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Sudden Suspected Death in Emergency Department: Autopsy Results
OBJECTIVES: Sudden deaths occur within 24 hours after symptoms' onset and are caused by cardiac, neurological and pulmonary diseases. Autopsy is the gold standard in determining cause of death. In this study, death's etiology was evaluated in cases applied to our department that underwent...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4909964/ https://www.ncbi.nlm.nih.gov/pubmed/27355089 http://dx.doi.org/10.5505/1304.7361.2014.47560 |
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author | GURGER, Mehtap TURKOGLU, Abdurrahim ATESCELIK, Metin BORK, Turgay TOKDEMIR, Mehmet ALATAS, Omer Dogan EKINGEN, Evren |
author_facet | GURGER, Mehtap TURKOGLU, Abdurrahim ATESCELIK, Metin BORK, Turgay TOKDEMIR, Mehmet ALATAS, Omer Dogan EKINGEN, Evren |
author_sort | GURGER, Mehtap |
collection | PubMed |
description | OBJECTIVES: Sudden deaths occur within 24 hours after symptoms' onset and are caused by cardiac, neurological and pulmonary diseases. Autopsy is the gold standard in determining cause of death. In this study, death's etiology was evaluated in cases applied to our department that underwent autopsy with sudden death indication. METHODS: This study included cases aged 18 or older with sudden, suspected, non-traumatic death applying to our department between 2008 and 2012. Patients' age, sex, death time, co-morbid diseases, initial signs, cardiac rhythm, and autopsy findings were recorded after reviewing patient charts. RESULTS: The study included 46 patients. Mean age was 45.73±19.6. Of the cases, 84.78% applied to emergency with cardiopulmonary arrest. Thirty-two cases (69.6%) were male. The most frequent cause of death was cardiovascular diseases (52.2%), followed by central nervous system disorders (21.7%), intoxications (15.2%), and respiratory diseases (10.9%). The most common diseases were myocardial infarction (45.7%), subarachnoid hemorrhage (8.7%), and chronic obstructive pulmonary disease. There were three drug ingestions, three carbon monoxide intoxications, and one corrosive material ingestion among the intoxication cases. CONCLUSIONS: Sudden deaths are rarely encountered. Emergency clinicians should consider cause in differential diagnosis and provide appropriate approaches at first evaluation. |
format | Online Article Text |
id | pubmed-4909964 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-49099642016-06-28 Sudden Suspected Death in Emergency Department: Autopsy Results GURGER, Mehtap TURKOGLU, Abdurrahim ATESCELIK, Metin BORK, Turgay TOKDEMIR, Mehmet ALATAS, Omer Dogan EKINGEN, Evren Turk J Emerg Med Original Article OBJECTIVES: Sudden deaths occur within 24 hours after symptoms' onset and are caused by cardiac, neurological and pulmonary diseases. Autopsy is the gold standard in determining cause of death. In this study, death's etiology was evaluated in cases applied to our department that underwent autopsy with sudden death indication. METHODS: This study included cases aged 18 or older with sudden, suspected, non-traumatic death applying to our department between 2008 and 2012. Patients' age, sex, death time, co-morbid diseases, initial signs, cardiac rhythm, and autopsy findings were recorded after reviewing patient charts. RESULTS: The study included 46 patients. Mean age was 45.73±19.6. Of the cases, 84.78% applied to emergency with cardiopulmonary arrest. Thirty-two cases (69.6%) were male. The most frequent cause of death was cardiovascular diseases (52.2%), followed by central nervous system disorders (21.7%), intoxications (15.2%), and respiratory diseases (10.9%). The most common diseases were myocardial infarction (45.7%), subarachnoid hemorrhage (8.7%), and chronic obstructive pulmonary disease. There were three drug ingestions, three carbon monoxide intoxications, and one corrosive material ingestion among the intoxication cases. CONCLUSIONS: Sudden deaths are rarely encountered. Emergency clinicians should consider cause in differential diagnosis and provide appropriate approaches at first evaluation. Elsevier 2016-02-26 /pmc/articles/PMC4909964/ /pubmed/27355089 http://dx.doi.org/10.5505/1304.7361.2014.47560 Text en © 2014 Emergency Medicine Association of Turkey. Production and Hosting by Elsevier B.V. Originally published in [2014] by Kare Publishing. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article GURGER, Mehtap TURKOGLU, Abdurrahim ATESCELIK, Metin BORK, Turgay TOKDEMIR, Mehmet ALATAS, Omer Dogan EKINGEN, Evren Sudden Suspected Death in Emergency Department: Autopsy Results |
title | Sudden Suspected Death in Emergency Department: Autopsy Results |
title_full | Sudden Suspected Death in Emergency Department: Autopsy Results |
title_fullStr | Sudden Suspected Death in Emergency Department: Autopsy Results |
title_full_unstemmed | Sudden Suspected Death in Emergency Department: Autopsy Results |
title_short | Sudden Suspected Death in Emergency Department: Autopsy Results |
title_sort | sudden suspected death in emergency department: autopsy results |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4909964/ https://www.ncbi.nlm.nih.gov/pubmed/27355089 http://dx.doi.org/10.5505/1304.7361.2014.47560 |
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