Page 88 - Postmortem-findings-in-COVID-19-patients-and-mental-health-issues-in-the-era-of-COVID-19

2. What is the plan forward in COVID-19 death?

How do we choose which COVID-19 mortality

case to do postmortem from now on?

Dr. Ahmad Hafizam:

Going forward, we think the best approach for the next autopsy for positive COVID-19
cases that died in the hospital, we would like to examine cases of young deceased
person without co-morbid (i.e. not being admitted for too long in wards). The diffuse

alveolar damage can be due to prolonged mechanical ventilation. If we would like to
look into the particular pathology in patients due to COVID-19 in our country, the

ideal subject should be a young patient with no co-morbid. Based on our experiences
right now, our health system is very good at dealing with COVID-19 patients. We can
see that the fatality rate is very low as compared to other countries including

European countries. Their case reports also mentioned cases in which the patient
passed away outside the hospital, in which for Malaysian setting, we do not have the

particular numbers of this yet. The numbers we have right now, mostly are patients
who died in the hospital. Moving forward, we think that in forensic services, what we
would like to examine in order to help clinicians to understand the pathology of

COVID-19 is deceased young patients with no co-morbid.