Arrhythmias & electrophysiology

A systematic review of global autopsy rates in all-cause mortality and young sudden death

Heart RhythmPublished Systematic review

Authors' conclusion

In conclusion, most countries globally do not report autopsy rates in either all-cause death (69.7%) or in SD (92.8%).

Study context

Population
Countries worldwide (195); autopsy in all-cause death and young sudden death
Participants
195 countries
Outcome
Real-world global autopsy rates in all-cause death or young SD
Methodological detailsRisks of bias: unverifiable figures, heterogeneous reporting of clinical vs medicolegal autopsies, few studies; low- and middle-income countries consistently excluded
  • Risks of bias: unverifiable figures, heterogeneous reporting of clinical vs medicolegal autopsies, few studies; low- and middle-income countries consistently excluded

Pooled result

As reported in the abstract

Reporting of autopsy rates
Countries reporting autopsy rates in all-cause death
59 of 195 (30.3%)
Autopsy rates in all-cause death, range
0.01%-83.9%
Countries reporting autopsy rates in young SD
16 of 195 (8.2%)
Autopsy rates in young SD, range
5%-100%
Countries not reporting autopsy rates in all-cause death
69.7%
Countries not reporting autopsy rates in SD
92.8%

Original publication

A systematic review of global autopsy rates in all-cause mortality and young sudden death. Heart Rhythm. Published 11 January 2023. doi:10.1016/j.hrthm.2023.01.008

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