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African particularities of sudden adult death in Togo on autopsy cases

BACKGROUND: The purpose of the study was to determine the circumstances of occurrence of these sudden deaths, risk factors, to identify the causes of sudden death in adults at autopsy, with a view to improving prevention. METHODS: This is a retrospective study of the cases of sudden death that were...

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Autores principales: Darre, Tchin, Djiwa, Toukilnan, Tchaou, Mazamaesso, Diallo, Aboudoulatif, Napo-Koura, Gado
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8282966/
https://www.ncbi.nlm.nih.gov/pubmed/34296021
http://dx.doi.org/10.1016/j.heliyon.2021.e07535
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author Darre, Tchin
Djiwa, Toukilnan
Tchaou, Mazamaesso
Diallo, Aboudoulatif
Napo-Koura, Gado
author_facet Darre, Tchin
Djiwa, Toukilnan
Tchaou, Mazamaesso
Diallo, Aboudoulatif
Napo-Koura, Gado
author_sort Darre, Tchin
collection PubMed
description BACKGROUND: The purpose of the study was to determine the circumstances of occurrence of these sudden deaths, risk factors, to identify the causes of sudden death in adults at autopsy, with a view to improving prevention. METHODS: This is a retrospective study of the cases of sudden death that were the subject of an autopsy in the pathology anatomy department of the University Hospital Sylvanus Olympio in Lomé from 2009 to 2018. RESULTS: A total of 318 sudden death cases were recorded. The sex ratio (M/F) was 1.8, and the mean age was 43 ± 0.36 years. Sudden deaths were the second most common reason for autopsies after traffic accidents. The place of death was home in 76.7% of cases and in hospitals in 23.3%. Obesity was noted in 59.4%, with an umbilical adipose panicle varying between 7 and 12 cm thick. Cardiovascular causes excluding cerebral involvement (n = 173 cases, 54.40%) followed by pulmonary causes (n = 100 cases, 31.44%) were the most common cause of sudden death. The predominant cardiac pathology was infarction accounting for 32.07% of all causes of sudden death, and pulmonary embolism with 19.49% was the leading cause at the pulmonary level. CONCLUSION: The victims of sudden death in Togo are relatively young, predominantly male and predominantly obese. The main causes of sudden death were myocardial infarction followed by pulmonary embolism. The prevention of sudden death remains paramount, especially in the African context, where pre-hospital care is often inadequate.
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spelling pubmed-82829662021-07-21 African particularities of sudden adult death in Togo on autopsy cases Darre, Tchin Djiwa, Toukilnan Tchaou, Mazamaesso Diallo, Aboudoulatif Napo-Koura, Gado Heliyon Research Article BACKGROUND: The purpose of the study was to determine the circumstances of occurrence of these sudden deaths, risk factors, to identify the causes of sudden death in adults at autopsy, with a view to improving prevention. METHODS: This is a retrospective study of the cases of sudden death that were the subject of an autopsy in the pathology anatomy department of the University Hospital Sylvanus Olympio in Lomé from 2009 to 2018. RESULTS: A total of 318 sudden death cases were recorded. The sex ratio (M/F) was 1.8, and the mean age was 43 ± 0.36 years. Sudden deaths were the second most common reason for autopsies after traffic accidents. The place of death was home in 76.7% of cases and in hospitals in 23.3%. Obesity was noted in 59.4%, with an umbilical adipose panicle varying between 7 and 12 cm thick. Cardiovascular causes excluding cerebral involvement (n = 173 cases, 54.40%) followed by pulmonary causes (n = 100 cases, 31.44%) were the most common cause of sudden death. The predominant cardiac pathology was infarction accounting for 32.07% of all causes of sudden death, and pulmonary embolism with 19.49% was the leading cause at the pulmonary level. CONCLUSION: The victims of sudden death in Togo are relatively young, predominantly male and predominantly obese. The main causes of sudden death were myocardial infarction followed by pulmonary embolism. The prevention of sudden death remains paramount, especially in the African context, where pre-hospital care is often inadequate. Elsevier 2021-07-10 /pmc/articles/PMC8282966/ /pubmed/34296021 http://dx.doi.org/10.1016/j.heliyon.2021.e07535 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Research Article
Darre, Tchin
Djiwa, Toukilnan
Tchaou, Mazamaesso
Diallo, Aboudoulatif
Napo-Koura, Gado
African particularities of sudden adult death in Togo on autopsy cases
title African particularities of sudden adult death in Togo on autopsy cases
title_full African particularities of sudden adult death in Togo on autopsy cases
title_fullStr African particularities of sudden adult death in Togo on autopsy cases
title_full_unstemmed African particularities of sudden adult death in Togo on autopsy cases
title_short African particularities of sudden adult death in Togo on autopsy cases
title_sort african particularities of sudden adult death in togo on autopsy cases
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8282966/
https://www.ncbi.nlm.nih.gov/pubmed/34296021
http://dx.doi.org/10.1016/j.heliyon.2021.e07535
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