Citation

Casali MB, Blandino A, Grignaschi S, Florio EM, Travaini G, Genovese UR. Forensic Sci. Int. 2019; 302: e109883.

Affiliation

Sezione di Medicina Legale e delle Assicurazioni-Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via Luigi Mangiagalli 37, Milan 20133, Italy. Electronic address: umberto.genovese@unimi.it.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.forsciint.2019.109883

PMID

31450068

Abstract

The authors analyzed the injury pattern of 385 victims of fall from a height which underwent a complete autopsy, with the objective to investigate whether it was possible to construct a mathematical model to be used for height of the fall diagnosis. The cases were selected and enrolled according to a balanced stratification of the heights of the fall, allowing a subdivision into seven classes consisting of 55 subjects each: 6m or less, 9m, 12m, 15m, 18m, 21m, 24m or more (maximum 36m). For each case anthropologic and necroscopic data was collected and analyzed to obtain a standardized description of the injury pattern was obtained, dividing the body into 4 major anatomical areas (Head, Thorax, Abdomen, Skeleton), each of them further divided in 5 major organs. Every organ was finally divided into 5 objective degrees of injury. Statistical analysis was performed on all the available data using IBM SPSS Statistics 20, to test the performance of the "injury pattern assessment table" in the diagnosis of the height of the fall and to develop a related mathematical model. Our findings confirm that the height of the fall is significantly associated with age, weight of the body and the injury pattern. An Injury Pattern Assessment Table and two mathematical models which correlates the height of the fall with analyzed variables are presented.

Copyright © 2019. Published by Elsevier B.V.

Language: en

Keywords

Autopsy; Forensic sciences; Height of fall; Injury severity; Mathematical model