Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: ORIGINAL RESEARCH
Denizli'de Meydana Gelen 0-18 Yaş Grubu Adli Ölümlerin Retrospektif Değerlendirilmesi
Retrospective Evaluation of 0-18 Age Group Forensic Deaths in Denizli
Volkan ZEYBEKa, Hatice Kübra ATA ÖZTÜRKb, Ayşe SEYDAOĞULLARI BALTACIb, Kemalettin ACARb
aManisa Celal Bayar Üniversitesi Tıp Fakültesi, Adli Tıp ABD, Manisa, Türkiye
bPamukkale Üniversitesi Tıp Fakültesi, Adli Tıp ABD, Denizli, Türkiye
Turkiye Klinikleri J Foren Sci Leg Med. 2022;19(2):94-101
doi: 10.5336/forensic.2021-87275
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmada, Denizli'de meydana gelen çocukluk çağı adli ölüm olgularının özelliklerinin ve yaş gruplarına göre en sık ölüm nedenlerinin risk faktörleri ile birlikte belirlenmesi ve önlenebilir ölüm nedenlerinin literatür bilgileri eşliğinde tartışılması amaçlanmıştır. Gereç ve Yöntemler: Ocak 2014-Aralık 2018 yılları arasında otopsi işlemi yapılan 0-18 yaş grubunda yer alan olguların, ölü muayene ve otopsi kayıtları ile toksikolojik ve histopatolojik inceleme raporları retrospektif olarak değerlendirilmiştir. Olguların yaş, cinsiyet, ölüm nedeni, ölüm orijini ile ilgili veriler değerlendirilmiştir. Olgular yaşa göre 1 yaş altı, 1-4 yaş, 5-9 yaş, 10-14 yaş ve 15-18 yaş olarak gruplandırılmıştır. Bulgular: İncelenen 5 yıllık süreçte 210 çocuğa ölü muayenesi ve otopsi işlemi yapılmıştır. Olguların yaş ortalamasının 8,94±7,02 olduğu tespit edilmiştir. Yaş dağılımına göre gruplandırıldığında en fazla olgu sayısının 76 (%36,2) ile 15-18 yaş arasında olduğu anlaşılmıştır. En sık trafik kazası (%35,2) olmak üzere kaza orijinli ölümler gözlenmiştir. Ölüm nedenlerine bakıldığında en sık (%40) künt travmatik yaralanmalara bağlı ölümler gerçekleşmiştir. Sonuç: Çalışmamızda değerlendirilen çocukluk çağı adli otopsi olgularının büyük çoğunluğunda belirli önlemler ve müdahaleler ile engellenebilecek nitelikte kazaların olması dikkat çekmektedir. Ayrıca cinayet ve intihar orijinli ölümlerin de azımsanmayacak seviyede olduğu görülmüştür. Çocuk ölümleri ile ilgili tam ve kapsamlı bir medikolegal inceleme yapılması ve bu verilerin belirli aralıklarla analiz edilerek bu konu hakkında değerlendirme yapılması, önlenebilir çocuk ölümlerin azaltılması ve engellenmesi için önemlidir.

Anahtar Kelimeler: Otopsi; çocuk ölümleri; Denizli
ABSTRACT
 Objective: It is aimed to determine the characteristics of childhood forensic death cases in Denizli and the most common causes of death according to age groups, together with risk factors, and to discuss preventable causes of death in the light of literature. Material and Methods: External examination and autopsy records, toxicological and histopathological examination reports of the cases in the 0-18 age group who underwent autopsy between January 2014 and December 2018 were evaluated retrospectively. Data on age, gender, cause of death, and origin of death of the cases were evaluated. The cases were grouped according to age as under 1 year, 1-4 years, 5-9 years, 10-14 years and 15-18 years. Results: Autopsies and death examinations were performed on 210 children during the 5-year period. It was determined that the mean age of the cases was 8.94±7.02. According to age distribution, 76 (36.2%) cases was between 15-18 years old. Accidental deaths were observed, with the most frequent traffic accident (35.2%). Considering the causes of death, the most common deaths were due to blunt traumatic injuries (40%). Conclusion: It is noteworthy that the majority of childhood forensic autopsy cases evaluated in our study have accidents that can be prevented with certain precautions and interventions. In addition, it has been observed that deaths originating from homicide and suicide are at a substantial level. It is important to carry out comprehensive medicolegal examination of child deaths and to analyze these data at regular intervals and to evaluate this issue in order to reduce and prevent preventable child deaths.

Keywords: Autopsy; childhood deaths; Denizli
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