Children’s death survey using death certificates in the Chiba prefecture
In recent years, Child Death Review (CDR) has attracted attention in Japan. It is necessary to consider not only hospital deaths but also out-of-hospital deaths. However, recommending preventive measures may be difficult because statistics on Japanese child mortality are limited. We examined cause o...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-11-01
|
| Series: | Forensic Science International: Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2665910721000773 |
| _version_ | 1819172821907013632 |
|---|---|
| author | Shumari Urabe Kenji Ishihara Fumiko Chiba Rutsuko Yamaguchi Yuki Shiko Yohei Kawasaki Hirotaro Iwase |
| author_facet | Shumari Urabe Kenji Ishihara Fumiko Chiba Rutsuko Yamaguchi Yuki Shiko Yohei Kawasaki Hirotaro Iwase |
| author_sort | Shumari Urabe |
| collection | DOAJ |
| description | In recent years, Child Death Review (CDR) has attracted attention in Japan. It is necessary to consider not only hospital deaths but also out-of-hospital deaths. However, recommending preventive measures may be difficult because statistics on Japanese child mortality are limited. We examined cause of death (COD) and its application in preventive medicine based on death certificates (DCs) in the Chiba Prefecture. Death documents (DDs) and death slips (DSs) were created for individuals aged under 20 years who died between January 2012 and December 2016. They were based on DCs submitted to the Chiba Prefecture. We examined the trend of COD, occurrence of extrinsic mortality, and characteristics of doctors and compared CODs mentioned in DCs with autopsy results. For 1149 cases, the descriptions of DSs and DDs matched. Half of the extrinsic and undetermined deaths, which were examined by police doctors, occurred out-of-hospital. The autopsy rate was 13.5%. The COD mentioned in DCs did not match the autopsy results for 26 out of 69 autopsies performed at our institute. Approximately 70% of sudden infant death syndromes were diagnosed without autopsy. Low autopsy rate, incorrect writings, and errors during the death diagnosis cannot be ignored while conducting CDR. As more than half of the preventable deaths occurred out-of-hospital and there is no system to collect detailed information on them, the Japanese CDR system may not be reliable. It is necessary to improve the death investigation system by promoting autopsies for children and constructing a comprehensive database. |
| first_indexed | 2024-12-22T20:13:17Z |
| format | Article |
| id | doaj.art-addcbc90ae424357aea74cd401fee7b2 |
| institution | Directory Open Access Journal |
| issn | 2665-9107 |
| language | English |
| last_indexed | 2024-12-22T20:13:17Z |
| publishDate | 2021-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Forensic Science International: Reports |
| spelling | doaj.art-addcbc90ae424357aea74cd401fee7b22022-12-21T18:14:01ZengElsevierForensic Science International: Reports2665-91072021-11-014100246Children’s death survey using death certificates in the Chiba prefectureShumari Urabe0Kenji Ishihara1Fumiko Chiba2Rutsuko Yamaguchi3Yuki Shiko4Yohei Kawasaki5Hirotaro Iwase6Department of Legal Medicine, Graduate School of Medicine, Chiba University, 1–8-1 Inohana, Chuo-ku, Chiba City, Chiba, Japan; Correspondence to: Department of Legal Medicine, Graduate School of Medicine, Chiba University, 1–8-1 Inohana, Chuo-ku, Chiba, Japan.Department of Legal Medicine, Graduate School of Medicine, Chiba University, 1–8-1 Inohana, Chuo-ku, Chiba City, Chiba, Japan; Department of Legal Medicine, Kyoto Prefectural University of Medicine, 465 Kajiicho, Hirokoji agaru, Kawaramachi dori, Kamigyo-ku, Kyoto City, Kyoto, JapanDepartment of Legal Medicine, Graduate School of Medicine, Chiba University, 1–8-1 Inohana, Chuo-ku, Chiba City, Chiba, Japan; Department of Forensic Medicine, Graduate School of Medicine, The University of Tokyo, 7–3-1 Hongo, Bunkyo-ku, Tokyo, JapanDepartment of Legal Medicine, Graduate School of Medicine, Chiba University, 1–8-1 Inohana, Chuo-ku, Chiba City, Chiba, Japan; Department of Forensic Medicine, Graduate School of Medicine, The University of Tokyo, 7–3-1 Hongo, Bunkyo-ku, Tokyo, JapanBiostatistics Section, Clinical Research Center, Chiba University Hospital, 1–8-1 Inohana, Chuo-ku, Chiba City, Chiba, JapanBiostatistics Section, Clinical Research Center, Chiba University Hospital, 1–8-1 Inohana, Chuo-ku, Chiba City, Chiba, Japan; Faculty of Nursing, Japanese Red Cross College of Nursing, 4–1-3 Hiroo, Shibuya-ku, Tokyo, JapanDepartment of Legal Medicine, Graduate School of Medicine, Chiba University, 1–8-1 Inohana, Chuo-ku, Chiba City, Chiba, Japan; Department of Forensic Medicine, Graduate School of Medicine, The University of Tokyo, 7–3-1 Hongo, Bunkyo-ku, Tokyo, JapanIn recent years, Child Death Review (CDR) has attracted attention in Japan. It is necessary to consider not only hospital deaths but also out-of-hospital deaths. However, recommending preventive measures may be difficult because statistics on Japanese child mortality are limited. We examined cause of death (COD) and its application in preventive medicine based on death certificates (DCs) in the Chiba Prefecture. Death documents (DDs) and death slips (DSs) were created for individuals aged under 20 years who died between January 2012 and December 2016. They were based on DCs submitted to the Chiba Prefecture. We examined the trend of COD, occurrence of extrinsic mortality, and characteristics of doctors and compared CODs mentioned in DCs with autopsy results. For 1149 cases, the descriptions of DSs and DDs matched. Half of the extrinsic and undetermined deaths, which were examined by police doctors, occurred out-of-hospital. The autopsy rate was 13.5%. The COD mentioned in DCs did not match the autopsy results for 26 out of 69 autopsies performed at our institute. Approximately 70% of sudden infant death syndromes were diagnosed without autopsy. Low autopsy rate, incorrect writings, and errors during the death diagnosis cannot be ignored while conducting CDR. As more than half of the preventable deaths occurred out-of-hospital and there is no system to collect detailed information on them, the Japanese CDR system may not be reliable. It is necessary to improve the death investigation system by promoting autopsies for children and constructing a comprehensive database.http://www.sciencedirect.com/science/article/pii/S2665910721000773Child Death ReviewCause of deathDeath certificateDeath InvestigationPublic Health |
| spellingShingle | Shumari Urabe Kenji Ishihara Fumiko Chiba Rutsuko Yamaguchi Yuki Shiko Yohei Kawasaki Hirotaro Iwase Children’s death survey using death certificates in the Chiba prefecture Forensic Science International: Reports Child Death Review Cause of death Death certificate Death Investigation Public Health |
| title | Children’s death survey using death certificates in the Chiba prefecture |
| title_full | Children’s death survey using death certificates in the Chiba prefecture |
| title_fullStr | Children’s death survey using death certificates in the Chiba prefecture |
| title_full_unstemmed | Children’s death survey using death certificates in the Chiba prefecture |
| title_short | Children’s death survey using death certificates in the Chiba prefecture |
| title_sort | children s death survey using death certificates in the chiba prefecture |
| topic | Child Death Review Cause of death Death certificate Death Investigation Public Health |
| url | http://www.sciencedirect.com/science/article/pii/S2665910721000773 |
| work_keys_str_mv | AT shumariurabe childrensdeathsurveyusingdeathcertificatesinthechibaprefecture AT kenjiishihara childrensdeathsurveyusingdeathcertificatesinthechibaprefecture AT fumikochiba childrensdeathsurveyusingdeathcertificatesinthechibaprefecture AT rutsukoyamaguchi childrensdeathsurveyusingdeathcertificatesinthechibaprefecture AT yukishiko childrensdeathsurveyusingdeathcertificatesinthechibaprefecture AT yoheikawasaki childrensdeathsurveyusingdeathcertificatesinthechibaprefecture AT hirotaroiwase childrensdeathsurveyusingdeathcertificatesinthechibaprefecture |