Laryngeal Choking on Food and Acute Ethanol Intoxication in Adults—An Autopsy Study
Identifieur interne : 004715 ( Main/Curation ); précédent : 004714; suivant : 004716Laryngeal Choking on Food and Acute Ethanol Intoxication in Adults—An Autopsy Study
Auteurs : Slobodan Nikoli [Serbie] ; Vladimir Živkovi [Serbie] ; Babic Dragan [Serbie] ; Fehim Jukovi [Serbie]Source :
- Journal of Forensic Sciences [ 0022-1198 ] ; 2011-01.
Descripteurs français
- Wicri :
- topic : éthanol, Médecine légale.
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
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<front><div type="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.</div>
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