Acute respiratory distress syndrome and outcomes after near hanging

Mansoor, Sahar; Afshar, Majid; Barrett, Matthew; Smith, Gordon S.; Barr, Erik; Lissauer, Matthew; McCurdy, Michael T.; Murthi, Sarah B.; Netzer, Giora

doi:10.1016/j.ajem.2014.12.001

Cited by 11 publications

(6 citation statements)

References 41 publications

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“…Injury to the vertebral artery, status epilepticus, acute respiratory distress syndrome, cervical spinal cord injuries, and tracheal injuries are other rare complications of near-hanging reported in the past. [ 9 10 11 ] Our study had none of the above mentioned rare complications recorded.…”

Section: Discussionmentioning

confidence: 93%

Profile and Outcome of Near-hanging Patients Presenting to Emergency Department in a Tertiary Care Hospital in South India - A Retrospective Descriptive Study

Ganesan

Jegaraj

Kumar

et al. 2018

Indian Journal of Psychological Medicine

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Background: Hanging is one of the common modes of deliberate self-harm presenting to emergency departments (EDs) across the world. Early intervention and aggressive resuscitation can decrease the morbidity and mortality associated with near-hanging. Our aim was to study the profile of patients presenting with near-hanging and their outcome to our adult ED. Materials and Methods: Medical records of patients with age more than 15 years presenting with near-hanging to the ED was reviewed retrospectively. The following profile data such as age, gender, marital status, material used for hanging, and type of hanging were collected. The information regarding the outcome of the patients from the hospital also analyzed. The data were analyzed to express the mean (±standard deviation) for the quantitative variables and frequency for the qualitative variables (±percent) using SPSS statistical software. Results: The analysis of 2 years data from August 2014 to July 2016 revealed 77 patients reached the ED with near-Hanging. The mean age of the patients − 31.1 years. Approximately, 43% were complete hanging, while rest were partial hanging. Majority of the patients used dressing materials for hanging themselves. Out of 77 patients, 64 were discharged alive while 2 patients died in the hospital and 11 were left against medical advice. Conclusions: Hanging is still a major mode of deliberate self-harm in South India both among men and women. The outcome of near-hanging is positively influenced by early admission and active treatment.

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Section: Discussionmentioning

confidence: 93%

Profile and Outcome of Near-hanging Patients Presenting to Emergency Department in a Tertiary Care Hospital in South India - A Retrospective Descriptive Study

Ganesan

Jegaraj

Kumar

et al. 2018

Indian Journal of Psychological Medicine

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“… 21 , 22 .Some studies have reported mortality rates in more common forms of suffocation injuries such as hanging and strangulation. 10 , 17 , 18 , 23 , 24 Our study, however, addressed all forms of suffocation injuries using a national sample, in an attempt to identify the burden of this disease and avoid overlooking under-reported and uncommon forms of injury that result in suffocation and asphyxiation.…”

Section: Discussionmentioning

confidence: 99%

Suffocation Injuries in the United States: Patient Characteristics and Factors Associated with Mortality

Sasso

Bachir

Sayed

2018

WestJEM

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IntroductionAsphyxiation or suffocation injuries can result in multi-organ damage and are a major cause of morbidity and mortality among different age groups. This study aims to describe characteristics of patients presenting with suffocation injuries to emergency departments (EDs) in the United States (U.S.) and to identify factors associated with mortality in this population.MethodsWe conducted a retrospective cross-sectional study using the 2013 U.S National Emergency Department Sample database. ED visits with primary diagnoses of intentional or accidental suffocation injury, and injury by inhalation and aspiration of foreign bodies or food (ICD-9-CM codes) were included. We performed descriptive statistics to describe the study population. This was followed by multivariate analyses to identify factors associated with mortality.ResultsWe included a total of 27,381 ED visits for suffocation injuries. Most suffered from either inhalation and ingestion of food causing obstruction of respiratory tract or suffocation (51.6%), or suicide and self-inflicted injury by hanging, strangulation, and suffocation (39.4%). Overall mortality was 10.9%. Over half (54.7%) of the patients were between 19 and 65 years old. Males were more common than females (59.1% vs. 40.9%). Over half of the patients (54.9%) were treated and released from the ED. Factors associated with increased mortality included male gender, young age (4–18 years), diseases of the cardiac, respiratory, genitourinary and neurologic systems, intentional self-harm, and self-payer status.ConclusionMortality from suffocation injuries remains high with significant burden on children and adolescents and on patients with intentional injuries. Tailored initiatives targeting identified modifiable factors through implementation of behavioral and environmental change can reduce the risk of suffocation injury and improve clinical outcomes of affected victims.

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“…In fact, patients presenting with a low GCS score and therefore a depressed mental status, like in the current case report, may be predisposed to aspiration, leading to pneumonia or pneumonitis with subsequent ARDS development. 16 Also, serious brain injury that results in cerebral hypoxia has been associated with neurogenic pulmonary edema and acute lung injury mediated by massive sympathetic discharge. In such situation, neurogenic pulmonary edema often has poor prognostic implications, as it is associated with devastating and usually lethal brain injuries.…”

Section: Discussionmentioning

confidence: 99%

Postobstructive pulmonary edema: A fatal complication in suicidal near-hanging

Mesrati¹,

Jaoued²,

Mahjoub³

et al. 2020

SAGE Open Medical Case Reports

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Postobstructive pulmonary edema is a life-threatening complication that occurs after the removal of severe upper airway obstruction. Development of postobstructive pulmonary edema has been described after several cases of upper airway obstruction. However, postobstructive pulmonary edema developing after non-lethal hanging has not been reported widely in the literature. Herein, we describe a fatal case of postobstructive pulmonary edema in a 10-year-old girl, which was brought to the hospital with history of attempted suicide by hanging. At presentation, the girl was breathing laboriously. The oxygen saturation was of 82% and pulmonary auscultation revealed bilateral and diffuse crepitations. The chest computed tomographic scan showed bilateral diffuse infiltrates consistent with pulmonary edema. After 3 days of hospitalization, the respiratory state of the girl worsened leading to death despite intensive care. An autopsy was conducted and confirmed the diffuse pulmonary edema. Hence, this case confirms that delayed death in near hanging may occur. Pulmonary edema which develops subsequently in such patients is an uncommon mechanism of death that physicians should consider in emergency room.

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Acute respiratory distress syndrome and outcomes after near hanging

Cited by 11 publications

References 41 publications

Profile and Outcome of Near-hanging Patients Presenting to Emergency Department in a Tertiary Care Hospital in South India - A Retrospective Descriptive Study

Profile and Outcome of Near-hanging Patients Presenting to Emergency Department in a Tertiary Care Hospital in South India - A Retrospective Descriptive Study

Suffocation Injuries in the United States: Patient Characteristics and Factors Associated with Mortality

Postobstructive pulmonary edema: A fatal complication in suicidal near-hanging

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