Non-fatal strangulation / violence against the neck
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients aged 18 years or older presenting to the Charité emergency department or the Violence Protection Clinic within 7 days after a non-fatal strangulation event. Capacity to provide free and informed consent. Willingness to participate in the study-related examinations, including forensic medical examination, ENT endoscopy, and magnetic resonance imaging of the neck.
Exclusion criteria
Exclusion criteria: Age below 18 years. Inability to provide informed consent or existing legal guardianship without appropriate consent. Medical contraindications to magnetic resonance imaging, for example implants incompatible with magnetic resonance imaging or severe claustrophobia. Acute clinical instability precluding study participation, for example life-threatening concomitant injuries. Pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Increase in the detection rate by magnetic resonance imaging-confirmed clinically relevant internal neck injuries, particularly perilaryngeal edema, submucosal hematoma, or cartilage injury, in addition to the forensic medical examination within 72 hours after non-fatal strangulation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes include delayed complications, time-dependent detectability of findings, agreement between forensic medical, ENT endoscopic, and radiological findings, and forensic relevance assessed by standardization, completeness of documentation, photo quality, interrater agreement, and applicability of predefined criteria. | — |
Countries
Germany
Contacts
Charité-Universitätsmedizin Berlin