New opportunities for effective identification of unknown toxicological patients (a case from practice)

S. Kuznetsov, A. H. Lodyagin, Bair Vasil’evich Batotsyrenov, V. L. Reinuk, Andrej Georgievich Sinenchenko, Bogdan Sergeevich Litvincev, Alexandra Alexandrovna Kuznetsova, Nadezhda Anatol’evna Kirsanova
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Abstract

Introduction. The article considers the issues of identification of unknown patients admitted to toxicological medical hospitals on the example of a case from practice. The aim of the study was to develop an effective way to solve the main problem of the lack of information about the identity of a significant part of patients with a toxicological profile during their stay in the hospital until discharge. Material and methods. Based on the described practical case, a new highly effective method of identifying unknown patients with a toxicological profile, implemented using forensic DNA analysis, is proposed and tested. Results. As promising ways to improve interdepartmental cooperation in relation to the identification of unidentified living persons who have been admitted with acute poisoning, an algorithm for transmitting selected DNA samples to the territorial bodies of the Ministry of Internal Affairs on a system streaming basis is described. Limitations. Further verification of DNA samples according to the Federal Database of Genomic Information is carried out by the Ministry of Internal Affairs independently through the regional Forensic Centers of the Ministry of Internal Affairs of the Russian Federation, followed by informing the administration of the medical institution. Conclusion. The results obtained within the framework of this study demonstrate the high efficiency of establishing the identity of toxicological patients staying in medical hospitals as unknown persons, which represents a direct economic benefit for the healthcare system in the form of an increase in the proportion of patients paid for by territorial health insurance funds.
有效识别未知毒理学患者的新机会(来自实践的一个案例)
介绍。本文以一个实际病例为例,探讨了毒理学医院收治的不明身份病人的身份识别问题。该研究的目的是开发一种有效的方法来解决在住院至出院期间缺乏关于具有毒理学档案的相当一部分患者身份的信息的主要问题。材料和方法。基于所描述的实际案例,提出了一种新的高效方法,通过法医DNA分析来识别具有毒理学特征的未知患者,并进行了测试。结果。作为改善部门间合作的有希望的方法,在鉴定因急性中毒而入院的身份不明的活着的人方面,描述了一种将选定的DNA样本以系统流式传输的方式传输给内务部属地机构的算法。的局限性。根据联邦基因组信息数据库,内务部通过俄罗斯联邦内务部的区域法医中心独立地对DNA样本进行进一步核查,然后通知医疗机构的管理部门。结论。在本研究框架内获得的结果表明,将在医院住院的毒理学患者身份确定为未知人的效率很高,这代表了医疗保健系统的直接经济效益,其形式是增加了由领土健康保险基金支付的患者比例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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