Death Scene Investigation and Autopsy Practices in Sudden Unexpected Infant Deaths

Erck Lambert, Alexa B.; Parks, Sharyn E.; Camperlengo, Lena; Cottengim, Carri; Anderson, Rebecca L.; Covington, Theresa M.; Shapiro-Mendoza, Carrie K.

doi:10.1016/j.jpeds.2016.03.057

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Death Scene Investigation and Autopsy Practices in Sudden Unexpected Infant Deaths

Apr 22 2016
By Erck Lambert, Alexa B. ; Parks, Sharyn E. ; Camperlengo, Lena ; ...
http://dx.doi.org/10.1016/j.jpeds.2016.03.057
Source: J Pediatr. 174:84-90.e1.

[PDF-226.31 KB]

English

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Details:

Alternative Title:

J Pediatr
Personal Author:

Erck Lambert, Alexa B. ; Parks, Sharyn E. ; Camperlengo, Lena ; Cottengim, Carri ; Anderson, Rebecca L. ; ... More +

Erck Lambert, Alexa B. ; Parks, Sharyn E. ; Camperlengo, Lena ; Cottengim, Carri ; Anderson, Rebecca L. ; Covington, Theresa M. ; Shapiro-Mendoza, Carrie K. Less -
Description:

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.
Subjects:

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Autopsy Cause Of Death Humans Infant Infant, Newborn Registries Retrospective Studies Sleep Sudden Infant Death
Source:

J Pediatr. 174:84-90.e1.
Pubmed ID:

27113380
Pubmed Central ID:

PMC5063238
Document Type:

Journal Article
Funding:

CC999999/Intramural CDC HHS/United States
Place as Subject:

United States
Volume:

174
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha256:bbb2180b6d4c55cd7636c1f1ac1b8c5dde5733c9ee78f7d8d667ad1c79b25f15
Download URL:

https://stacks.cdc.gov/view/cdc/42191/cdc_42191_DS1.pdf
File Type:

	nihms810733.nxml	bin
	nihms810733f1.gif	gif
	nihms810733f1.jpg	jpeg

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