{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T11:40:12Z","timestamp":1755862812207,"version":"3.44.0"},"reference-count":22,"publisher":"Uniwersytet Jagiellonski - Wydawnictwo Uniwersytetu Jagiellonskiego","issue":"2","license":[{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Cel pracy: Celem pracy by\u0142o ustalenie cz\u0119sto\u015bci wyst\u0119powania przypadk\u00f3w z niejednoznacznymi wynikami bada\u0144 po\u015bmiertnych oraz wytypowanie mo\u017cliwych przyczyn zgonu w tych przypadkach poprzez analiz\u0119 potwierdzonych przyczyn zgonu w tej samej populacji.\nMateria\u0142 i metody: Przeanalizowano protoko\u0142y sekcyjne Zak\u0142adu Medycyny S\u0105dowej (Uniwersytet Jagiello\u0144ski, Collegium Medicum) z lat 2009-2022 pod k\u0105tem nag\u0142ych zgon\u00f3w w grupie wiekowej 2-40 lat. Kryteriami wy\u0142\u0105czenia przypadku by\u0142y m.in. zgon wywo\u0142any urazem lub innym znanym czynnikiem zewn\u0119trznym, zaawansowany rozk\u0142ad gnilny zw\u0142ok, zgon w trakcie hospitalizacji.\nWyniki: W\u015br\u00f3d 900 w\u0142\u0105czonych przypadk\u00f3w stwierdzono 97, w kt\u00f3rych badania po\u015bmiertne nie pozwoli\u0142y na ustalenie przyczyny zgonu, przy czym tylko w 20 wyczerpano mo\u017cliwo\u015bci diagnostyczne w zakresie bada\u0144 toksykologicznych. \u015arednia cz\u0119sto\u015b\u0107 wyst\u0119powania tych przypadk\u00f3w wynios\u0142a ok. 7 na rok. Przeanalizowano r\u00f3wnie\u017c ustalone przyczyny zgonu, identyfikuj\u0105c przyczyny stosunkowo cz\u0119ste, a mog\u0105ce nie pozostawia\u0107 \u015blad\u00f3w w badaniu po\u015bmiertnym, takie jak: zatrucie substancjami innymi ni\u017c etanol (143), zgon w wyniku ataku padaczki, niewywo\u0142any urazem ani aspiracj\u0105 tre\u015bci do dr\u00f3g oddechowych (38), zapalenie mi\u0119\u015bnia sercowego (37).\nWnioski: Cz\u0119sto\u015b\u0107 wyst\u0119powania post\u0119powa\u0144 zako\u0144czonych niejednoznacznymi wynikami bada\u0144 po\u015bmiertnych jest wy\u017csza ni\u017c przypuszczano, przy czym w wielu przypadkach makroskopowo ujemnych sekcji nie rozszerza si\u0119 diagnostyki. Analiza potwierdzonych przyczyn zgonu pozwoli\u0142a zidentyfikowa\u0107 co najmniej 3 stosunkowo cz\u0119ste przyczyny mog\u0105ce nie pozostawia\u0107 \u015bladu w sekcji, a zatem odpowiada\u0107 przynajmniej za cz\u0119\u015b\u0107 analizowanych przypadk\u00f3w. Wydaje si\u0119 zasadne wprowadzenie bada\u0144 ukierunkowanych na wykrywanie w\u0142a\u015bnie tych przyczyn do algorytmu post\u0119powania po ujemnej sekcji.<\/jats:p>","DOI":"10.4467\/16891716amsik.25.008.22186","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T11:06:09Z","timestamp":1755860769000},"page":"91","source":"Crossref","is-referenced-by-count":0,"title":["\u2018White autopsies\u2019: an overview of cases with inconclusive results of post-mortem examinations in the Department of Forensic Medicine of the Jagiellonian University Medical College in Krak\u00f3w, Poland = \u201eBia\u0142e sekcje\u201d \u2013 analiza przypadk\u00f3w ujemnych wynik\u00f3w bada\u0144 po\u015bmiertnych w Zak\u0142adzie Medycyny S\u0105dowej UJ CM w Krakowie"],"prefix":"10.4467","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7731-0240","authenticated-orcid":false,"given":"Zofia","family":"Zwierzewicz","sequence":"first","affiliation":[{"name":"Uniwersytet Jagiello\u0144ski Collegium Medicum"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1550-8946","authenticated-orcid":false,"given":"Agnieszka","family":"Szpakowska","sequence":"additional","affiliation":[{"name":"Uniwersytet Jagiello\u0144ski Collegium Medicum"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7412-3084","authenticated-orcid":false,"given":"Dominika","family":"Bistro\u0144","sequence":"additional","affiliation":[{"name":"Uniwersytet Jagiello\u0144ski Collegium Medicum"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5085-4296","authenticated-orcid":false,"given":"Katarzyna","family":"Le\u015bniak","sequence":"additional","affiliation":[{"name":"Uniwersytet Jagiello\u0144ski Collegium Medicum"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3332-9908","authenticated-orcid":false,"given":"Gabriela","family":"Dziedzic","sequence":"additional","affiliation":[{"name":"Uniwersytet Jagiello\u0144ski Collegium Medicum"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5930-957X","authenticated-orcid":false,"given":"Tomasz","family":"Konopka","sequence":"additional","affiliation":[{"name":"Uniwersytet Jagiello\u0144ski Collegium Medicum"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10051","published-online":{"date-parts":[[2025,8,22]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Carrington M, de Gouveia RH, Teixeira R, Corte-Real F, Gon\u00e7alves L, Provid\u00eancia R. 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