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Table 3 Degree of agreement between PMCT and autopsy in detection of causes of death in firearm injuries by Kappa test

From: Postmortem computed tomography and autopsy for detection of lesions and causes of death in gunshot injury cases: a comparative study

Region of death causing injury

Causes of death

N

Findings in autopsy

Findings in PMCT

Kappa

Level of agreement

P

No

%

No

%

Head Cases = 12

Brain lacerations,

12

12

100%

6

50%

0.51

Moderate

< 0.05*

Hemorrhage

12

12

100%

12

100

1

Perfect

< 0.001**

Pneumocephalus

8

0

0%

8

80%

0

–

1 NS

Chest Cases = 8

Pneumothorax

8

0

0

8

100

0

–

1 NS

Lung lacerations, hemothorax

8

8

75%

6

100%

0.72

Substantial

< 0.01**

Hemopericardium, heart lesions

4

4

100%

2

50%

0.43

Moderate

< 0.05*

Chest and abdomen Cases = 10

Pneumothorax

8

0

0%

8

80%

0

–

1 NS

Lung lacerations

8

8

100%

8

100%

1

Perfect

< 0. 001*

Liver lacerations

10

10

100%

10

100%

1

Perfect

< 0. 001**

Hemothorax and hemoperitoneum

10

8

80%

10

100%

0.79

Substantial

< 0. 01**

  1. N: number of cases showing the lesion, No: number of cases with detected lesion either by autopsy or by PMCT, *: significant, **: highly significant, NS: non-significant