Global trends in the extent of death scene investigation performed for sudden and unexpected death of infant (SUDI) cases: A systematic review

Bennett, T.W.; Martin, Lorna J.; Heathfield, Laura Jane

doi:10.1016/j.forsciint.2019.06.013

Cited by 5 publications

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“…Diese Leichenfundortuntersuchung trägt wertvolle Informationen für die Klärung der Todesumstände und der Todeszeitintervallbestimmung bei und ist bereits, neben Einzelberichten zur allgemeineren Nützlichkeit für die Ermittlungen [6][7][8], integraler Bestandteil zur Klärung der Todesumstände z. B. auch beim "sudden infant death syndrome" [6,[9][10][11].…”

Section: Originalien Einleitungunclassified

Rechtsmedizinische Leichenfundortuntersuchung mit Leichenschau

2023

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Zusammenfassung Hintergrund Die Leichenfundortuntersuchung mit rechtsmedizinischer Leichenschau im Vorfeld der Obduktion kann für deren Planung hilfreich sein. Häufigkeit, Umfang und Art der dokumentierten Leichenfundortuntersuchung mit Leichenschau unterliegen interindividuellen und interinstitutionellen Einflüssen. Eine wissenschaftliche Untersuchung rechtsmedizinischer Leichenfundortuntersuchungen und eine systematische Standardisierung gibt es bisher nicht. Material und Methoden Insgesamt 3622 Akten aus dem Archiv des Instituts für Rechtsmedizin der Justus-Liebig-Universität Gießen aus den Jahren 2005–2014 wurden gesichtet. 121 Fälle mit einer Leichenfundortuntersuchung mit Leichenschau durch eine/n Rechtsmediziner/in vor Ort wurden ausgewertet. Ergebnisse Die Leichenfundortuntersuchungen, einschließlich Dokumentation der Befunde, wurden während des 10-jährigen Untersuchungszeitraums unterschiedlich gehandhabt. Es zeigte sich eine Zunahme an Leichenfundortuntersuchungen um rund 380 % vom ersten zum letzten Untersuchungsjahr. Der Anteil an Tötungsdelikten bei den Leichenfundortuntersuchungen betrug 46 %. In 63 % aller Fälle fanden sich Dokumentationslücken, die im Verlauf des Untersuchungszeitraums und mit der häufigeren Anfertigung von Leichenfundortuntersuchungsberichten deutlich abnahmen. Bei der Dokumentation von Verletzungsmustern sank der Anteil an unvollständigen Daten von 89 % auf 11 %, bei den Temperaturmessungen am Leichenfundort von 73 % auf 27 %. Exklusiv am Leichenfundort erhebbare dokumentierte Zusatzinformationen fanden sich im Sinne von Blutspurenverteilungsmustern (48 %) und Hinweisen auf mögliche Tatwerkzeuge (57 %). Schlussfolgerungen Die rechtsmedizinische Leichenfundortuntersuchung mit Leichenschau wurde zunehmend häufiger durchgeführt. Die Untersuchung des Leichnams vor Ort und die Inaugenscheinnahme der Umgebung liefern Informationen, die über die alleinige autoptische Befunderhebung hinausgehen und eine wertvolle Grundlage für die Einordung von Obduktionsbefunden und für rekonstruktive Überlegungen zu Tatgeschehen darstellen. Um die Qualität der Befunderhebungen am Leichenfundort und die Qualität der zugehörigen Dokumentation zu verbessern, ist eine standardisierte Leichenfundortuntersuchung mit Leichenschau und Dokumentation anzustreben.

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Section: Originalien Einleitungunclassified

Rechtsmedizinische Leichenfundortuntersuchung mit Leichenschau

2023

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“…In recent years, a protocol of investigation items has been standardized. [11,12] For instance, in the U.S., the Centers for Disease Control and Prevention published guidelines and a reporting form, which is designated as the SUID Investigation Reporting Form. [13] In Japan, a list of items to be investigated is used as a similar checklist form in cases of infant death.…”

Section: Introductionmentioning

confidence: 99%

Circumstances and factors of sleep-related sudden infancy deaths in Japan

et al. 2020

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Background Sudden unexpected death in infancy (SUDI) comprises both natural and unnatural causes of death. However, few epidemiological surveys have investigated SUDI in Japan. Objective This retrospective study was conducted to investigate the latest trends of circumstances and risk factors of SUDI cases in which collapse occurred during sleep. Methods Forensic pathology sections from eight universities participated in the selection of subjects from 2013 to 2018. Data obtained from the checklist form were analyzed based on information at postmortem. Results There were 259 SUDI cases consisting of 145 male infants and 114 female infants with a mean birth weight of 2888 ± 553 and 2750 ± 370 g, respectively. Deaths most frequently occurred among infants at 1 month of age (18%). According to population data as the control, the odds ratio (95% confidence interval) of mother's age �19 years was 11.1 (6.9-17.7) compared with ages 30-39. The odds ratio for the fourth-and later born infants was 5.2 (3.4-7.9) compared with the frequency of first-born infants. The most frequent time of day for discovery was between 7 and 8 o'clock, and the time difference from the last seen alive was a mean of 4.1 h. Co-sleeping was recorded for 61%, and the prone position was found

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“…[9] In recent years, a protocol of investigation items has been officially standardized. [10,11] For instance, in the U.S., the Centers for Disease Control and Prevention published guidelines and a reporting form, which is designated as the SUID Investigation Reporting Form. [12] In Japan, a list of items to be investigated is used as a checklist form in cases of infant death.…”

Section: Introductionmentioning

confidence: 99%

Circumstances and factors of sleep-related sudden infancy deaths in Japan

Osawa

Ueno

Ikeda

et al. 2020

Preprint

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29Background: Sudden unexpected death in infancy (SUDI) comprises both natural and 30 unnatural causes of death. However, a few epidemiological surveys have investigated 31 SUDI in Japan. 32Objective: This retrospective study was conducted to investigate the recent trends of 33 circumstances and risk factors of sleep-related SUDI cases. 34 Methods: Forensic pathology sections from eight universities participated in the 35 selection of subjects from 2013 to 2018. Data obtained from the checklist form were 36 analyzed based on information at postmortem.37Results: There were 259 SUDI cases consisting of 145 male infants and 114 female 38 infants with a mean birth weight of 2888 ± 553 and 2750 ± 370 g, respectively. Deaths 39 most frequently occurred among infants at 1 month of age (18%). According to 40 population-based analyses, the odds ratio (95% confidence interval) of mother's age 41 ≤19 years was 11.1 (6.9-17.7) compared with ages 30-39. The odds ratio for the fourth-42 and later born infants was 5.2 (3.4-7.9) compared with the frequency of first-born 43 infants. The most frequent time of day for discovery was between 7 and 8 o'clock. 44Co-sleeping was recorded for 61%, and the prone position was found for 40% of cases 45 at discovery. Mother's smoking habit exhibited an adds ratio of 4.5 (2.9-5.8). 46Conclusion: This study confirmed the trends that have been observed for sudden infant 47 death syndrome; particularly, very high odds ratios were evident for teenage mothers 48 and later birth order in comparison with those in other developed countries. The child of 49 a young mother tended to die within 2 months of age. To our knowledge, this is the first 50 report of an extensive survey of sleep-related SUDI in Japan. 3 52 97 Postmortem examinations included histology, toxicology, biochemistry, virology, 98 and bacteriology. [19,20] Tests for assessing inherited metabolic disorders were 99 conducted nationwide in the routine examination for newborns. [21] Genetic testing for 5 100 arrhythmic disorders was also conducted for cases examined in this study. [22] Data 101 used for analysis consisted of DSI information, therapeutic information in emergency 102 care, and maternity passbook. The checklist form, consisting of 41 items, was filled in 103 initially by each center. Then the lists were transferred to one site to confirm unclear 104 issues and aggregate the data. 105 The forensic pathology sections of the following eight universities participated in 106 this study: 110 University School of Medicine. The areas of these facilities cover six prefectures in 111 which approximately 14% of the entire population resides, and this percentage was 112 applied to calculate the annual rate per 1000. Every sudden infant death had been 113autopsied, but there could have been some deaths that had not received autopsy outside 114 major centers in Japan, whose exact number remained unknown. Although DSI was 115 performed by the police for all cases, not all items were optimal, particularly, for the 116 sleep environment such...

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Global trends in the extent of death scene investigation performed for sudden and unexpected death of infant (SUDI) cases: A systematic review

Cited by 5 publications

References 53 publications

Rechtsmedizinische Leichenfundortuntersuchung mit Leichenschau

Rechtsmedizinische Leichenfundortuntersuchung mit Leichenschau

Circumstances and factors of sleep-related sudden infancy deaths in Japan

Circumstances and factors of sleep-related sudden infancy deaths in Japan

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