Accidental death in a pediatric population in Newfoundland and Labrador: an analysis of cases of the Office of the Chief Medical Examiner

Devereaux, Emily Jane (2023) Accidental death in a pediatric population in Newfoundland and Labrador: an analysis of cases of the Office of the Chief Medical Examiner. Masters thesis, Memorial University of Newfoundland.

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Introduction: Accidental death is the leading manner of pediatric death worldwide. In Newfoundland & Labrador (NL) published assessments of accidental pediatric death are limited. Methods: A retrospective cohort study of cases of accidental death in children and youth aged 0- to 21- years that occurred between January 1, 2004, and December 31, 2013 and were referred to the Office of the Chief Medical Examiner of NL for investigation was carried out. Comparison was made between accidental death in NL and the provinces of New Brunswick (NB) and Manitoba (MB) matching ages and years of occurrence. Results: A total of 139 cases occurred with a mean age of 15.8 (+/-4.9) years. Males accounted for more cases than females (p<0.001). Leading cause of death was mechanical trauma due to an MVA (52%) (p<0.001). Within NL regional differences were present with the highest incidence of all accidental death occurring in the Labrador Grenfell Health region (p=0.002). When comparing NL to MB, rates of accidents were comparable. While comparing NL to NB saw more differences overall, among specific causes of death, and among sexes. Conclusion: Accident incidence differed significantly between the regions of the province with rural areas seeing more accidents than urban areas. NL was comparable for accident incidence to the province of MB and lower than NB in overall accidental death, cause specific death and among sexes.

Item Type: Thesis (Masters)
Item ID: 16275
Additional Information: Includes bibliographical references (pages 67-74) -- Restricted until October 1, 2026
Keywords: pediatric, accident, cause of death, Newfoundland & Labrador, fatality
Department(s): Medicine, Faculty of > Community Health
Date: October 2023
Date Type: Submission
Digital Object Identifier (DOI):
Medical Subject Heading: Accidents--statistics & numerical data--Newfoundland and Labrador; Accidents--statistics & numerical data--Manitoba; Accidents--statistics & numerical data--New Brunswick; Minors--statistics & numerical data--Newfoundland and Labrador; Minors--statistics & numerical data--Manitoba; Minors--statistics & numerical data--New Brunswick; Cause of Death—Newfoundland and Labrador; Cause of Death--Manitoba; Cause of Death--New Brunswick; Forensic Medicine--Newfoundland and Labrador; Forensic Medicine--Manitoba; Forensic Medicine--New Brunswick; Incidence--Newfoundland and Labrador; Incidence --Manitoba; Incidence--New Brunswick; Pediatrics--statistics & numerical data--Newfoundland and Labrador; Pediatrics--statistics & numerical data--Manitoba; Pediatrics--statistics & numerical data--New Brunswick; Retrospective Studies--Newfoundland and Labrador; Retrospective Studies--Manitoba; Retrospective Studies--New Brunswick; Coroners and Medical Examiners--Newfoundland and Labrador; Coroners and Medical Examiners --Manitoba; Coroners and Medical Examiners--New Brunswick

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