Pulmonary distress following attempted suicidal hanging

Nair, Shalini; Jacob, Joe; Aaron, Sanjith; Thomas, Martin A.; Joseph, Mathew; Alexander, Mathew

doi:10.4103/0019-5359.49227

Cited by 16 publications

(3 citation statements)

References 19 publications

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“…In contrast to Shalini Nair et al, we demonstrated that variables, including age, gender, mean GCS score, mean length of ICU stay, and type of hanging had an influence on the severity of pulmonary distress. Similar to Nair et al, our study demonstrated a statistically significant difference between the severity of pulmonary distress and mortality[13].Matsuyama et al investigated some factors affecting the outcome of suicidal hanging according to their study; 1 (2.1%) of 47 patients represented pulmonary distress while cerebral edema was found in 4 (8.51%) of 47 patients. In the present study, 21 (21.2%) of 99 patients had cerebral edema and 30 (30.3%) of 99 cases suffered from pulmonary distress…”

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confidence: 85%

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Prognosis and Complications of Attempted Suicidal Hanging

Memarian

Ali

Soltani

et al. 2019

Int J Med Toxicol Forensic Med

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Background: Hanging is a form of strangulation, in which the body is suspended through the neck and the weight of the body acts as a constricting force. This study assessed various factors on the outcome of hanging and identification of prognostic factors related to the outcomes.Methods: Ninety-nine hanging victims from 1995 to 2015 in Iran were evaluated; then, variables such as the cause of death, distribution of mortality, duration of hospitalization, substance abuse consumption, respiratory distress, and cerebral edema were studied in these people. Finally, the data were analyzed.Results: Major cases of suicide by hanging were men. In connection with prognosis, about 12% of the deaths occurred in men and about 21% were represented in women. More importantly, in the matter of suspension, the model was largely incomplete to complete. Also, the outcomes of pulmonary stress and cerebral edema were recognized in association with the type of hanging and mortality prognosis.Conclusion: Only two risk factors, including loss of consciousness at the time of entry into the medical center, as well as the complete suspension, would be predictive operations of death and unsuccessful revival.

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confidence: 85%

“…Pulmonary distress is one of the important complications resulting from pulmonary edema, acute respiratory distress syndrome, and airway obstructions that lead to immediate airway intubation. On the other hand, suicidal hanging results in the compression of the airway or cervical vascular leading to cerebral edema [13].…”

Section: Introductionmentioning

confidence: 99%

Prognosis and Complications of Attempted Suicidal Hanging

Memarian

Ali

Soltani

et al. 2019

Int J Med Toxicol Forensic Med

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“…Previous studies have also shown that the mortality increased from 5% to 34.2% in the presence of pulmonary involment. 8 Using multivariate logistic regression analysis (Table 4), we found that the presence of myoclonus with an abnormal chest radiograph had the worst outcome (Model 2), followed by a combination of myoclonus and a low GCS motor score (Model 3).…”

Section: Discussionmentioning

confidence: 99%

Study of the factors at admission predicting the outcome in patients with attempted suicidal hanging

et al. 2017

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Acute respiratory distress syndrome and outcomes after near hanging

Mansoor

Afshar

Barrett

et al. 2015

The American Journal of Emergency Medicine

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Purpose Assess the case rate of Acute Respiratory Distress Syndrome (ARDS) after near-hanging, and the secondary outcomes of traumatic and/or anoxic brain injury, and death. Risk factors for the outcomes were assessed. Method Single-center, state-wide retrospective cohort study of consecutive patients admitted between August, 2002, and September, 2011, with a primary diagnosis of non-judicial "hanging injury". Results Of 56 patients, 73% were male. The median age was 31 (IQR: 16–56). Upon arrival, 9% (5/56) did not have a pulse, and 23% (13/56) patients were intubated. The median Glasgow Coma Scale (GCS) was 13 (IQR: 3–15); 14% (8/56) had a GCS=3. ARDS developed in 9% (5/56) of patients. Traumatic anoxic brain injury resulted in 9% (5/56) of patients. The in-hospital case fatality was 5% (3/56). Lower median GCS [3 (IQR: 3–7) vs. 14 (IQR: 3–15), p=0.0003] and intubation in field or in trauma resuscitation unit [100% (5/5) vs. 16% (8/51), p=0.0003] were associated with ARDS development. Risk factors of death were GCS=3 [100% (3/3) vs. 9% (5/53), p=0.002]; pulselessness upon arrival of emergency medical services [100% (3/3) vs. 4% (2/53), p<0.001]; and abnormal neurologic imaging [50% (1/2) vs. zero, p=0.04]. Conclusions The ARDS case rate after near-hanging is similar to the general trauma population. Low GCS and intubation are associated with increased risk of ARDS development. The rate of traumatic and/or anoxic brain injury in this population is low.

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Pulmonary distress following attempted suicidal hanging

Cited by 16 publications

References 19 publications

Prognosis and Complications of Attempted Suicidal Hanging

Prognosis and Complications of Attempted Suicidal Hanging

Study of the factors at admission predicting the outcome in patients with attempted suicidal hanging

Acute respiratory distress syndrome and outcomes after near hanging

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