Cardiac disease and driver fatality.

Autor: O'Donovan S; School of Biomedicine, The University of Adelaide, Level 2, Room N237, Helen Mayo North, Frome Road, Adelaide, SA, 5005, Australia.; Forensic Science SA, Adelaide, Australia., Humphries M; School of Mathematical Sciences, The University of Adelaide, Adelaide, Australia., van den Heuvel C; School of Biomedicine, The University of Adelaide, Level 2, Room N237, Helen Mayo North, Frome Road, Adelaide, SA, 5005, Australia., Baldock M; Centre for Automotive Safety Research, The University of Adelaide, Adelaide, South Australia, Australia., Byard RW; School of Biomedicine, The University of Adelaide, Level 2, Room N237, Helen Mayo North, Frome Road, Adelaide, SA, 5005, Australia. roger.byard@sa.gov.au.; Forensic Science SA, Adelaide, Australia. roger.byard@sa.gov.au.
Jazyk: angličtina
Zdroj: Forensic science, medicine, and pathology [Forensic Sci Med Pathol] 2022 Sep; Vol. 18 (3), pp. 329-332. Date of Electronic Publication: 2022 Apr 25.
DOI: 10.1007/s12024-022-00475-4
Abstrakt: To determine the role of cardiac disease in driver fatalities, a retrospective review of autopsy files at Forensic Science SA in Adelaide, Australia, was undertaken over a 13-year-period January 2005-December 2017 for individuals aged ≥ 40 years who had died while driving a motor vehicle. The incidence of significant coronary artery atherosclerosis (CAA) and cardiomegaly was evaluated with comparisons between drivers and a control group of passengers. Autopsy examinations were performed on 303 drivers and 72 passengers who died of trauma and on 63 drivers who died of a cardiac event while driving. The average age for drivers dying of trauma was 58.5 years (range 40-93 years) with 48 (15.8%) having CAA and 31 (10.2%) having cardiomegaly. This was not statistically different to passengers (aged 63.3 years; range 40-93 years; 20.8% having CAA; 11 (15.2%) cardiomegaly; (p > 0.2). Drivers with significant cardiac disease did not, therefore, have increased rates of death in crashes, although a distinct subgroup of drivers consisted of those who had died from cardiac events and not trauma, while driving. The latter may be increasing in number given the aging population.
(© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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