Hypothermia deaths in Jefferson County, Alabama

Taylor, Allison J.; McGwin, Gerald; Davis, Gregory G.; Brissie, Robert M.; Holley, T. D.; Rue, Loring W.

doi:10.1136/ip.7.2.141

Cited by 34 publications

(33 citation statements)

References 19 publications

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“…Factors identified as being associated with mortality resulting from hypothermia in BC also have been associated with hypothermia mortality elsewhere in the world. [7][8][9][10][11] Although deaths caused by hypothermia are not unique to areas characterized by cold climate, 10,12 it has been shown to be most frequent during the winter months and at cooler temperatures. 9 The case fatality proportion for hypothermia also has been shown as negatively associated with temperature, ranging from 13% at temperatures ≥ 15°C to 44% at temperatures of −1°C or lower.…”

Section: Discussionmentioning

confidence: 99%

Hypothermia as a cause of death in British Columbia, 1998-2012: a descriptive assessment

Stares

Kosatsky

2015

CMAJ Open

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Section: Discussionmentioning

confidence: 99%

Hypothermia as a cause of death in British Columbia, 1998-2012: a descriptive assessment

Stares

Kosatsky

2015

CMAJ Open

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“…It has been emphasized in the literature that autopsy findings should not be enough alone, that other causes of death should be excluded, and that they should be supported by forensic investigation and investigation of the scene [1,5,6,8,16]. In the present study, autopsy findings and judicial investigation were evaluated together in all cases.…”

Section: Resultsmentioning

confidence: 93%

“…Elderls cannot produce enough heat due to decreased muscle mass or chronic diseases and are exposed to hypotermia more frequently [2,[13][14][15][16]. People with diseases such as dementia in the elderly or those with psychotic disorders have been reported to be exposed to cold air and fatal hypothermia for a long time outside in situations such as disappearance [1,2,7,8].…”

Section: Discussionmentioning

confidence: 99%

The Evaluation of the Deaths Related to Hypothermy in Eskisehir between 1997 and 2016

Karbeyaz¹,

Adnan²,

Emrah³

et al. 2017

J Forensic Res

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Introduction: In this study, it was aimed to investigate the frequency of autopsy findings and the frequency of cases decided to die due to hypothermia in Eskişehir. Materials and Method:This study is a descriptive study conducted in the 20-year period between 1997 and 2016 in Eskişehir province by retrospective examination of case files belonging to judicial qualifications. These deaths were included in the study because of the decision to die due to hypothermia. The cases were evaluated in terms of age, gender, location of the body, month in which the body was found, autopsy findings, psychiatric disease history, toxicological examination and death investigation information. Findings:It has been determined that in 20 year period, there were 16 deaths due to hypothermia in Eskişehir, Turkey. All cases were male and mean age (SD) was 62.4 ± 7.2 years. Wischnewsky ulcers occurred in 11 cases (68.8%) due to hypothermia. 9 cases (56.3%) had a history of psychiatric and neurological disease. Conclusion:Hypothermic deaths are preventable deaths and precautions should be taken to protect against hypothermia in elderly people, homeless people and those with mental illness that will affect the state of consciousness.

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“…For younger populations, it has been found that men and women are equally at risk for hypothermia overall, though some published results indicate that prevalence of hypothermia among men might be 2.5 to 4 times greater than for women; the latter findings are justified by higher levels of exposure to environmental risk factors among men. 2,[15][16][17] We should stress that those data refer to various hypothermic conditions (incidental and accidental, primary and secondary) in adult populations.…”

Section: Discussionmentioning

confidence: 99%

Estudo da hipotermia acidental em idosos institucionalizados

Seman¹,

Golim²,

Gorzoni³

2009

Rev. Assoc. Med. Bras.

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Objective. To analyze the prevalence, causes and outcome of hypothermia in institutionalized elderly. MethOds. Prospective study held from January to December, 2004 at Hospital Geriátrico e de Convalescentes Dom Pedro II, with 483 long-term care patients. Hypothermia was diagnosed by esophageal thermometer in all patients with axillary temperature below or equal to 35°C (95°F). Both etiologic diagnosis and complications from hypothermia were noted in clinical and subsidiary examinations. Tests included: ECG, chest radiography, blood count, blood gas analysis, glycemia, metabolites, biochemical blood tests, amylase, kidney and liver functions, urinalysis and serology for HIV, syphilis and hepatitis B. Rewarming was adopted, among other actions in the treatment protocol. Results. Prevalence of hypothermia was 7.2 percent, and the condition was found most often in women (65.7%). The mean age in the sample was 76.4 years. Most patients (77.1%) had high degrees of dependence (Katz index "F" and "G"). Mild hypothermia was identified for most (71.4%) patients. The mortality rate was 62.8 percent, 31.4 percent during hypothermia and 31.4 percent after reversal. Infections were the etiology in all cases: pneumonia (80.0%), urinary tract infection (60.0%), and pressure ulcer (17.1%). There was more than one infection for the same patient in 60 percent of cases. cOnclusiOn. Hypothermia in institutionalized elderly is a serious clinical condition with high rates of mortality. Prevention, early diagnosis and measures of core rewarming improve prognosis.

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Hypothermia deaths in Jefferson County, Alabama

Abstract: Hypothermia in Jefferson County, Alabama is a cause of death primarily affecting two distinct groups of individuals, elderly persons who develop hypothermia inside a dwelling and middle aged males who develop hypothermia out of doors and have consumed alcohol.

Cited by 34 publications

References 19 publications

Hypothermia as a cause of death in British Columbia, 1998-2012: a descriptive assessment

Hypothermia as a cause of death in British Columbia, 1998-2012: a descriptive assessment

The Evaluation of the Deaths Related to Hypothermy in Eskisehir between 1997 and 2016

Estudo da hipotermia acidental em idosos institucionalizados

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