Autopsy findings in deaths following a medical procedure

Abstract

In South Australia it is mandatory to report to the Coroner any death that occurs during, as a result of, or within 24 h of a surgical or an invasive medical or diagnostic procedure. This study was performed to address the question of how often an autopsy directed by the Coroner will reveal death resulted from a complication of a surgical or an invasive medical or diagnostic procedure and to document the complications that were encountered relating to procedures that had been performed during admission to a hospital. A review of Coronial cases that had been investigated by post-mortem examination identified 35 deaths resulting from complications arising from 223 cases that had undergone an autopsy following death subsequent to a surgical or invasive medical or diagnostic procedure. However, due to case selection it was not possible to deduce overall rates of death arising from complications of procedures. Nonetheless, the study confirms the role of the autopsy in identifying or excluding procedure-related complications.