship.

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