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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...

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Autores principales: GURGER, Mehtap, TURKOGLU, Abdurrahim, ATESCELIK, Metin, BORK, Turgay, TOKDEMIR, Mehmet, ALATAS, Omer Dogan, EKINGEN, Evren
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
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.
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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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