Pattern Of Sudden Death Research Articles

The Analysis and Pattern of Sudden Deaths at a Teaching Hospital, Telangana

Sudden natural death is defined as a healthy person's death within 24 hours after the onset of a terminal illness without any history of past illness. This study looks forward to assess the demographic profile, causes of sudden natural deaths, and the pattern involved in these cases. Materials and Methods: This prospective hospital-based study was conducted at an emergency department, Mamata General Hospital attached to Medical College, Khammam; Telangana, from January 2021 to December 2021. During this study period, 148 cases of sudden death victims were reported. Data of all sudden deaths 148 cases were collected, of which, 128 (86.48%) were male. Most of the th victims were in the 4-5 decade, urban and lower socioeconomic groups, and laborers. Most of the cases occurred in the winter season. No ill health before death with alcohol abuse and smoking habits. The majority of onset of terminal signs and symptoms were reported at their home, during morning hours, and the most common symptom was unconscious, the cardiovascular system was involved in 45% of cases, the Pulmonary System in 28%, the Neurological System in 20% and the Gastrointestinal system 12%. Coronary artery disease was the single largest cause of death. This study shows a pattern of male manual workers of age between 31-40 who have encountered sudden death at their residence during the daytime during winter in the months of January, February, and March mostly found unconscious. This study revealed that a significant number of sudden deaths occurred in adults, particularly in the population above 30 years. Cardiac troubles contributed the maximum number, with atherosclerosis being the main culprit causing coronary artery disease.

Pattern of sudden death at Ladoke Akintola University of Technology Teaching Hospital, Osogbo, South West Nigeria

BackgroundThe purpose of this study was to determine the etiology and epidemiologic characteristics of sudden death at Ladoke Akintola University of Technology (LAUTECH) Teaching Hospital, South West Nigeria.MethodsThis was a retrospective descriptive study of all cases of natural unexpected death, either occurring out of hospital or less than 24 hours after admission to LAUTECH Teaching Hospital, over a nine-year period from January 2003 to December 2011. Data were generated from information in the case notes and autopsy reports for these cases.ResultsSudden death accounted for 29 (4.0%) of 718 adult medical deaths and 1.0% of all adult medical admissions. Out-of-hospital deaths occurred in 72.4% of cases. The mean age of the patients was 46.8 ± 11.5 (range 25–74) years. The male to female ratio was 6.25:1. Cardiovascular disease were the most common cause of death (51.7%), followed by respiratory disease (20.7%), pulmonary thromboembolism (10.4%), central nervous system disease (13.8%), gastrointestinal disorders (13.8%), severe chemical/drug poisoning (13.8%), and combined cardiovascular and central nervous system disease (13.8%). Hypertension-related causes were responsible for 14/29 (48.3%) of the sudden deaths. Hypertensive heart disease accounted for 86.7% of the cardiovascular deaths, hypertensive heart failure accounted for 73.3%, whilst all heart failure cases accounted for 80.0%. Left ventricular hypertrophy was present in 69.2% of the patients with hypertensive heart disease. Moderate to severe atheromatous changes occurred in the aorta in 38.5% of patients aged ≥50 years. No case of myocardial infarction was found.ConclusionHypertensive heart disease and hypertension-related disorders are the most common causes of sudden death in South West Nigeria, so effective public health strategies should be channeled towards prevention, detection, and treatment of hypertension.

Day-Night Pattern of Sudden Death in Obstructive Sleep Apnea

Background The risk of sudden death from cardiac causes in the general population peaks from 6 a.m. to noon and has a nadir from midnight to 6 a.m. Obstructive sleep apnea is highly prevalent and associated with neurohormonal and electrophysiological abnormalities that may increase the risk of sudden death from cardiac causes, especially during sleep. Methods We reviewed polysomnograms and the death certificates of 112 Minnesota residents who had undergone polysomnography and had died suddenly from cardiac causes between July 1987 and July 2003. For four intervals of the day, we compared the rates of sudden death from cardiac causes among people with obstructive sleep apnea and the following: the rates among people without obstructive sleep apnea, the rates in the general population, and the expectations according to chance. For each interval, we assessed the median apnea–hypopnea index and the relative risk of sudden death from cardiac causes. We similarly analyzed sudden death from cardiac causes during...

Accidentally killed by a cart:Workplace, hazard, and risk in late seventeenth century London

Abstract This article considers some of the interrelated characteristics of work, working environment and hazard, within the setting of the early modern city. Taking London as its example, some of the problems associated with the definition of work, and importantly work‐place, in the pre‐industrial economy are reviewed. Through an analysis of the frequency and patterns of sudden death in accidental and work‐related contexts, the range of hazards to which the inhabitants of London were exposed are described, and an assessment is made of the level of risk attached to certain occupational activities.