Laryngeal Choking on Food and Acute Ethanol Intoxication in Adults—An Autopsy Study
Identifieur interne : 004C92 ( Istex/Corpus ); précédent : 004C91; suivant : 004C93Laryngeal Choking on Food and Acute Ethanol Intoxication in Adults—An Autopsy Study
Auteurs : Slobodan Nikoli ; Vladimir Živkovi ; Babic Dragan ; Fehim JukoviSource :
- Journal of Forensic Sciences [ 0022-1198 ] ; 2011-01.
English descriptors
- KwdEn :
- Acute ethanol intoxication, Airway, Airway obstruction, Average blood ethanol concentration, Blood ethanol concentration, Bolus, Bolus death, Bolus deaths, Brain injury, Chronic alcohol abusers, Common cause, Control group, Dentition, Ethanol, Ethanol intoxication, Fatal laryngeal, Food restaurants, Foreign body, Forensic medicine, Forensic pathology, Heteroanamnestic data, Higher blood ethanol concentration, Important risk factors, Intoxication, Laryngeal, Laryngeal obstruction, Larynx, Main risk factor, Medical institutions, Mental disorders, Neurologic disease, Nonhospitalized, Nonhospitalized individuals, Nonhospitalized persons, Novi pazar, Obstruction, Other authors, Other hand, Other studies, Outliving period, Pharyngeal mucosa, Poor dentition, Private homes, Psychiatric facilities, Public areas, Reflex, Retrospective autopsy study, Same time, Sample distribution, Significant number, Social conditions, Unexpected death, Unusual case.
- Teeft :
- Acute ethanol intoxication, Airway, Airway obstruction, Average blood ethanol concentration, Blood ethanol concentration, Bolus, Bolus death, Bolus deaths, Brain injury, Chronic alcohol abusers, Common cause, Control group, Dentition, Ethanol, Ethanol intoxication, Fatal laryngeal, Food restaurants, Foreign body, Forensic medicine, Forensic pathology, Heteroanamnestic data, Higher blood ethanol concentration, Important risk factors, Intoxication, Laryngeal, Laryngeal obstruction, Larynx, Main risk factor, Medical institutions, Mental disorders, Neurologic disease, Nonhospitalized, Nonhospitalized individuals, Nonhospitalized persons, Novi pazar, Obstruction, Other authors, Other hand, Other studies, Outliving period, Pharyngeal mucosa, Poor dentition, Private homes, Psychiatric facilities, Public areas, Reflex, Retrospective autopsy study, Same time, Sample distribution, Significant number, Social conditions, Unexpected death, Unusual case.
Abstract
Abstract: The retrospective autopsy study included 98 adults who died because of laryngeal choking on a bolus of food: 67 men and 31 women (χ2 = 6.843, p < 0.01), average age 58.61 ± 15.87 years (range 26–92 years). Most of the subjects had poor dentition (χ2 = 34.327, p < 0.01). Twenty individuals died in medical institutions, and 78 were nonhospitalized individuals. More than a third of the nonhospitalized individuals were under the influence of ethanol at the moment of death: average blood concentration 8.3 g/dL (SD = 11.0), ranged from 5.0 to 36.0. Nonhospitalized persons were at the moment of event more often under influence of ethanol than the subjects in control group (χ2 = 38.874, p < 0.01), and at the same time significantly more intoxicated (z = −7.126, p < 0.01). Our study pointed out that poor dentition and impairment of the swallowing reflex, as a consequence of ethanol intoxication in individuals without mental disorders, were the most important risk factors for bolus death.
Url:
DOI: 10.1111/j.1556-4029.2010.01510.x
Links to Exploration step
ISTEX:99FB71F49B1184AEB1AEB6D90B38AF59664EE9B0Le document en format XML
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Serbia.</mods:affiliation></affiliation></author><author><name sortKey="Jukovi, Fehim" sort="Jukovi, Fehim" uniqKey="Jukovi F" first="Fehim" last="Jukovi">Fehim Jukovi</name><affiliation><mods:affiliation>The County Hospital of the City of Novi Pazar, Novi Pazar, Serbia.</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Forensic Sciences</title><title level="j" type="alt">JOURNAL OF FORENSIC SCIENCES</title><idno type="ISSN">0022-1198</idno><idno type="eISSN">1556-4029</idno><imprint><biblScope unit="vol">56</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="128">128</biblScope><biblScope unit="page" to="131">131</biblScope><biblScope unit="page-count">4</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2011-01">2011-01</date></imprint><idno type="ISSN">0022-1198</idno></series></biblStruct></sourceDesc><seriesStmt><idno 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Most of the subjects had poor dentition (χ2 = 34.327, p < 0.01). Twenty individuals died in medical institutions, and 78 were nonhospitalized individuals. More than a third of the nonhospitalized individuals were under the influence of ethanol at the moment of death: average blood concentration 8.3 g/dL (SD = 11.0), ranged from 5.0 to 36.0. Nonhospitalized persons were at the moment of event more often under influence of ethanol than the subjects in control group (χ2 = 38.874, p < 0.01), and at the same time significantly more intoxicated (z = −7.126, p < 0.01). 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Most of the subjects had poor dentition (χ2 = 34.327, p > 0.01). Twenty individuals died in medical institutions, and 78 were nonhospitalized individuals. More than a third of the nonhospitalized individuals were under the influence of ethanol at the moment of death: average blood concentration 8.3 g/dL (SD = 11.0), ranged from 5.0 to 36.0. Nonhospitalized persons were at the moment of event more often under influence of ethanol than the subjects in control group (χ2 = 38.874, p > 0.01), and at the same time significantly more intoxicated (z = −7.126, p > 0.01). 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type="first">Slobodan</forename><surname>Nikolić</surname><roleName type="degree">M.D., Ph.D.</roleName></persName><affiliation>The Institute of Forensic Medicine, School of Medicine, University of Belgrade, Belgrade, Serbia.<address><country key="RS"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Vladimir</forename><surname>Živković</surname><roleName type="degree">M.D., Ph.D.</roleName></persName><affiliation>The Institute of Forensic Medicine, School of Medicine, University of Belgrade, Belgrade, Serbia.<address><country key="RS"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Babic</forename><surname>Dragan</surname><roleName type="degree">M.D., Ph.D.</roleName></persName><affiliation>Institute of Medical Statistics and Informatics, School of Medicine, University of Belgrade, Belgrade, Serbia.<address><country key="RS"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Fehim</forename><surname>Juković</surname><roleName type="degree">M.D.</roleName></persName><affiliation>The County Hospital of the City of Novi Pazar, Novi Pazar, Serbia.<address><country key="RS"></country></address></affiliation></author><idno type="istex">99FB71F49B1184AEB1AEB6D90B38AF59664EE9B0</idno><idno type="ark">ark:/67375/WNG-ZHRKFJPQ-S</idno><idno type="DOI">10.1111/j.1556-4029.2010.01510.x</idno><idno type="unit">JFO1510</idno><idno type="toTypesetVersion">file:JFO.JFO1510.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Forensic Sciences</title><title level="j" type="alt">JOURNAL OF FORENSIC SCIENCES</title><idno type="pISSN">0022-1198</idno><idno type="eISSN">1556-4029</idno><idno type="book-DOI">10.1111/(ISSN)1556-4029</idno><idno type="book-part-DOI">10.1111/jfo.2010.56.issue-1</idno><idno type="product">JFO</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">56</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="128">128</biblScope><biblScope unit="page" to="131">131</biblScope><biblScope unit="page-count">4</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2011-01"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold">Abstract: </hi> The retrospective autopsy study included 98 adults who died because of laryngeal choking on a bolus of food: 67 men and 31 women (χ<hi rend="superscript">2 </hi>=<hi rend="superscript"> </hi>6.843, <hi rend="italic">p</hi> < 0.01), average age 58.61 ± 15.87 years (range 26–92 years). Most of the subjects had poor dentition (χ<hi rend="superscript">2 </hi>=<hi rend="superscript"> </hi>34.327, <hi rend="italic">p</hi> < 0.01). Twenty individuals died in medical institutions, and 78 were nonhospitalized individuals. More than a third of the nonhospitalized individuals were under the influence of ethanol at the moment of death: average blood concentration 8.3 g/dL (SD = 11.0), ranged from 5.0 to 36.0. Nonhospitalized persons were at the moment of event more often under influence of ethanol than the subjects in control group (χ<hi rend="superscript">2 </hi>=<hi rend="superscript"> </hi>38.874, <hi rend="italic">p</hi> < 0.01), and at the same time significantly more intoxicated (z = −7.126, <hi rend="italic">p</hi> < 0.01). Our study pointed out that poor dentition and impairment of the swallowing reflex, as a consequence of ethanol intoxication in individuals without mental disorders, were the most important risk factors for bolus death.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">forensic science</term><term xml:id="k2">forensic pathology</term><term xml:id="k3">choking on food</term><term xml:id="k4">acute ethanol intoxication</term><term xml:id="k5">bolus death</term><term xml:id="k6">asphyxia</term></keywords><keywords rend="tocHeading1"><term>Pathology/Biology</term></keywords><keywords rend="tocHeading2"><term>Papers</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/99FB71F49B1184AEB1AEB6D90B38AF59664EE9B0/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1556-4029</doi><issn type="print">0022-1198</issn><issn type="electronic">1556-4029</issn><idGroup><id type="product" value="JFO"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF FORENSIC SCIENCES">Journal of Forensic Sciences</title></titleGroup></publicationMeta><publicationMeta level="part" position="01101"><doi origin="wiley">10.1111/jfo.2010.56.issue-1</doi><numberingGroup><numbering type="journalVolume" number="56">56</numbering><numbering type="journalIssue" number="1">1</numbering></numberingGroup><coverDate startDate="2011-01">January 2011</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="16" status="forIssue"><doi origin="wiley">10.1111/j.1556-4029.2010.01510.x</doi><idGroup><id type="unit" value="JFO1510"></id></idGroup><countGroup><count type="pageTotal" number="4"></count></countGroup><titleGroup><title type="tocHeading1">Pathology/Biology</title><title type="tocHeading2"><i>Papers</i></title></titleGroup><copyright>© 2010 American Academy of Forensic Sciences</copyright><eventGroup><event type="firstOnline" date="2011-01-03"></event><event type="publishedOnlineAcceptedOrEarlyUnpaginated" date="2010-07-28"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.4.2 mode:FullText" date="2011-01-03"></event><event type="publishedOnlineFinalForm" date="2011-01-03"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-30"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-30"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="128">128</numbering><numbering type="pageLast" number="131">131</numbering></numberingGroup><correspondenceTo>Additional information and reprint requests:
Vladimir Živković, M.D., Ph.D.
Institute of Forensic Medicine
31a Deligradska Str.
11000 Belgrade
Serbia
E‐mail: <email>vladinmejl@yahoo.com</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JFO.JFO1510.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received 28 April 2009; and in revised form 14 Sept. 2009; accepted 5 Oct. 2009.</unparsedEditorialHistory><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="2"></count></countGroup><titleGroup><title type="main">Laryngeal Choking on Food and Acute Ethanol Intoxication in Adults—An Autopsy Study<link href="#fn1">*</link></title><title type="tocForm">Laryngeal Choking on Food and Acute Ethanol Intoxication in Adults—An Autopsy Study</title><title type="shortAuthors">NIKOLIĆ ET AL.</title><title type="short">LARYNGEAL CHOKING ON FOOD AND ACUTE ETHANOL INTOXICATION IN ADULTS</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Slobodan</givenNames><familyName>Nikolić</familyName><degrees>M.D., Ph.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>Vladimir</givenNames><familyName>Živković</familyName><degrees>M.D., Ph.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a2"><personName><givenNames>Babic</givenNames><familyName>Dragan</familyName><degrees>M.D., Ph.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a3"><personName><givenNames>Fehim</givenNames><familyName>Juković</familyName><degrees>M.D.</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="RS"><unparsedAffiliation>The Institute of Forensic Medicine, School of Medicine, University of Belgrade, Belgrade, Serbia.</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="RS"><unparsedAffiliation>Institute of Medical Statistics and Informatics, School of Medicine, University of Belgrade, Belgrade, Serbia.</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="RS"><unparsedAffiliation>The County Hospital of the City of Novi Pazar, Novi Pazar, Serbia.</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">forensic science</keyword><keyword xml:id="k2">forensic pathology</keyword><keyword xml:id="k3">choking on food</keyword><keyword xml:id="k4">acute ethanol intoxication</keyword><keyword xml:id="k5">bolus death</keyword><keyword xml:id="k6">asphyxia</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>Abstract: </b> The retrospective autopsy study included 98 adults who died because of laryngeal choking on a bolus of food: 67 men and 31 women (χ<sup>2 </sup>=<sup> </sup>6.843, <i>p</i> < 0.01), average age 58.61 ± 15.87 years (range 26–92 years). Most of the subjects had poor dentition (χ<sup>2 </sup>=<sup> </sup>34.327, <i>p</i> < 0.01). Twenty individuals died in medical institutions, and 78 were nonhospitalized individuals. More than a third of the nonhospitalized individuals were under the influence of ethanol at the moment of death: average blood concentration 8.3 g/dL (SD = 11.0), ranged from 5.0 to 36.0. Nonhospitalized persons were at the moment of event more often under influence of ethanol than the subjects in control group (χ<sup>2 </sup>=<sup> </sup>38.874, <i>p</i> < 0.01), and at the same time significantly more intoxicated (z = −7.126, <i>p</i> < 0.01). Our study pointed out that poor dentition and impairment of the swallowing reflex, as a consequence of ethanol intoxication in individuals without mental disorders, were the most important risk factors for bolus death.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p>
Study supported by the Ministry of Science and Technological Development of Republic of Serbia as part of the project “Age related microarchitectural and mechanical bone properties: Implications for increased fragility.”</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Laryngeal Choking on Food and Acute Ethanol Intoxication in Adults—An Autopsy Study</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>LARYNGEAL CHOKING ON FOOD AND ACUTE ETHANOL INTOXICATION IN ADULTS</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Laryngeal Choking on Food and Acute Ethanol Intoxication in Adults—An Autopsy Study*</title></titleInfo><name type="personal"><namePart type="given">Slobodan</namePart><namePart type="family">Nikolić</namePart><namePart type="termsOfAddress">M.D., Ph.D.</namePart><affiliation>The Institute of Forensic Medicine, School of Medicine, University of Belgrade, Belgrade, Serbia.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Vladimir</namePart><namePart type="family">Živković</namePart><namePart type="termsOfAddress">M.D., Ph.D.</namePart><affiliation>The Institute of Forensic Medicine, School of Medicine, University of Belgrade, Belgrade, Serbia.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Babic</namePart><namePart type="family">Dragan</namePart><namePart type="termsOfAddress">M.D., Ph.D.</namePart><affiliation>Institute of Medical Statistics and Informatics, School of Medicine, University of Belgrade, Belgrade, Serbia.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Fehim</namePart><namePart type="family">Juković</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>The County Hospital of the City of Novi Pazar, Novi Pazar, Serbia.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2011-01</dateIssued><edition>Received 28 April 2009; and in revised form 14 Sept. 2009; accepted 5 Oct. 2009.</edition><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">1</extent><extent unit="tables">2</extent></physicalDescription><abstract>Abstract: The retrospective autopsy study included 98 adults who died because of laryngeal choking on a bolus of food: 67 men and 31 women (χ2 = 6.843, p < 0.01), average age 58.61 ± 15.87 years (range 26–92 years). Most of the subjects had poor dentition (χ2 = 34.327, p < 0.01). Twenty individuals died in medical institutions, and 78 were nonhospitalized individuals. More than a third of the nonhospitalized individuals were under the influence of ethanol at the moment of death: average blood concentration 8.3 g/dL (SD = 11.0), ranged from 5.0 to 36.0. Nonhospitalized persons were at the moment of event more often under influence of ethanol than the subjects in control group (χ2 = 38.874, p < 0.01), and at the same time significantly more intoxicated (z = −7.126, p < 0.01). Our study pointed out that poor dentition and impairment of the swallowing reflex, as a consequence of ethanol intoxication in individuals without mental disorders, were the most important risk factors for bolus death.</abstract><note type="content">*Study supported by the Ministry of Science and Technological Development of Republic of Serbia as part of the project “Age related microarchitectural and mechanical bone properties: Implications for increased fragility.”</note><subject lang="en"><genre>keywords</genre><topic>forensic science</topic><topic>forensic pathology</topic><topic>choking on food</topic><topic>acute ethanol intoxication</topic><topic>bolus death</topic><topic>asphyxia</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Forensic Sciences</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0022-1198</identifier><identifier type="eISSN">1556-4029</identifier><identifier type="DOI">10.1111/(ISSN)1556-4029</identifier><identifier type="PublisherID">JFO</identifier><part><date>2011</date><detail type="volume"><caption>vol.</caption><number>56</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>128</start><end>131</end><total>4</total></extent></part></relatedItem><identifier type="istex">99FB71F49B1184AEB1AEB6D90B38AF59664EE9B0</identifier><identifier type="ark">ark:/67375/WNG-ZHRKFJPQ-S</identifier><identifier type="DOI">10.1111/j.1556-4029.2010.01510.x</identifier><identifier type="ArticleID">JFO1510</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2010 American Academy of Forensic Sciences</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/99FB71F49B1184AEB1AEB6D90B38AF59664EE9B0/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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