High prevalence of non-accidental trauma among deceased children presenting at Level I trauma centers in the Netherlands

Autor: Loos, Marie-Louise H. J., Bakx, Roel, Duijst, Wilma L. J. M., Aarts, Francee, de Blaauw, Ivo, Bloemers, Frank W., Bosch, Jan A. Ten, Evers, Martina, Greeven, Alexander P. A., Hondius, Marie-Josée, van Hooren, Roland L. J. H., Huisman, Erik, Hulscher, Jan B. F., Keyzer-Dekker, Claudia M. G., Krug, Egbert, Menke, Jack, Naujocks, Tatjana, Reijnders, Udo J. L., de Ridder, Victor A., Spanjersberg, W. Richard, Teeuw, Arianne H., Theeuwes, Hilco P., Vervoort-Steenbakkers, Will, de Vries, Selena, de Wit, Ralph, van Rijn, Rick R., de Boer, Anne, Dorn, Tina, Edelenbos, Esther, Goslings, J. Carel, Kooiker, Steven, Michielsen, Irma, van Sommeren, Lia P. G. W., Toor, Annelies, Affourtit, Marjo, van Ditshuizen, Jan C., Wijnen, Rene M. H., Kempink, Dagmar R. J., Bessems, Gert J. H. J. M., Hagenaars, Tjebbe, den Hartog, Dennis, Jansen, M. A. C., Allema, J. H., Kanters, Floris E. P., Aalbers-Hiemstra, Annemieke, Beunder, Saskia, Mulder, Arnaud, Smiers, Frans, Hartendorf, Rina C., Fiddelers, Audrey A. A.
Přispěvatelé: Pediatric Surgery, Pediatrics, Surgery, Center for Liver, Digestive and Metabolic Diseases (CLDM), Graduate School, Paediatric Surgery, APH - Global Health, APH - Methodology, APH - Quality of Care, Amsterdam Reproduction & Development (AR&D), General Paediatrics, APH - Societal Participation & Health, Radiology and Nuclear Medicine, Other Research, AMS - Musculoskeletal Health, Criminal Law and Criminology, RS: FdR Institute MICS, MUMC+: MA Heelkunde (9), RS: FHML non-thematic output
Rok vydání: 2021
Předmět:
Zdroj: Forensic Science, Medicine and Pathology, 17, 4, pp. 621-633
Forensic Science, Medicine, and Pathology, 17(4), 621-633. Humana Press
Forensic Science, Medicine, and Pathology, 17(4), 621-633
Forensic Science, Medicine and Pathology, 17, 621-633
Forensic science, medicine, and pathology, 17(4), 621-633. Humana Press
Forensic Science, Medicine, and Pathology
Forensic Science Medicine and Pathology, 17(4), 621-633. Humana Press, Inc.
ISSN: 1547-769X
Popis: Purpose Between 0.1—3% of injured children who present at a hospital emergency department ultimately die as a result of their injuries. These events are typically reported as unnatural causes of death and may result from either accidental or non-accidental trauma (NAT). Examples of the latter include trauma that is inflicted directly or resulting from neglect. Although consultation with a forensic physician is mandatory for all deceased children, the prevalence of fatal inflicted trauma or neglect among children is currently unclear. Methods This is a retrospective study that included children (0–18 years) who presented and died at one of the 11 Level I trauma centers in the Netherlands between January 1, 2014, and January 1, 2019. Outcomes were classified based on the conclusions of the Child Abuse and Neglect team or those of forensic pathologists and/or the court in cases referred for legally mandated autopsies. Cases in which conclusions were unavailable and there was no clear accidental cause of death were reviewed by an expert panel. Results The study included 175 cases of childhood death. Seventeen (9.7%) of these children died due to inflicted trauma (9.7%), 18 (10.3%) due to neglect, and 140 (80%) due to accidents. Preschool children (versus 6%, p Conclusion One of every five pediatric deaths in our nationwide Level I trauma center study was attributed to NAT; 44% of these deaths were the result of trauma experienced by preschool-aged children. A remarkable number of fatal drownings were due to neglect. Postmortem radiological studies and autopsies were performed in only one-fifth of all deceased children. The limited use of postmortem investigations may have resulted in missed cases of NAT, which will result in an overall underestimation of fatal NAT experienced by children.
Databáze: OpenAIRE
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