Evidence map›Paper›PMID 29492970›Full record

ReviewEpilepsia2018

National Association of Medical Examiners position paper: Recommendations for the investigation and certification of deaths in people with epilepsy.

Owen Middleton, Daniel Atherton, Elizabeth Bundock, Elizabeth Donner, Daniel Friedman, Dale Hesdorffer, Heather Jarrell, Aileen McCrillis, Othon J Mena, Mitchel Morey and 7 more

Abstract readReviewConsensus Statement
In one paragraph

Review in Epilepsia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Owen MiddletonHennepin County Medical Examiner's Office, Minneapolis, MN, USA.
Daniel AthertonAnatomic Pathology, Division of Forensic Pathology, Cooper Green Hospital, University of Alabama at Birmingham, Birmingham, AL, USA.
Elizabeth BundockOffice of the Chief Medical Examiner, Burlington, VT, USA.
Elizabeth DonnerComprehensive Epilepsy Program, Division of Neurology, The Hospital for Sick Children, Toronto, ON, Canada.
Daniel FriedmanDepartment of Neurology, Langone Comprehensive Epilepsy Center, New York University, New York, NY, USA.ORCID 0000-0003-1068-1797
Dale HesdorfferGertrude H Sergievsky Center and Department of Epidemiology, Columbia University, New York, NY, USA.ORCID 0000-0003-1783-5381
Heather JarrellOffice of the Medical Investigator, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
Aileen McCrillisNew York University Langone Health, New York University School of Medicine, New York, NY, USA.
Othon J MenaVentura County Office of Chief Medical Examiner, Ventura, CA, USA.
Mitchel MoreyHennepin County Medical Examiner's Office, Minneapolis, MN, USA.
David ThurmanDepartment of Neurology, School of Medicine, Emory University, Atlanta, GA, USA.
Niu TianDivision of Population Health, Epilepsy Program, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, GA, USA.
Torbjörn TomsonDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Zian TsengCardiac Electrophysiology Section, Cardiology Division, University of California, San Francisco, San Francisco, CA, USA.
Steven WhiteOffice of the Medical Examiner, Cook County, Chicago, IL, USA.
Cyndi WrightStormlab Consulting, Burlingame, CA, USA.
Orrin DevinskyDepartment of Neurology, Langone Comprehensive Epilepsy Center, New York University, New York, NY, USA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Sudden unexpected death of an individual with epilepsy can pose a challenge to death investigators, as most deaths are unwitnessed, and the individual is commonly found dead in bed. Anatomic findings (eg, tongue/lip bite) are commonly absent and of varying specificity, thereby limiting the evidence to implicate epilepsy as a cause of or contributor to death. Thus it is likely that death certificates significantly underrepresent the true number of deaths in which epilepsy was a factor. To address this, members of the National Association of Medical Examiners, North American SUDEP Registry, Epilepsy Foundation SUDEP Institute, American Epilepsy Society, and the Centers for Disease Control and Prevention constituted an expert panel to generate evidence-based recommendations for the practice of death investigation and autopsy, toxicological analysis, interpretation of autopsy and toxicology findings, and death certification to improve the precision of death certificate data available for public health surveillance of epilepsy-related deaths. The recommendations provided in this paper are intended to assist medical examiners, coroners, and death investigators when a sudden unexpected death in a person with epilepsy is encountered.

Indexed as

Death CertificatesCoroners and Medical ExaminersDeath, SuddenEpilepsyHumansUnited Statesautopsydeath investigationepilepsymortalitysudden unexpected death in epilepsy

Identifiers

PMID29492970
PMCPMC6084455

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.