CLINICAL, EPIDEMIOLOGICAL AND MESOLOGICAL CHARACTERISTICS OF AVOIDABLE DEATHS IN THE CASUISTRY OF FORENSIC SERVICE OF SIBIU COUNTY.

Forensic casuistry is an important source of cases that fall into avoidable deaths category; these include: deaths due to road accidents, sudden cardiac deaths, deaths due to hepatic cirrhosis, deaths in children under 1 year, maternal deaths etc. In the work carried out as a resident physician in forensics, I found a large, growing number of deaths due to diseases/accidents amenable to health care or primary prevention. The aim of this study was to identify the avoidable deaths from the forensic cases of Sibiu County and the clinical, epidemiological and mesological features thereof, with a thorough analysis of those caused by cardiovascular diseases. Specifically, it is a descriptive, analytical observational ambispective study conducted over a period of 10 years from 2006 to 2015. In the forensic casuistry of Sibiu, we identified 1178 avoidable deaths within 10 years, representing 40% of all forensic autopsies. In dynamics, their share of all forensic deaths increased up to 6% (in 2006, 37% of forensic deaths fell into the category of avoidable deaths, and in 2015, the share was of 43%). We found a much higher frequency of avoidable deaths in men and in people from urban areas, as well as the increase of the average age of victims of avoidable deaths by about five years in the ten years studied. Cardiovascular diseases caused around half of all avoidable deaths with forensic consequences (about 49%), and another 40% of them were due to traffic accidents, the forensic prerogative. The study found that most of the victims of avoidable deaths due to cardiovascular diseases with forensic consequences had the following characteristics: Romanian nationality, Orthodox religion, married or divorced, graduates of vocational schools, no occupation. On the one hand, this study provides an accurate assessment of the need for guidelines and protocols for primary, secondary and tertiary prevention, representing a foundation for the effective identification and monitoring of risk groups with different allocation of resources to priority areas of intervention. On the other hand, the study allows predictions on the dynamics of these types of deaths and therefore, on the dynamics of human resources in Romania. [ABSTRACT FROM AUTHOR]