Autopsies in the elderly: Erzurum study

Timur, Özge; Taşar, Pınar Tosun; Ulusoy, Merve Gülşah; İrez, Azem; Yildirim, Filiz; Binici, Doğan Nasır; Şahin, Sevnaz; Kök, Ahmet Nezih

doi:10.1016/j.jflm.2017.09.002

Cited by 11 publications

(7 citation statements)

References 15 publications

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“…In our study, mean age of hanging group was 25.69(±7.26, 9-38). One study analyzing the autopsies in geriatric population in the eastern part of Turkey showed that traffic accidents comprised the huge part (80%) of the accident-related deaths, consistent with the literature (2). The most common cause of suicidal attempts in geriatric population was found as hanging (60%) in the same study.…”

Section: Szemereta Et Al Analyzed the Victims Of Traffic Accidents Isupporting

confidence: 78%

“…That the most common cause of geriatric suicides was hanging was shown also in another study from Turkey (1). In these geriatric studies, suicidal attempts were shown in both genders (1,2); however, in our study, no female patients were admitted with a diagnosis of hanging. This is an interesting finding, but it might be based on the lower mean age of hanging patients.…”

Section: Szemereta Et Al Analyzed the Victims Of Traffic Accidents Isupporting

confidence: 61%

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Evaluation of Forensic Cases Associated With Neurochirurgy Admitted to Emergency Clinic

Yücetaş¹,

Kafadar²

2019

Adıyaman Üniversitesi Sağlık Bilimleri Dergisi

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Introduction: Forensic cases consist of medical cases associated with several distinct medical departments, and meticulous examination and recording should be "sine qua non" part of the management. We aimed to analyze the files of forensic cases in neurochirurgy clinics, evaluate these files by the view of forensic medicine, and to emphasize the importance of meticulous medical recordings. Materials and Methods: Patients admitted to the neurosurgery clinic from the emergency department, motor vehicle accidents, motorcycle accidents, work accidents, hanging cases, assault or chemical injuries were included in the study. The electronic files, radiographs, computed tomography and magnetic resonance imaging recordings of the patients were analyzed and compared with patient cart. Age, gender, the causes of the events, and the number of autopsy were recorded. The patients were grouped according to gender, the admission ward (intensive care unit (ICU) or service), and the cause of the admission of the patient. Non-forensic cases; for example, patients with degenerative disc herniation, spontaneous cerebral hemorrhage or cerebral tumor were excluded. Results: A total of 275 patients with suitable criteria, were included in the study. Of total, 249 (90,54%) patients were in alive, 26 (9,46%) in exitus group. 12.9% and 7.7% of the patients were female in alive and exitus groups, respectively (p=0.753). All the patients in chemical injury, hanging and work accident groups were male. The ratio of admission to ICU was 99.6% and 100% in alive and exitus groups, respectively. The most frequent cause of admission was traffic accident in both groups; however, there was significant difference between groups according to cause of admission (p=0.002). When comparing to traffic accident group, the mortality rate was 6.2 times higher in motorcycle accident, and it was 6.8 times higher in hanging group. Conclusion: We found that the most frequent cause of admission was traffic accident both in alive and exitus groups. However, the mortality rate of hanging and motorcycle accident was higher than motor vehicle accident. This finding helps us to evaluate which forensic cases necessitate acute medical management in emergency ward. For the forensic cases concerning to neurochirurgy, the specialists of neurochirurgy should be in contact with the emergency clinic team. At the same time, we also believe that accurate medical records of forensic cases related to neurosurgery will contribute to the correct and rapid management of the judicial process.

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Section: Szemereta Et Al Analyzed the Victims Of Traffic Accidents Isupporting

confidence: 78%

Section: Szemereta Et Al Analyzed the Victims Of Traffic Accidents Isupporting

confidence: 61%

Evaluation of Forensic Cases Associated With Neurochirurgy Admitted to Emergency Clinic

Yücetaş¹,

Kafadar²

2019

Adıyaman Üniversitesi Sağlık Bilimleri Dergisi

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“…A logistic regression with study random effects was used to estimate odds ratios (95% CI), comparing victim age with the social–ecological variables described above, and was also calculated for U.S. and non-U.S. studies (Tables 1 and 2). To control for selection bias in the meta-analysis, we excluded four studies that only included homicide in older adults (Coelho et al, 2010; Collins & Presnell, 2006; Langlois et al, 1995; Timur et al, 2017). Sensitivity analysis revealed variation in the mean proportions for “argument” and “home” variables (ranging between 3 and 18 percentage points) but with no other substantial differences.…”

Section: Methodsmentioning

confidence: 99%

Epidemiology of Homicide in Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis

Kennedy

Bugeja

Olivier

et al. 2021

Trauma, Violence, & Abuse

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Background: Empirical research investigating older adult homicide is sparse and rarely accumulated for greater insights. This systematic review and meta-analysis quantifies the prevalence and characteristics of homicide victimization among older adults (65 years and older) compared with younger adults (18–64 years). Method: We searched Cumulative Index to Nursing and Allied Health Literature, Cochrane, Criminal Justice Abstracts, EMBASE, MEDLINE, ProQuest, PsycINFO, Scopus, and Web of Science for studies published before December 31, 2018 (International Prospective Register of Systematic Reviews registration: CRD42017054536). Included were English-language, original, peer-reviewed studies describing the homicide of older adults. Excluded were studies not meeting age criteria, residence as an institution, or with insufficient outcome variables. The review included 39 studies; 17 were included in the meta-analysis. Data were extracted via open access or from study authors. Heterogeneity was assessed through study-level random effects estimates. Results: Pooled homicide rates per 100,000 population were 2.02 (95% CI [1.23, 3.33]) for older adults ( n = 35,325) and 3.98 (95% CI [2.42, 6.53]) for younger adults ( n = 607,224; rate ratio = .51, 95% CI [0.37, 0.70], p < .001). Proportion estimates for older adults: victim female 46.3%, location home 71.4%, offender familiar 25.2%, compared to stranger, 24.2%, motive argument 36.1%, compared to felony 30.8%, and weapon firearm 24.5%. Older adults were significantly different to younger adult victims ( p = <.001) for female ( OR = 2.5, 95% CI [2.02, 3.10]), home (3.87, 95% CI [3.45, 4.35]), stranger (1.81, 95% CI [1.66, 1.98]), argument (0.33, 95% CI [0.28, 0.39]), felony (2.78, 95% CI [2.58, 2.99]), and firearm (0.38, 95% CI [0.36, 0.40]). Conclusions: Homicide against older adults differs from younger adults and warrants specific research and tailored prevention strategies.

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“…Traffic accidents are important among unnatural death reasons in old-age period (10)(11)(12). In a study that was conducted in Erzurum, Turkey, it was reported that traffic accidents ranked the first (n = 120, 53.80%) among the unnatural deaths in the elderly population (12). In a study that was conducted in Taiwan, it was reported that the second frequent reason of the accidents in the elderly population was traffic accidents (10 (6).…”

Section: Discussionmentioning

confidence: 99%

Eskişehir’de Yaşlılık Dönemi Ölümlü Trafik Kazalarının 20 Yıllık Analizi

Karbeyaz

Balci

Şimşek³

2019

Osmangazi̇ Journal of Medicine

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Since the elderly are not included much in social life, they are more prone to traumas and accidents when compared with the young. However, when the elderly are exposed to traumas, the mortality and morbidity are more when compared with the young. In this study, the purpose is to evaluate the fatal traffic accidents in which the geriatric age group was involved in 20 years. With this study, the characteristics of the fatal accidents in our study will be determined, and possible precautions will be discussed in the light of these data. The autopsy reports of the elderly who were over the age of 65 and who died in traffic accidents were included in the study. The cases were investigated according to their ages, genders, accident scenes, accident types, accident time. In the period covered by the study, 413 elderly in Eskişehir were determined to have died as a result of traffic accidents. Mean age was 73.17 ± 6.46, 321 (77.7%) were male and 92 were female (22.3%). 65,1% (n=272) of the cases were pedestrians. High mortality rate of road traffic injuries in this group especially in pedestrians should be taken into consideration and strategies aimed at the road-user safety including periodic medical examination and improvement of road structure and facilities.

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Autopsies in the elderly: Erzurum study

Cited by 11 publications

References 15 publications

Evaluation of Forensic Cases Associated With Neurochirurgy Admitted to Emergency Clinic

Evaluation of Forensic Cases Associated With Neurochirurgy Admitted to Emergency Clinic

Epidemiology of Homicide in Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis

Eskişehir’de Yaşlılık Dönemi Ölümlü Trafik Kazalarının 20 Yıllık Analizi

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