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American Academy of Pediatrics. Policy statement--child fatality review
Insights
Child fatality review teams prevent deaths by analyzing child mortality data. This public health approach identifies effective strategies to reduce preventable child deaths across all age groups.
Area of Science:
- Public Health
- Epidemiology
- Pediatrics
Background:
- Injury is the primary cause of death in children.
- Child fatality review teams initially focused on abuse/neglect.
- The scope has broadened to a public health model for all child deaths.
Purpose of the Study:
- To highlight the expanded role of child fatality review teams.
- To emphasize their utility in preventing child mortality.
- To advocate for enhanced review processes and pediatrician involvement.
Main Methods:
- Systematic review of child deaths from birth through adolescence.
- Analysis of data from approximately half of all states.
- Identification of local and state prevention strategies.
Main Results:
- Fatality review processes have identified effective prevention strategies.
- The expanded approach aids in understanding child death epidemiology and preventability.
- Improved accuracy of vital statistics data is a key outcome.
Conclusions:
- Child fatality review is a powerful public health tool.
- It informs public health and legislative strategies for reducing preventable deaths.
- The American Academy of Pediatrics supports legislative enhancement and pediatrician engagement.
Abstract:
Injury remains the leading cause of pediatric mortality and requires public health approaches to reduce preventable deaths. Child fatality review teams, first established to review suspicious child deaths involving abuse or neglect, have expanded toward a public health model of prevention of child fatality through systematic review of child deaths from birth through adolescence. Approximately half of all states report reviewing child deaths from all causes, and the process of fatality review has identified effective local and state prevention strategies for reducing child deaths. This expanded approach can be a powerful tool in understanding the epidemiology and preventability of child death locally, regionally, and nationally; improving accuracy of vital statistics data; and identifying public health and legislative strategies for reducing preventable child fatalities. The American Academy of Pediatrics supports the development of federal and state legislation to enhance the child fatality review process and recommends that pediatricians become involved in local and state child death reviews.
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