Cases of asphyxia in children and adolescents
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Cases of asphyxia in children and adolescents : a retrospective analysis of fatal accidents, suicides, and homicides from 1998 to 2017 in Hamburg, Germany. / Mosek, Dieu Phuong; Sperhake, Jan Peter; Edler, Carolin; Püschel, Klaus; Schröder, Ann Sophie.
In: INT J LEGAL MED, Vol. 134, No. 3, 05.2020, p. 1073-1081.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Cases of asphyxia in children and adolescents
T2 - a retrospective analysis of fatal accidents, suicides, and homicides from 1998 to 2017 in Hamburg, Germany
AU - Mosek, Dieu Phuong
AU - Sperhake, Jan Peter
AU - Edler, Carolin
AU - Püschel, Klaus
AU - Schröder, Ann Sophie
PY - 2020/5
Y1 - 2020/5
N2 - 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.
AB - 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.
U2 - 10.1007/s00414-020-02248-6
DO - 10.1007/s00414-020-02248-6
M3 - SCORING: Journal article
C2 - 31955241
VL - 134
SP - 1073
EP - 1081
JO - INT J LEGAL MED
JF - INT J LEGAL MED
SN - 0937-9827
IS - 3
ER -
