Terminology used by pathologists in reporting on sudden infant deaths
- PMID: 14990606
- PMCID: PMC1770224
- DOI: 10.1136/jcp.2003.013052
Terminology used by pathologists in reporting on sudden infant deaths
Abstract
Aim: To determine whether the terms used by pathologists in reporting on sudden infant deaths are applied consistently.
Method: Postal survey.
Results: Replies were received from 63 pathologists who carry out necropsies after sudden infant deaths. There was a pronounced variation in their use of the terms "sudden infant death syndrome" and "unascertained", with the last term being applied not only when there were apparently suspicious features but also in various other circumstances. Opinions were divided as to whether the term "sudden infant death syndrome" still serves a useful purpose. Deaths that had occurred while bed sharing were categorised in several different ways. Many pathologists commented on the inadequacy of the history available to them at the time of their report.
Conclusions: There is a serious need for greater consistency in the way pathologists report on sudden death in infants. Pathologists should be provided with a full history before they carry out the necropsy.
References
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- Beckwith JB. Discussion of terminology and definition of the sudden infant death syndrome. In: Bergman JB, Ray CG, eds. Proceedings of the second international conference on causes of sudden death in infants. Washington: University of Washington Press, 1970:14–22.
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- Green MA. Time to put “cot death” to bed. BMJ 1999;319:697–8. - PubMed
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- Limerick S. Not time to put “cot death” to bed. BMJ 1999;319:698–700.
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- Office for National Statistics. Are unascertained deaths the same as sudden infant deaths? Health Statistics Quarterly 2001;10:20–4.
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