Cases of asphyxia in children and adolescents: a retrospective analysis of fatal accidents, suicides, and homicides from 1998 to 2017 in Hamburg, Germany
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) a...
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| Veröffentlicht in: | International journal of legal medicine 2020-05, Vol.134 (3), p.1073-1081 |
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| container_title | International journal of legal medicine |
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| creator | Mosek, Dieu Phuong Sperhake, Jan Peter Edler, Carolin Püschel, Klaus Schröder, Ann Sophie |
| description | 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. |
| doi_str_mv | 10.1007/s00414-020-02248-6 |
| format | Article |
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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.</description><identifier>ISSN: 0937-9827</identifier><identifier>EISSN: 1437-1596</identifier><identifier>DOI: 10.1007/s00414-020-02248-6</identifier><identifier>PMID: 31955241</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Accidents ; Adolescent ; Adolescents ; Age Distribution ; Asphyxia ; Asphyxia - mortality ; Autopsies ; Autopsy ; Cause of Death - trends ; Child ; Child & adolescent psychiatry ; Child mortality ; Child, Preschool ; Children ; Female ; Forensic Medicine ; Germany - epidemiology ; Hemorrhage ; Humans ; Infant ; Legal medicine ; Male ; Medical Law ; Medicine ; Medicine & Public Health ; Murders & murder attempts ; Original ; Original Article ; Retrospective Studies ; Sex Distribution ; Suffocation ; Suicides & suicide attempts ; Teenagers ; Young Adult</subject><ispartof>International journal of legal medicine, 2020-05, Vol.134 (3), p.1073-1081</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-3c9826fb261878259f6eb29dc18bdc2917fce32515ab4d3a9f720de1ce13a0e63</citedby><cites>FETCH-LOGICAL-c474t-3c9826fb261878259f6eb29dc18bdc2917fce32515ab4d3a9f720de1ce13a0e63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00414-020-02248-6$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00414-020-02248-6$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31955241$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mosek, Dieu Phuong</creatorcontrib><creatorcontrib>Sperhake, Jan Peter</creatorcontrib><creatorcontrib>Edler, Carolin</creatorcontrib><creatorcontrib>Püschel, Klaus</creatorcontrib><creatorcontrib>Schröder, Ann Sophie</creatorcontrib><title>Cases of asphyxia in children and adolescents: a retrospective analysis of fatal accidents, suicides, and homicides from 1998 to 2017 in Hamburg, Germany</title><title>International journal of legal medicine</title><addtitle>Int J Legal Med</addtitle><addtitle>Int J Legal Med</addtitle><description>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.</description><subject>Accidents</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Age Distribution</subject><subject>Asphyxia</subject><subject>Asphyxia - mortality</subject><subject>Autopsies</subject><subject>Autopsy</subject><subject>Cause of Death - trends</subject><subject>Child</subject><subject>Child & adolescent psychiatry</subject><subject>Child mortality</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Female</subject><subject>Forensic Medicine</subject><subject>Germany - epidemiology</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Infant</subject><subject>Legal medicine</subject><subject>Male</subject><subject>Medical Law</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Murders & murder attempts</subject><subject>Original</subject><subject>Original Article</subject><subject>Retrospective Studies</subject><subject>Sex Distribution</subject><subject>Suffocation</subject><subject>Suicides & suicide attempts</subject><subject>Teenagers</subject><subject>Young Adult</subject><issn>0937-9827</issn><issn>1437-1596</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kctu1DAUhi0EokPhBVggS2xYNOBb7JgFEhpBi1SJDaytE8eZcZXEg51UzKP0bWs3pVwWLCwf63z-z-VH6CUlbykh6l0iRFBREUbyYaKp5CO0oYKritZaPkYbonOsG6ZO0LOUrgihSqr6KTrhVNc1E3SDbraQXMKhx5AO--NPD9hP2O790EU3YZg6DF0YXLJumtN7DDi6OYZ0cHb21y4DMByTv1PoYYYBg7W-K_AZTosvcY6Kzj6M6xP3MYyYat3gOWCWuyo1L2Bsl7g7w-cujjAdn6MnPQzJvbi_T9H3z5--bS-qy6_nX7YfLysrlJgrbvOAsm-ZpI1qWK176VqmO0ubtrNMU9Vbx1lNa2hFx0H3ipHOUesoB-IkP0UfVt3D0o6uK3NGGMwh-hHi0QTw5u_M5PdmF66Nog0VrM4Cb-4FYvixuDSb0ed1DQNMLizJMC4Yr4WkBX39D3oVlphXWCjNtVRC8kyxlbJ50Sm6_qEZSkxx3qzOm-y8uXPelDFe_TnGw5dfVmeAr0DKqWnn4u_a_5G9BVkaukg</recordid><startdate>20200501</startdate><enddate>20200501</enddate><creator>Mosek, Dieu Phuong</creator><creator>Sperhake, Jan Peter</creator><creator>Edler, Carolin</creator><creator>Püschel, Klaus</creator><creator>Schröder, Ann Sophie</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AM</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BGRYB</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K7.</scope><scope>K9.</scope><scope>L6V</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200501</creationdate><title>Cases of asphyxia in children and adolescents: a retrospective analysis of fatal accidents, suicides, and homicides from 1998 to 2017 in Hamburg, Germany</title><author>Mosek, Dieu Phuong ; Sperhake, Jan Peter ; Edler, Carolin ; Püschel, Klaus ; Schröder, Ann Sophie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-3c9826fb261878259f6eb29dc18bdc2917fce32515ab4d3a9f720de1ce13a0e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Accidents</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Age Distribution</topic><topic>Asphyxia</topic><topic>Asphyxia - mortality</topic><topic>Autopsies</topic><topic>Autopsy</topic><topic>Cause of Death - trends</topic><topic>Child</topic><topic>Child & adolescent psychiatry</topic><topic>Child mortality</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Female</topic><topic>Forensic Medicine</topic><topic>Germany - epidemiology</topic><topic>Hemorrhage</topic><topic>Humans</topic><topic>Infant</topic><topic>Legal medicine</topic><topic>Male</topic><topic>Medical Law</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Murders & murder attempts</topic><topic>Original</topic><topic>Original Article</topic><topic>Retrospective Studies</topic><topic>Sex Distribution</topic><topic>Suffocation</topic><topic>Suicides & suicide attempts</topic><topic>Teenagers</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mosek, Dieu Phuong</creatorcontrib><creatorcontrib>Sperhake, Jan Peter</creatorcontrib><creatorcontrib>Edler, Carolin</creatorcontrib><creatorcontrib>Püschel, Klaus</creatorcontrib><creatorcontrib>Schröder, Ann Sophie</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Criminal Justice Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Criminology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Engineering Collection</collection><collection>Criminal Justice Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Engineering Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of legal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mosek, Dieu Phuong</au><au>Sperhake, Jan Peter</au><au>Edler, Carolin</au><au>Püschel, Klaus</au><au>Schröder, Ann Sophie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cases of asphyxia in children and adolescents: a retrospective analysis of fatal accidents, suicides, and homicides from 1998 to 2017 in Hamburg, Germany</atitle><jtitle>International journal of legal medicine</jtitle><stitle>Int J Legal Med</stitle><addtitle>Int J Legal Med</addtitle><date>2020-05-01</date><risdate>2020</risdate><volume>134</volume><issue>3</issue><spage>1073</spage><epage>1081</epage><pages>1073-1081</pages><issn>0937-9827</issn><eissn>1437-1596</eissn><abstract>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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31955241</pmid><doi>10.1007/s00414-020-02248-6</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0937-9827 |
| ispartof | International journal of legal medicine, 2020-05, Vol.134 (3), p.1073-1081 |
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| source | MEDLINE; HeinOnline Law Journal Library; SpringerLink Journals - AutoHoldings |
| subjects | Accidents Adolescent Adolescents Age Distribution Asphyxia Asphyxia - mortality Autopsies Autopsy Cause of Death - trends Child Child & adolescent psychiatry Child mortality Child, Preschool Children Female Forensic Medicine Germany - epidemiology Hemorrhage Humans Infant Legal medicine Male Medical Law Medicine Medicine & Public Health Murders & murder attempts Original Original Article Retrospective Studies Sex Distribution Suffocation Suicides & suicide attempts Teenagers Young Adult |
| title | Cases of asphyxia in children and adolescents: a retrospective analysis of fatal accidents, suicides, and homicides from 1998 to 2017 in Hamburg, Germany |
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