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  1. Pediatric death certification.

    Article - En anglais

    Objective 

    To determine location, manner, and physician certifier of pediatric deaths.

    Design 

    A descriptive study of death certificate information for all child deaths (aged birth through 17 years) for the years 1995 and 1996.

    Setting 

    Urban county of more than 780 000 population.

    Main Outcome Measures 

    Field of specialty of physician certifiers, location of death, and category of deaths certified by the medical examiner.

    Results 

    Of 361 child deaths, 42.6% were certified by the medical examiner, 24.1% by neonatologists, 10.0% by obstetricians, 8.0% by pediatric critical care specialists, and 5.3% by general pediatricians.

    The remaining deaths were certified by pediatric subspecialists, surgeons, family practitioners, emergency medicine specialists, hospital pathologists, and law enforcement officials.

    The medical examiner certified deaths due to trauma (64.5%), sudden infant death syndrome (13.5%), unexplained or suspicious causes (9.7%), medical or surgical complications (3.9%), or because no other physician certifier was available (5.8%). Most children were pronounced dead at hospitals, but 10.0% died at home, 4.4% on roads, and 2.5% on public or private lands.

    Conclusions 

    General pediatricians are unlikely to be directly involved in the care of most children who die and are therefore unlikely to sign the death certificate. (...)

    Mots-clés Pascal : Certificat décès, Enfant, Homme, Nourrisson, Médecin, Signature, Origine, Arizona, Etats Unis, Amérique du Nord, Amérique, Statistique

    Mots-clés Pascal anglais : Death certificate, Child, Human, Infant, Physician, Signing, Origin, Arizona, United States, North America, America, Statistics

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0433331

    Code Inist : 002B30A01A2. Création : 25/01/1999.