Sudden death in the young adult: A Tunisian autopsy-based series
Autor: | Mariem Bel Hadj, Said Saadi, Sami Ben Jomaa, Dorra Oualha, Nidhal Haj Salem |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Tunisia Adolescent Heart Diseases Heart disease Population Autopsy 030204 cardiovascular system & hematology Sudden death Sudden cardiac death 03 medical and health sciences 0302 clinical medicine Cause of Death Epidemiology medicine Humans 030212 general & internal medicine education education.field_of_study business.industry lcsh:Public aspects of medicine Medical jurisprudence Public Health Environmental and Occupational Health Retrospective cohort study lcsh:RA1-1270 medicine.disease Retrospective studies Death Sudden Cardiac Young adult business Legal medicine Research Article |
Zdroj: | BMC Public Health, Vol 20, Iss 1, Pp 1-9 (2020) BMC Public Health |
Popis: | Background We aim to study the profile, and pathological characteristics of sudden death in young in purpose of recommendations for prevention. Methods We performed a retrospective cohort study using autopsy data from the Department of Forensic Medicine of Monastir (Tunisia). A review of all autopsies performed for 28 years was done (August 1990 to December 2018). In each case, clinical information, and circumstances of death were obtained. A complete forensic autopsy and histological, and toxicological investigations were performed. We have included all sudden death in persons aged between 18 and 35 years. Results We collected 137 cases of sudden death during the studied period. The mean age of the studied population was 26.47 years. Almost 72% deaths were classified as cardiac death, and was due to ischemic heart disease in 32.32%. Sudden death was attributed to a pleuropulmonary cause in 7.4%, an abdominal cause in 6%, and from a neurological origin in 4.5%. The cause of sudden death in this group was not established by 9.5%. Conclusion In this series, sudden death in young adults occurs mainly in a smoking male, aged between 18 and 24 years old, occurring at rest, in the morning, and early in the week. It is more common, especially in summer. Sudden death is most often the first manifestation of pathologies, especially unsuspected heart diseases. The predominance of cardiovascular causes is the common denominator of almost all studies reported in the literature. Our findings suggest that prevention of sudden death among young adults under the age of 35 years should also focus on evaluation for causes not associated with structural heart disease. |
Databáze: | OpenAIRE |
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