■2019年冠状病毒病(COVID-19)大流行在全球范围内导致了大量的发病率和死亡率。由于大多数与COVID-19有关的死亡目前被认为是自然死亡,它们往往发生在临床公认的疾病之后,美国许多体检医师/验尸官办公室对大多数COVID-19死亡没有管辖权。
■在这篇评论中,我们介绍了一个中等规模的医学检查官办公室附属于一所学术医学院机构的经验,在COVID-19大流行的前15个月。
■与大流行之前的15个月相比,我们办公室报告的死亡总数大幅增加,现场调查,完整的尸检,自然死亡,事故,凶杀案,与毒品有关的死亡,而是自杀人数的减少.总的来说,在研究期间,我们的办公室进行了5次尸检,其中COVID-19被认为是主要的死亡原因,4例COVID-19被认为是导致死亡的原因,28例COVID-19检测阳性,但COVID-19并不是导致死亡的原因。
COVID-19大流行伴随着我们学术体检医师办公室工作量的大幅增加。尽管工作量的增加与该办公室调查的大量与COVID-19相关的死亡无关,工作量增加的许多领域可能与大流行相关。
UNASSIGNED: The coronavirus disease of 2019 (COVID-19) pandemic has resulted in a great deal of morbidity and mortality worldwide. Since most deaths related to COVID-19 are currently considered natural, and they tend to occur following a clinically recognized illness, many medical examiner/coroner offices within the United States do not take jurisdiction over the majority of COVID-19 deaths.
UNASSIGNED: In this review, we present the experience of a medium-sized medical examiner\'s office affiliated with an academic medical school institution, over the first 15 months of the COVID-19 pandemic.
UNASSIGNED: Compared to a 15-month period that immediately preceded the pandemic, our office experienced a significant increase in the total number of reported deaths, scene investigations, full autopsies, natural deaths, accidents, homicides, and drug-related deaths, but a decrease in the number of suicides. Overall, our office performed 5 autopsies during the study period where COVID-19 was considered the primary cause of death, 4 cases where COVID-19 was considered a contributory cause of death, and 28 cases where COVID-19 testing was positive, but COVID-19 was not contributory to death.
UNASSIGNED: The COVID-19 pandemic was accompanied by a sizeable increase in work volume within our academic medical examiner\'s office. Although this increased workload was not related to a large number of COVID-19-related deaths investigated by the office, there were numerous areas of increased workload that were likely secondarily related to the conditions associated with the pandemic.