title: An audit of the toxicology findings in 555 medico-legal autopsies finds manner of death changed in 5 cases.
abstract: An audit of toxicological analysis in Coronial autopsies performed at Forensic Science South Australia was conducted on the cases of three pathologists. Toxicological analysis had been performed in 555 (68 %) from a total of 815 autopsies. It was found that the proffered manner of death was changed from the provisional report (provided immediately after the post-mortem examination) in five cases (just under 1 %) as a consequence of the toxicological findings. This is a limited study as it is retrospective, not all cases had toxicological analysis and the findings are constrained by the range of the substances that could be detected. Nonetheless, the audit supports the application of toxicological analysis in medico-legal death investigation and suggests that an inclusive policy should be adopted.
authors.affiliation: Forensic Science SA, 21 Divett Place, Adelaide, SA, 5000, Australia. neil.langlois@sa.gov.au
authors.forename: Neil E I
authors.initials: NE
authors.lastname: Langlois
authors.forename: John D
authors.initials: JD
authors.lastname: Gilbert
authors.forename: Karen J
authors.initials: KJ
authors.lastname: Heath
authors.forename: Calle
authors.initials: C
authors.lastname: Winskog
authors.forename: Chris
authors.initials: C
authors.lastname: Kostakis
mesh_terms: D000328:Adult; D000368:Aged; D001344:Autopsy; D002423:Cause of Death; D004347:Drug Interactions; D064420:Drug-Related Side Effects and Adverse Reactions; D005260:Female; D053593:Forensic Toxicology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011041:Poisoning / Q000175:diagnosis / Q000401:mortality* / Q000473:pathology; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D012189:Retrospective Studies; D013021:South Australia; D013405:Suicide