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Table 1 Information collected at autopsy

From: Alcohol and premature death in Estonian men: a study of forensic autopsies using novel biomarkers and proxy informants

General

 

   Identifiers

study number, forensic autopsy protocol number;

   Time

date and time of death, date and time of autopsy, date and time blood sample taken;

Macroscopic examination of organs

 

   Heart

weight, length, breadth, depth, thickness of left and right ventricular walls, thickness of intraventricular septum;

evidence of acute infarction and/or old infarction, other gross cardiac anomaly, atheromatous occlusion of coronary arteries, appearance of coronary arteries, thrombus of coronary arteries, other cardiovascular system;

   Kidneys

renal disease;

   Lungs

pneumonia, aspiration of gastric contents, active tuberculosis, healed tuberculosis with scarring, other (specify);

   Liver

weight, length, right and left lobe height and depth;

fatty liver (focal and diffuse), fibrosis, cirrhosis, other (specify);

   Pancreas

acute and chronic pancreatitis, other (specify);

   Oesophagus, stomach and duodenum

gastritis, gastric ulcer, duodenitis, duodenal ulcer, oesophageal varicosities, oesophagitis, other (specify);

   Brain

weight;

haemorrhage, infarction, new contusions, old brain trauma, cortical atrophy, cerebellar atrophy, other (specify);

Laboratory investigations

 

   Ethanol concentration

alcohol concentration in blood, vitreous humour and urine

   Ethanol biomarkers (subset only)

Phosphatidylethanol (PEth) in blood, ethyl glucronide (EtG) and ethyl sulphate (EtS) in urine

   Other alcohols and ethanol substitutes

methanol, isopropanol, isobutanol, isoamyl alcohol, ethylene glycol in blood and urine;

   Drugs

morphine, fentanyl, marijuana, amphetamine, cocaine, buprenorphine, methadone, other (specify);

   Liver enzymes

gamma-glutamyl transferase (GGT), alanine and aspartine aminotransferase (ALT and AST);

Histology

 

   Heart

right and left ventriculum and atrium, septum intraventricularis;

   Coronary artery

tissue sample taken in case of thrombosis;

   Liver

right and left lobe;

   Pancreas

parenchyma, any lesion;

   Brain

cortex, cerebellum, basal ganglia, mamiliary bodies;

   Kidneys

right, left;

   Lung

parenchyma, any lesion;

   Stomach and duodenum

lesion;

Cause of death

immediate, intermediate, underlying, external, other important diseases, all coded to ICD-10; manner of death.