Abstract
BackgroundThere are many cases that present to the emergency room as brought in dead (BID) and in such cases, previous medical history of the deceased is unknown. Many of the medical problems are either preventable or treatable if managed on time. This study is aimed to determine the age, gender and causes of BID.ResultsThis is a 6 year retrospective autopsy study of all BID patients in Lagos State University Teaching Hospital, Ikeja between 1st January 2010 and 31st December 2015. The data were retrieved from the autopsy reports and were analysed using Statistical Package for Social Sciences version 18. Test for statistical significance was set as p < 0.05. There were 1016 BID recorded representing 9.3% of all deaths during the period under study. A total of 569 cases of BID that were analysed in this study after excluding hypertension related deaths. The male to female ratio was 1.37:1. The 4th decade was the predominant age group (22.7%). Cardiovascular (25.5%), Asphyxia related (23.0%), Gastrointestinal tract [GIT] (16.5%) and respiratory (15.1%) were the common system seen. Thromboembolism and haemorrhage, drowning, severe dehydration and tuberculosis were the most common causes of cardiovascular, asphyxia, GIT and respiratory system deaths respectively.ConclusionsCardiovascular system related death was the most common cause of BID with thromboembolism and haemorrhage as major secondary causes. Tuberculosis was the commonest cause of respiratory system death. BIDs are seen more in male than the female gender. There is need for the government to increase the awareness and health seeking behaviour among the populace.
Highlights
There are many cases that present to the emergency room as brought in dead (BID)
The primary cause of death was classified under the organ and system affected namely Central Nervous System (CNS), Cardiovascular system (CVS), Gastro intestinal tract (GIT), Asphyxia, Respiratory system, cancer and others
With the exclusion of the 447 BID cases due to Hypertensive heart disease as well as the traumatic deaths, we had a total of 569 cases of BID that were analysed for this study
Summary
There are many cases that present to the emergency room as brought in dead (BID) and in such cases, previous medical history of the deceased is unknown. There are many cases that present to the emergency room as brought in dead (BID) In such cases, previous medical history of the deceased is Jafarery and Korejo in their study on mothers who were brought – in- dead showed that the causes of delay were economic, socio-cultural factors and inadequate maternal services (Jafarery and Korejo 1995). Previous medical history of the deceased is Jafarery and Korejo in their study on mothers who were brought – in- dead showed that the causes of delay were economic, socio-cultural factors and inadequate maternal services (Jafarery and Korejo 1995) They concluded that the medical problems were either preventable or treatable if managed in time and that a combination of economic, social and cultural factors played a more significant role in these deaths than medical causes (Jafarery and Korejo 1995). Some Nigerian studies found out, amongst other causes, that the poverty state of most patients, late presentation at the point of care, ignorance and the interference by untrained persons claiming to give medical care, often
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