From the Injury Prevention and Research Center (H.-W.W.), Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Injury Prevention and Research Center (S.G.M.), Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; and Injury Prevention and Research Center (M.M., K.S.), Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, and Smith Child Health Research Program, Stanley Manne Children's Research Institute, Chicago, Illinois.
J Trauma Acute Care Surg. 2017 Nov;83(5S Suppl 2):S222-S226. doi: 10.1097/TA.0000000000001600.
There is little information available about the circumstances surrounding the deaths of children aged 0 to 14 years in which the manner of death is of undetermined intent.
We analyzed data collected in the Illinois Violent Death Reporting System to describe victim demographics, location of injury, seasonality, day of week, and circumstances surrounding the victims' deaths.
From 2005 to 2010 in Cook County, Illinois, 192 cases were identified of children aged 0 to 14 years, in which the manner of death was of undetermined intent. The majority of cases were younger than 1 year (81%), male (62%), and non-Hispanic black (66%); occurred in the City of Chicago (65%); and also occurred most frequently during the months of May (15%) and July (13%) and on Sunday (19%). Circumstances of note were having information on the location of death available for the victim (90%); scene investigation was not performed/unknown/not documented (81%); and the victim not presenting with red petechiae (84%). By ethnicity, a lower proportion of Hispanic victims had parental drug information available compared with non-Hispanic victims (17% and 40%, respectively; p = 0.017); Hispanic victims were more likely than non-Hispanic victims to have a documented acute illness at the time of injury leading to death (57% and 33%, respectively; p = 0.015). The availability of scene information and the successful contact of one or both parents of the victim following the victim's death varied by location.
No public health surveillance system exists for the collection of this type of death. There is not enough information provided to develop an effective intervention. The systematic, thorough collection of information surrounding these deaths is necessary to pinpoint possible contributing mechanisms of death for these children.
Epidemiologic, level IV.
对于 0 至 14 岁儿童死亡方式为不明意图的情况，相关信息十分有限。
我们分析了伊利诺伊州暴力死亡报告系统收集的数据，以描述受害者的人口统计学特征、受伤地点、季节性、周内日期以及受害者死亡时的环境情况。
2005 年至 2010 年，在伊利诺伊州库克县，确定了 192 例 0 至 14 岁儿童的死亡方式为不明意图的案例。大多数案例为年龄不足 1 岁的儿童（81%）、男性（62%）和非西班牙裔黑人（66%）；发生在芝加哥市（65%）；也最常发生在 5 月（15%）和 7 月（13%）以及周日（19%）。值得注意的情况是：有 90%的案例可提供受害者死亡地点的相关信息；81%的案例未进行/未知/未记录现场调查；84%的案例受害者无红色瘀点。按种族划分，与非西班牙裔受害者相比，具有父母吸毒信息的西班牙裔受害者比例较低（分别为 17%和 40%；p=0.017）；在受伤导致死亡时，有记录的急性疾病的西班牙裔受害者比例高于非西班牙裔受害者（分别为 57%和 33%；p=0.015）。现场信息的可用性以及在受害者死亡后成功联系到受害者的父母一方或双方，因位置而异。
没有公共卫生监测系统用于收集此类死亡事件。提供的信息不足以制定有效的干预措施。有必要系统地、全面地收集有关这些死亡事件的信息，以确定这些儿童死亡的可能促成机制。
流行病学，四级。
