Potential Misclassification of Alcohol Intoxication as Cardiovascular Deaths in Yakutsk in 2007-2018
A Forensic Autopsy Data-Based Study
Bibliographic Data
| ID | 5967869 |
|---|---|
| Authors | Nadezhda V Savvina (0000-0003-2441-6193, North-Eastern Federal University), O G Bessonova (0000-0001-8209-1660, North-Eastern Federal University), E A Borisova, Е А Борисова (North-Eastern Federal University), E Yu Kolbina (Academy of Sciences of the Republic of Sakha), B Kalmakhanov, Sundetgali Kalmakhanov (0000-0001-5198-5506, Al-Farabi Kazakh National University), A M Grjibovski, Andrej М Grjibovski (0000-0002-5464-0498, North-Eastern Federal University) |
| Year | 2019 |
| Volume | 26 |
| Issue | 10 |
| Pages | 59-64 |
| Publication date | 2019-10-15 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Ekologiya Cheloveka (Human Ecology (JOURNAL) |
| Journal identifiers | ISSN: 1728-0869 • E-ISSN: 2949-1444 |
| Publisher | ECO-Vector LLC (PUBLISHER • RU) |
| DOI | 10.33396/1728-0869-2019-10-59-64 |
| OpenAlex | W2979648482 |
| Language | EN |
| References cited | 21 |
Aim: To study potential misclassification of deaths from alcohol poisoning as cardiovascular deaths in Yakutsk, Sakha (Yakutia) Republic, North-East Siberia. Methods: All deaths from 2007 to 2018 registered at the Bureau of Forensic Expertise (BFE) in Yakutsk comprised the study base (n = 9 708). Data on underlying cause of death, age, gender and blood alcohol concentration (BAC) were obtained from the medical records at the BFE. Proportions of cases with BAC > 0 %, 2.50-3.99 %, 4.00-4.99 % and 5.00 % or more among those who had codes I00-I99 as an underlying cause of death (n = 4 067). All analyses were performed separately for men and women for the following age-groups: 15-29, 30-39, 40-49, 50-59, 60-69 and 70 + years. Analyses were replicated for underlying causes of death coded as C00-D48 and J00-J99. BAC > 4,0 % was considered as potentially lethal dose. Results: Altogether, 37.6 % of men and 51.0 % of women who died from diseases of circulatory system had BAC > 0 % Proportions of cases with BAC of 4 % or more among those aged 15-29 years were 6.7 % for men and 16.6 % for women. Corresponding proportions for age-groups 30-39, 40-49, 50-59, 60-69 and 70 + years were 8,9 %, 7,6 %, 4,8 %, 4,9 %, и 1,2 % among men and 18,3 %, 10,3 %, 13,8 %, 4,0 % и 1,5 % among women. The highest proportion of cases with BAC > 4,0 % was observed among women aged 15-29 years (42.9 %) and among women aged 30-39 years (37.5 %). Conclusions: Contrary to the results of the earlier studies in the European part of Russia our findings suggest that a substantial proportion of sudden cardiac deaths and deaths from diseases of circulatory system in general could be caused by alcohol poisoning particularly among women
Autopsy · Blood alcohol · Blood alcohol content · Cause of death · Disease · Forensic science · Forensic toxicology · Injury prevention · Poison control · Veterinary medicine · Alcohol Consumption and Health Effects · Cardiac Arrest and Resuscitation · Chemistry · Demography · Medicine · Restraint-Related Deaths · Emergency Medicine · Internal Medicine
| Citation velocity | historical |
|---|---|
| Highly cited | No |