Document Detail

Postmortem skeletal survey practice in pediatric forensic autopsies: a national survey.
MedLine Citation:
PMID:  19040665     Owner:  NLM     Status:  MEDLINE    
Recommendations for the evaluation of an unexplained death in infancy include a postmortem skeletal survey (PMSS) to exclude skeletal trauma. Objectives of this study were to assess adherence to these recommendations in forensic autopsies in children equal to or less than 36 months of age, and what factors influence the use or nonuse of the PMSS. We surveyed pathologists who were members of the American Academy of Forensic Sciences. The survey included practice characteristics about where, when, and how PMSS were done. Nearly all respondents (99.6%) indicated they performed PMSS at least some of the time; however, almost a third did not use PMSS for all suspected Sudden Infant Death Syndrome (SIDS), abuse, unsafe sleep, or undetermined causes of death. Despite evidence that "babygrams" are inappropriate in a SIDS workup, 30% of pathologists use them preferentially. Despite SIDS being a diagnosis of exclusion that requires a PMSS, almost 10% of pathologists do not order a PMSS. Future research is necessary to reduce barriers to this important component of the pediatric forensic autopsy.
Antoinette L Laskey; Kelly L Haberkorn; Kimberly E Applegate; Michele J Catellier
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-11-21
Journal Detail:
Title:  Journal of forensic sciences     Volume:  54     ISSN:  1556-4029     ISO Abbreviation:  J. Forensic Sci.     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-01-05     Completed Date:  2009-04-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375370     Medline TA:  J Forensic Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  189-91     Citation Subset:  IM    
Department of Pediatrics, Riley Hospital for Children, Children's Health Services Research, Indiana University School of Medicine, 410 West 10th Street, Suite 1020, Indianapolis, IN 46202, USA.
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MeSH Terms
Allied Health Personnel
Asphyxia / diagnosis
Autopsy / methods*
Bone and Bones / radiography*
Child Abuse / diagnosis
Child, Preschool
Coroners and Medical Examiners
Forensic Pathology
Guideline Adherence
Infant, Newborn
Physician's Practice Patterns / statistics & numerical data*
Practice Guidelines as Topic
Sudden Infant Death / diagnosis
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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