Att 6_Illustrative Table Shells

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Determining Causes of Sudden, Unexpected Infant Death: A National Survey of U.S. Medical Examiners and Coroners

Att 6_Illustrative Table Shells

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Illustrative Table Shells

Several analyses are planned and further illustrated in the table shells.

Table 1. Sociodemographic characteristics of study population. This analysis will describe the sociodemographic characteristics of the study population considering accounting for both jurisdictional and individual differences.

Table 2. Procedures completed as part of a sudden unexpected infant death investigation in your jurisdiction. This analysis will describe the variation in procedures routinely completed as part of a SUID investigation. We will calculate the weighted percentages.

Table 3. Frequency of procedures used to make a determination of cause of death for sudden unexpected infant deaths in your jurisdiction(s). This analysis will describe the variation in procedures routinely completed to determine cause of death for SUID cases. We will calculate the weighted percentages.

Table 4. Case Scenarios by cause of death determinations. This analysis will describe the variation in cause-of-death determinations used by medical examiners and coroners for different SUID case scenarios. Percentages will be calculated and additional cross-tabulations will be completed by stratifying by medical examiner or coroner, years of experience, level of training, board certification or not, etc.

Table 5-8. Evidence needed to classify a death as suffocation/overlay/wedging-entrapment/SIDS. These descriptive analyses aim to determine the frequency of specific types of death scene investigation and autopsy evidence are used by medical examiners and coroners to determine various causes of SUID. Percentages will be calculated and additional cross-tabulations will be completed by stratifying by medical examiner or coroner, years of experience, level of training, board certification or not, etc.

Table 9. Definitions of SIDS. This analysis will examine the various SIDS .and SUID definitions used by medical examiners and coroners to determine a SIDS or SUID cause of death. Frequencies and percentages will be calculated.



Table 1. Sociodemographic characteristics of study population

Characteristic

n

Weighted percent (%)

Office-level



Office type

State medical examiner office

District/regional medical examiner office

County medical examiner office

City medical examiner office

District/regional coroner office

County coroner office




Jurisdiction / population size


1,000,000 or more

500,000 to 999,999

250,000 to 499,999

100,000 to 249,999

50,000 to 99,999

25,000 to 49,999

10,000 to 24,999

2,500 to 9,999

Less than 2,500

Not sure






Protocol used for conducting unexpected infant death investigations

Sudden Unexplained Infant Death Investigation Reporting Form (SUIDRF)1

Protocol based on or equivalent to Sudden Unexplained Infant Death Investigation Reporting Form (SUIDRF)

State or jurisdiction-specific protocol

Other

No protocol




What training relevant to infant death scene investigation do the staff in your jurisdiction required to complete?

No specific training required

Course using CDC training materials on Sudden Unexplained Infant Death (SUID)2

One-on-one training from staff who received CDC SUID investigation training

State-based training(s)

National Institute of Justice-sponsored Webinar

Other

Not sure



Office reimbursed for death scene investigations?

Yes

No



Individual-level



Age (years)

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70 +



Sex

Male

Female




Ethnicity

Non-Hispanic

Hispanic




Race

White

Black or African American

Asian

Native Hawaiian or Other Pacific Islander

American Indian or Alaska Native

Other




Title or position

Chief medical examiner

Coroner

Justice of the Peace

Other





Highest level of education attained

Some high school or less

High school graduate

Some college

2-year college graduate

4-year college graduate

Post graduate study





Area of Board Certification

None

Pediatrics

Pathology

Pediatrics and Pathology

Other




Training completed related to SUID Investigation

Course using CDC training materials on sudden unexpected infant death (SUID) investigation

One-on-one training from staff person who received CDC SUID training

State-based training

National Institute of Justice-sponsored Webinar

Other




Years of experience as a medical examiner or coroner

<1

1-2

3-5

6-10

11-15

16-20

>20




Approximate number of infant death cases investigated during the past year

<1

1-2

3-5

6-10

11-15

16-20

>20




Approximate number of infant death cases investigated in your career

<1

1-2

3-5

6-10

11-15

16-20

>20







Table 2. Procedures completed as part of a sudden unexpected infant death investigation in your jurisdiction


Number and weighted percent


Procedure


Completed

Routinely


Completed on a case-by-case

basis

Never

completed

Not sure

Autopsy





Witness interview(s)





Infant’s medical history





Infant’s dietary history





Pregnancy history for infant’s birth mother





Family’s social history (i.e., involvement of social services)





Photos or videos





Scene diagram





Body diagram(s)





Collected materials (e.g., medications, baby bottle)





Incident scene investigation at the site where the death occurred





Scene re-creation with doll





Scene re-creation without doll





Review of 911 tape
















Table 3. Frequency of procedures used to make a determination of cause of death for sudden unexpected infant deaths in your jurisdiction(s)


Number and weighted percent


Procedure


Completed

Routinely


Completed on a case-by-case

basis

Never

completed

Not sure

Death scene investigation





Review of medical records from a health care provider





Complete autopsy (defined as removal and examination of the brain, thoracic, and abdominal organs)





Partial autopsy (defined as minimal dissection, less than complete)





Toxicology analysis





Radiology (one or more x-rays)





Metabolic screen





Genetic testing





Microbiology





Pathology





Histology





Other







Table 4. Case Scenarios by cause of death determinations (%)


Cause of death determinations

Scenario #

1

2

3

4

5

1






2






3






4






5






















Repeat Table 4, but stratify by medical examiner or coroner, years of experience, level of training, board certification or not, and other selected characteristics.



Table 5. Evidence needed to classify a death as suffocation

Type of evidence

Number reporting

Percent reporting

Autopsy



Scene re-creation with doll



Etc.





Table 6. Evidence needed to classify a death as overlay

Type of evidence

Number reporting

Percent reporting

Autopsy



Scene re-creation with doll



Etc.





Table 7. Evidence needed to classify a death as wedging/entrapment

Type of evidence

Number reporting

Percent reporting

Autopsy



Scene re-creation with doll



Etc.





Table 8. Evidence needed to classify a death as SIDS

Type of evidence

Number reporting

Percent reporting

Autopsy



Scene re-creation with doll



Etc.





Table 9. Definitions of SIDS

Definition of SIDS

Number

Weighted percent

Willinger



Krous



Beckwith



Randall



Avon











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