Evidence map›Paper›PMID 30402743›Full record

ArticleForensic science, medicine, and pathology2019

U.S. Medical Examiner/Coroner capability to handle highly infectious decedents.

Aurora B Le, Erin G Brooks, Lily A McNulty, James R Gill, Jocelyn J Herstein, Janelle Rios, Scott J Patlovich, Katelyn C Jelden, Kendra K Schmid, John J Lowe and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Forensic science, medicine, and pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Autopsies in pandemics - a perspective on barriers and benefits. Is it time for a revival?APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2021
    Review
  5. COVID-19: Postmortem Diagnostic and Biosafety Considerations.The American journal of forensic medicine and pathology · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Aurora B LeDepartment of Environmental and Occupational Health, Indiana University School of Public Health, 1025 E. Seventh Street, PH029, Bloomington, IN, 47405, USA. able@indiana.edu.ORCID 0000-0002-6866-6779
Erin G BrooksDepartment of Pathology and Laboratory Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Lily A McNultyDepartment of Applied Health Science, Indiana University School of Public Health, Bloomington, IN, USA.
James R GillNational Association of Medical Examiners (NAME) Ad Hoc Committee for Bioterrorism and Infectious Disease, Walnut Shade, MO, USA.
Jocelyn J HersteinDepartment of Environmental, Agricultural & Occupational Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.
Janelle RiosSchool of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.
Scott J PatlovichSchool of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.
Katelyn C JeldenCollege of Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Kendra K SchmidDepartment of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.
John J LoweDepartment of Environmental, Agricultural & Occupational Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.
Shawn G GibbsDepartment of Environmental and Occupational Health, Indiana University School of Public Health, 1025 E. Seventh Street, PH029, Bloomington, IN, 47405, USA.

Funding

Biosafety and Infectious Disease Training InitiativeUH4ES027055 · NIEHS · TRUSTEES OF INDIANA UNIVERSITY · PI LE, AURORA B, LOWE, JOHN J · 2016 to 2018
$1.3M
NIEHS NIH HHS UH4 ES027055
6 · The paper itself

Abstract

In the United States of America, Medical Examiners and Coroners (ME/Cs) investigate approximately 20% of all deaths. Unexpected deaths, such as those occurring due to a deceased person under investigation for a highly infectious disease, are likely to fall under ME/C jurisdiction, thereby placing the ME/C and other morgue personnel at increased risk of contracting an occupationally acquired infection. This survey of U.S. ME/Cs' capabilities to address highly infectious decedents aimed to determine opportunities for improvement at ME/C facilities serving a state or metropolitan area. Data for this study was gathered via an electronic survey. Of the 177 electronic surveys that were distributed, the overall response rate was N = 108 (61%), with 99 of those 108 respondents completing all the questions within the survey. At least one ME/C responded from 47 of 50 states, and the District of Columbia. Select results were: less than half of respondents (44%) stated that their office had been involved in handling a suspected or confirmed highly infectious remains case and responses indicated medical examiners. Additionally, ME/C altered their personal protective equipment based on suspected versus confirmed highly infectious remains rather than taking an all-hazards approach. Standard operating procedures or guidelines should be updated to take an all-hazards approach, best-practices on handling highly infectious remains could be integrated into a standardized education, and evidence-based information on appropriate personal protective equipment selection could be incorporated into a widely disseminated learning module for addressing suspected or confirmed highly infectious remains, as those areas were revealed to be currently lacking.

Indexed as

AutopsyBody RemainsContainment of BiohazardsCoroners and Medical ExaminersDisease Transmission, InfectiousHumansInfection ControlMorgueOccupational DiseasesPersonal Protective EquipmentProfessional CompetenceSafety ManagementSurveys and QuestionnairesUnited StatesAutopsyCoronersForensic pathologyHighly infectious diseasesMedical examinersPersonal protective equipment

Identifiers

PMID30402743
PMCPMC7090777

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.