@article{ref1,
title="Unexplained deaths in minors in the Amsterdam-Zaandam region in 1990-2004 and the estimated number that will be considered for further investigation into the cause of death (the nodo procedure)",
journal="Nederlands Tijdschrift voor Geneeskunde",
year="2007",
author="de Bruin, K. H. and de Keijzer, J. C. and Rutgers, R. A. K. and Das, Cees",
volume="151",
number="5",
pages="305-309",
abstract="OBJECTIVE: To determine how often deceased minors are examined by a forensic physician and the rate of unexplained deaths, and to estimate how often further investigation into the cause of death (the so-called NODO procedure) would be initiated. DESIGN: Descriptive, retrospective study. METHOD: Statistics Netherlands (CBS) provided the number of deceased minors and the manner as well as cause of death for the Amsterdam-Zaandam region in the period 1990-2004. Data regarding residence, age, year of death, manner of death and cause of death were collected for all post-mortem examinations performed on minors during the same period using the registration system of the Department of Forensic Medicine of the Amsterdam Municipal Health Services. RESULTS: A total of 2134 minors living in the Amsterdam-Zaandam region died in the period 1990-2004, according to the CBS. In this 15-year period the CBS registered 140 deaths (7%) that remained unexplained after post-mortem examination: 91 were registered as natural deaths due to unknown or unclear causes and 49 were registered as sudden infant death syndrome. In 306 cases (14%) the post-mortem examination was performed by municipal forensic physicians. Of these cases, 61 (20%) remained unexplained after post-mortem examination. In the remaining cases, post-mortem examination was performed by the treating physician. CONCLUSION: The estimated annual number of cases that will be referred for the NODO procedure in the Amsterdam-Zaandam region is at least 10: 4 based on unexplained deaths after examination by a municipal forensic physician and 6 based on natural deaths with no known cause of death according to the treating physician. Nationwide, at least 125 of the expected 1800 childhood deaths will be referred annually.<p /> <p>Language: nl</p>",
language="nl",
issn="0028-2162",
doi="",
url="http://dx.doi.org/"
}