Carbon monoxide-related deaths in a metropolitan county in the USA: an 11-year study

Homer, Cynthia D.; Engelhart, David A.; Lavins, Eric S.; Jenkins, Amanda J.

doi:10.1016/j.forsciint.2004.06.012

Cited by 23 publications

(17 citation statements)

References 14 publications

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“…Uniqueness of CO poisoning in our area can be seen from analyzing death by its means, where by far the most common were accidental poisonings, whereas suicidal and homicidal poisonings were very rare, represented with 5%. CO poisoning as a suicide method is almost nonexistent in our country, unlike the USA and Denmark -hence, we did not have enough valid data for a more thorough analysis [13,17]. One of the characteristics of our sample is the fact that there is a high percentage of persons with psychiatric history in the group of those poisoned by CO (12%), but they mostly died accidentally, which is in agreement with the literature [18].…”

Section: Discussionsupporting

confidence: 64%

The value of the post mortem analysis of carboxyhemoglobin concentration in the blood: A 15-year study

Atanasijević¹,

Popović²,

Puzovic

et al. 2018

Srp Arh Celok Lek

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Introduction/Objective The purpose of this retrospective study was to assess carboxyhemoglobin (HbCO) concentration in all autopsy cases of fire and non-fire victims -all those who have been suspected to be under the influence of carbon monoxide (CO) in the Belgrade area during a 15-year period (1990)(1991)(1992)(1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005). Methods Correlations between the concentration of HbCO, circumstances of death, vital signs, and prior health conditions, smoking and history of alcohol-abuse, have been particularly analyzed in 192 autopsy cases. Results The investigation included 52 (27%) females and 140 (73%) males, their average age being 50.78 years. CO poisoning has been established as the cause of death in 74 cases (38%). The manner of death in 170 cases (89%) was an accident, in eight (3%) suicide, in two (1%) murder, in 11 (6%) natural death, and in one case the manner of death hasn't been established. Such distribution of the manner of death differentiates this study from others of similar type, and it is conditioned by the specificity of life in this region. Conclusion The predictors of a high HbCO concentration are the sex, cause of death, manner of death, soot aspiration, lower-degree burns. According to the results, we profiled a typical victim of CO poisoning.

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Section: Discussionsupporting

confidence: 64%

The value of the post mortem analysis of carboxyhemoglobin concentration in the blood: A 15-year study

Atanasijević¹,

Popović²,

Puzovic

et al. 2018

Srp Arh Celok Lek

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“…Its inhalation results in the fast and fatal inhibition of oxygen transportation in blood [35]. In Cuyahoga, USA, the main cause of carbon monoxide-induced death was accident due to fire or arson in the home [36]. In this study, similar to the Morocco report, accidental carbon monoxide-induced death because of exposure to a heating stove was the main cause in the winter months of November to February [37].…”

Section: Categorysupporting

confidence: 70%

A retrospective analysis of data from toxic substance-related cases in Northeast China (Heilongjiang) between 2000 and 2010

Zhang¹,

Ji-lin²,

Zuo³

et al. 2013

Forensic Science International

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“…Although we have not sufficient information, both the children and the old men are the groups most capable of accidental poisonings; likewise, the winter period is the one that presents higher figures in this type of poisonings [9].…”

Section: Discussionmentioning

confidence: 71%

Carbon monoxide-related death in Southern Spain: a 7-year study

et al. 2008

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-Introduction:Carbon monoxide (CO) is a colourless, odourless, tasteless toxic gas produced by incomplete combustion in fuel-burning devices such as motor vehicles, gas-powered furnaces, and portable generators. Exposure of humans to high concentrations of carbon monoxide can result in death, due to the formation of carboxyhemoglobine (COHb), which impairs the oxygen carrying capacity of the hemoglobin. The objective of this study was to determine the number of carbon monoxide-related deaths in forensic cases received in the Department of Seville of the Spanish National Institute of Toxicology from 2000 to 2006 (n = 515 cases). Methods: Carboxyhemoglobine levels were determined in blood using the normal procedure in our laboratory, consisting in a fourth derivative spectrophotometric method, using sodium dithionite as releasing agent. COHb levels were then measured after the saturation of blood with carbon monoxide. Results: In 415 of these cases (81%) carboxyhemoglobine was detected. In a 33% of the cases COHb was above 50% and in a 48% of the cases was below 50%. During the period studied males represented the big majority 72% of deceased people, presenting a 35% of the cases levels of COHb above a 50%. In a 26% of the cases the deceased was female with a 34% of the cases, which resulted in a COHb level above 50%, and in a 2% of the cases sex was not known. Conclusions: Our results indicate that improved population-based prevention measures, including educating the public about the dangers of CO exposure, are needed in order to avoid domestic accidental deaths. Key words: Carbon monoxide, death, SpainRésumé -Introduction : Le monoxyde de carbone est un gaz toxique incolore, inodore et sans goût issu de la combustion incomplète dans des dispositifs tels que moteurs de véhicules, chaudières à gaz et groupes électrogènes. L'exposition à de hautes concentrations de monoxyde de carbone peut se traduire, pour l'être humain, par un décès dû à la formation de carboxyhémoglobine (COHb) qui altère la capacité de l'hémoglobine à transporter l'oxygène. Cette étude a eu pour objectif de déterminer le nombre de décès dus au monoxyde de carbone parmi les cas recensés par la division de Séville de l'Institut National de la Toxicologie espagnol entre 2000 et 2006 (total de 515 cas). Méthodes : Les taux de HbCO dans le sang ont été déterminés via la procédure standard du laboratoire, à savoir une méthode spectrophotométrique de quatrième ordre, utilisant l'hydrosulfite de sodium comme agent révélateur. Les teneurs en COHb ont ainsi été mesurées après saturation du sang en monoxyde de carbone. Résultats : La carboxyhémoglobine a été détectée dans 415 cas (81 % du total). Dans 33 % des cas le taux de carboxyhémoglobine était supérieur à 50 % ; dans 48 % des cas il était inférieur à 50 %. Sur la période étudiée les hommes ont constitué la majorité des victimes (72 %) ; 35 % présentaient un taux de carboxyhémoglobine de plus de 50 %. Dans 26 % des cas les victimes étaient des femmes, avec pour 34 % un taux de carboxyhémogl...

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Carbon monoxide-related deaths in a metropolitan county in the USA: an 11-year study

Cited by 23 publications

References 14 publications

The value of the post mortem analysis of carboxyhemoglobin concentration in the blood: A 15-year study

The value of the post mortem analysis of carboxyhemoglobin concentration in the blood: A 15-year study

A retrospective analysis of data from toxic substance-related cases in Northeast China (Heilongjiang) between 2000 and 2010

Carbon monoxide-related death in Southern Spain: a 7-year study

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