Death Scene Investigation and Autopsy Practices in Sudden Unexpected Infant Deaths - 24/06/16
, Sharyn E. Parks, PhD, MPH 2, Lena Camperlengo, DrPH, RN 2, Carri Cottengim, MA 2, Rebecca L. Anderson, MPH 2, Theresa M. Covington, MPH 3, Carrie K. Shapiro-Mendoza, PhD, MPH 2Abstract |
Objective |
To describe and compare sudden unexpected infant death (SUID) investigations among states participating in the SUID Case Registry from 2010 through 2012.
Study design |
We analyzed observational data from 770 SUID cases identified and entered into the National Child Death Review Case Reporting System. We examined data on autopsy and death scene investigation (DSI) components, including key information about the infant sleep environment. We calculated the percentage of components that were complete, incomplete, and missing/unknown.
Results |
Most cases (98%) had a DSI. The DSI components most frequently reported as done were the narrative description of the circumstances (90%; range, 85%-99%), and witness interviews (88%, range, 85%-98%). Critical information about 10 infant sleep environment components was available for 85% of cases for all states combined. All 770 cases had an autopsy performed. The autopsy components most frequently reported as done were histology, microbiology, and other pathology (98%; range, 94%-100%) and toxicology (97%; range, 94%-100%).
Conclusions |
This study serves as a baseline to understand the scope of infant death investigations in selected states. Standardized and comprehensive DSI and autopsy practices across jurisdictions and states may increase knowledge about SUID etiology and also lead to an improved understanding of the cause-specific SUID risk and protective factors. Additionally, these results demonstrate practices in the field showing what is feasible in these select states. We encourage pediatricians, forensic pathologists, and other medicolegal experts to use these findings to inform system changes and improvements in DSI and autopsy practices and SUID prevention efforts.
Le texte complet de cet article est disponible en PDF.Keywords : sudden infant death syndrome, infant mortality, child death review, autopsy, death scene investigation, surveillance, medical examiners, coroners, forensic pathologists
Abbreviations : CDC, CDR, DSI, NCDR-CRS, SIDS, SUID, SUIDIRF
Plan
| T.C.'s agency, the Michigan Public Health Institute, was supported by the Maternal and Child Infant Health Bureau of the Health Resources and Services Administration and the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, US Centers for Disease Control and Prevention. A.E.L. was supported by a contract between DB Consulting and the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, US Centers for Disease Control and Prevention (200-2010-37208). The findings and conclusions in this paper are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. The authors declare no conflicts of interest. |
Vol 174
P. 84 - juillet 2016 Retour au numéro
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