Are Statutory Requirements Followed in the Certification of Traumatic, Unexpected, and Unattended Deaths in Missouri?
Medical examiners and coroners (ME/Cs) investigate deaths important to public health. This cross-sectional study evaluated 343,412 death certificates from 2007 to 2012 in Missouri. We examined agreement between cause and manner of death by year and ME/C contact as well as 2010-2012 trends in ME/C contact. There was near perfect agreement between cause and manner of death when an ME/C was contacted (kappa=0.97, p < 0.0001) and a significant increase in the proportion of deaths with ME/C contact from 2010 to 2012 (p =< 0.0001). There was a significantly higher proportion of ME/C-certified deaths using the electronic system in 2010-2012 (aOR = 1.18, 95% CI 1.15, 1.21) compared to the manual system in 2007-2009. Black, non-Hispanic (aOR = 1.50, 95% CI 1.43,1.57) and Hispanic (aOR = 1.31, 95% CI 1.13, 1.51) deaths, compared to White, non-Hispanic deaths, were associated with a significantly greater odds of ME/C certification. Race as an independent predictor of ME/C death certification warrants further research.
['Xaverius|Pamela K|PK|', 'Wambuguh|Loise|L|', 'Ward|Craig|C|', 'Salas|Joanne|J|', 'Alleman|Elizabeth|E|', 'Young|Jeffrey|J|', 'Berkemeier|Jessica|J|']
D000293:Adolescent D000328:Adult D000368:Aged D002423:Cause of Death D002648:Child D002675:Child, Preschool D003334:Coroners and Medical Examiners D003430:Cross-Sectional Studies D003644:Death Certificates D005260:Female D006801:Humans D007223:Infant D007231:Infant, Newborn D007256:Information Systems D008297:Male D008875:Middle Aged D008923:Missouri D044469:Racial Groups D012189:Retrospective Studies D055815:Young Adult
medical examiner coroner forensic science mortality