Evidence map›Paper›PMID 39786671›Full record

SynthesisForensic science, medicine, and pathology2025

Immunohistochemical insights into hypothermia-related deaths: a systematic review.

Luca Tomassini, Massimo Lancia, Cristiana Gambelunghe, Giulia Ricchezze, Piergiorgio Fedeli, Mariano Cingolani, Francesco De Micco, Elena Fiorucci, Roberto Scendoni

Abstract readSystematic Review
In one paragraph

Synthesis in Forensic science, medicine, and pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Luca TomassiniInternational School of Advanced Studies, University of Camerino, Camerino, Italy.
Massimo LanciaForensic Medicine, Forensic Science and Sports Medicine Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Cristiana GambelungheForensic Medicine, Forensic Science and Sports Medicine Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Giulia RicchezzeDepartment of Law, Institute of Legal Medicine, University of Macerata, Macerata, Italy. g.ricchezze1@unimc.it.ORCID http://orcid.org/0009-0003-4884-9919
Piergiorgio FedeliSchool of Law, Legal Medicine, University of Camerino, Camerino, Italy.
Mariano CingolaniDepartment of Law, Institute of Legal Medicine, University of Macerata, Macerata, Italy.
Francesco De MiccoResearch Unit of Bioethics and Humanities, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Rome, Italy.
Elena FiorucciForensic Medicine, Forensic Science and Sports Medicine Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Roberto ScendoniDepartment of Law, Institute of Legal Medicine, University of Macerata, Macerata, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHypothermia occurs when core body temperature drops below 35 °C. The purpose of this review was to identify and analyze studies on the topic of hypothermia from an immunohistochemical perspective to determine robust markers of fatal hypothermia.

methodsThis systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines. It has been registered with Prospero (registration number: CRD42024572782).

resultsIn total, 2618 publications met the search criteria. A total of 63 duplicate articles were excluded and a further 2489 publications were excluded for not meeting the inclusion criteria, leaving 29 full-text articles. Furthermore, from the bibliographies of the included articles, four more publications were selected, which also respected the established inclusion and exclusion criteria. Only six studies identified a statistically significant correlation between immunohistochemical patterns and hypothermia-related deaths.

conclusionThe existing literature examined appears fragmented and lacks robust statistical validation. Therefore, there is an evident need for more comprehensive and methodologically rigorous research to develop reliable diagnostic criteria.

Indexed as

HypothermiaImmunohistochemistryBiomarkersHumansBiomarkersCold-related deathsForensic autopsyHypothermiaImmunohistochemistryParenchymal analysis.

Identifiers

PMID39786671
PMCPMC12491099

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.