Medico‐legal child deaths in Istanbul: data from the Morgue Department

Cantürk, Nergis; ̧Iyok, Burcu Es; Özkara, Erdem; Cantürk, Gürol; Ozata, A. Bulent; Yavuz, Mehmet Fatih

doi:10.1111/j.1442-200x.2007.02298.x

Cited by 16 publications

(13 citation statements)

References 15 publications

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“…The largest number of asphyxia cases involved adolescents and young adults aged 15-21 years, and most incidents occurred at home with the exception of drowning, which occurred predominantly in public bodies of water. This distribution is consistent with previous publications in studies of non-natural child deaths in Estonia, Canada, Sri Lanka, Turkey, and the USA [12][13][14][15][16].…”

Section: Discussionsupporting

confidence: 92%

Cases of asphyxia in children and adolescents: a retrospective analysis of fatal accidents, suicides, and homicides from 1998 to 2017 in Hamburg, Germany

Mosek¹,

Sperhake

Edler

et al. 2020

Int J Legal Med

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Purpose Injury-related asphyxia is one of the most common causes of death in children in Germany. However, only a few systematic studies have analyzed the causes and circumstances of asphyxia in children and adolescents. Methods All cases of asphyxia in children and adolescents (0-21 years of age) among the Hamburg Legal Medical Department's autopsy cases from 1998 to 2017 were retrospectively analyzed with special focus on how often external findings were completely absent. Results Among 249 cases of fatal asphyxia, 68% were accidents, 14% were suicides, and 13% were homicides. Most of the cases involved boys. Adolescents and young adults aged 15-21 years represented the main age group. Drowning was the leading mechanism of asphyxia. Younger age was associated with less frequent detection of external signs of asphyxia in the postmortem external examination. Petechial hemorrhages were the most common visible external indication of asphyxia. No external findings indicative of asphyxia were present in 14% of the cases. Conclusion Asphyxia in children and adolescents often involves accidents. However, postmortem external examination alone is insufficient to identify asphyxia and the manner of death.

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Section: Discussionsupporting

confidence: 92%

Cases of asphyxia in children and adolescents: a retrospective analysis of fatal accidents, suicides, and homicides from 1998 to 2017 in Hamburg, Germany

Mosek¹,

Sperhake

Edler

et al. 2020

Int J Legal Med

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“…These findings were consistent with the data obtained by national and international studies conducted on childhood deaths [21][22][23].…”

Section: Discussionsupporting

confidence: 92%

Forensic epidemiology of childhood deaths-Gaziantep (2005-2012)

Karaarslan¹,

Bilen²,

Özkan³

et al. 2016

Med-Science

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In the present study, judicial death cases during childhood were assessed retrospectively for description and discussion of the data obtained in company with the literature were aimed. For the purposes of this study, the postmortem examination and post-mortem records of the cases between the ages of 0-18, who had died between January 2005 and December 2012. The sociodemographic characteristics and origin of the 1113 cases, the type of the incident, the distribution of the causes of death post-mortems were evaluated. The mean age of the 1113 cases was 6.77±0.17 (mean ± SE), and 66.8% cases were male, while 33.1% were female, (Male/Female: 2/1). The greatest part of all the deaths comprised fatal accidents with cases 61.4%, followed by (26.1%) suspicious deaths, 4.3% homicides, and 4.1% suicides the most common cause for death was detected as traffic accident by 33.5% cases among the 48 cases who were homicided, 58.3% were in the 15-18 age group. Consequently, it was observed that child death cases occurred in our territory were frequently accidental and traffic accidents were more common.

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“…To organize this data, we noted trends in the articles and identified several age ranges that could be used: <4–5 years old, <12–15 year old, >12–15 year old, <17–20 year old, and >17–20 year old. Nineteen articles included data specifically on victims less than the age of 17–20 years old (4192 drowning events in <17–20 year old age group and 3702 events in >20 years old) [17–34]. Twenty articles included data specifically on drowning events in children <12–15 years old (17,610 drowning events in children <12–15 years old; 29,600 drowning victims >12–15 years old) [16, 32, 35–54], and thirteen articles contained data on deaths in toddlers and infants <4–5 years old (2053 deaths in <4–5 year olds and 118 deaths in >4–5 year olds) [13, 55–66].…”

Section: Discussionmentioning

confidence: 99%

The epidemiology of drowning in low- and middle-income countries: a systematic review

et al. 2017

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BackgroundAccording to the World Health Organization, drowning is the 3rd leading cause of unintentional injury-related deaths worldwide, accounting for 370,000 annual deaths and 7% of all injury-related deaths. Low- and middle-income countries are the most affected, accounting for 91% of unintentional drowning deaths.MethodsThe authors performed a systematic review of literature indexed in EMBASE, PubMed, Web of Science, Cochrane Library, and Traumatology journals formerly indexed in PubMed in January 2014 and again in September 2016. Abstracts were limited to human studies in English, conducted in low- and middle-income countries, and containing quantitative data on drowning epidemiology.ResultsA total of 62 articles met inclusion criteria. The majority of articles originate from Asia (56%) and Africa (26%). Risk factors for drowning included young age (<17–20 years old), male gender (75% vs. 25% female), rural environment (84% vs. 16% urban), occurring in the daytime (95% vs. 5% night time), lack of adult supervision (76% vs. 18% supervised), and limited swimming ability (86% vs. 10% with swimming ability). There was almost equal risk of drowning in a small body of water versus a large body of water (42% ponds, ditches, streams, wells; 46% lakes, rivers, sea, ocean).ConclusionDrowning is a significant cause of injury-related deaths, especially in LMICs. Young males who are unsupervised in rural areas and have limited formal swimming instruction are at greatest risk of drowning in small bodies of water around their homes. Preventative strategies include covering wells and cisterns, fencing off ditches and small ponds, establishing community daycares, providing formal swimming lessons, and increasing awareness of the risks of drowning.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4239-2) contains supplementary material, which is available to authorized users.

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Medico‐legal child deaths in Istanbul: data from the Morgue Department

Cited by 16 publications

References 15 publications

Cases of asphyxia in children and adolescents: a retrospective analysis of fatal accidents, suicides, and homicides from 1998 to 2017 in Hamburg, Germany

Cases of asphyxia in children and adolescents: a retrospective analysis of fatal accidents, suicides, and homicides from 1998 to 2017 in Hamburg, Germany

Forensic epidemiology of childhood deaths-Gaziantep (2005-2012)

The epidemiology of drowning in low- and middle-income countries: a systematic review

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