Elderly deaths in Ankara, Turkey

Akar, Taner; Karapirli, Mustafa; Akçan, Ramazan; Demirel, Birol; Akduman, Barış; Dursun, Ahmet Zahit; Sarı, Serhat; Özkök, Alper

doi:10.1016/j.archger.2014.05.005

Cited by 11 publications

(6 citation statements)

References 19 publications

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“…It is because of advanced age and a chronic somatic history that clinicians will sign death certificates without the request for investigations and that autopsies will then not be practiced in several cases of suspicious deaths (Kumar and Verma 2014). Accidents account for the majority of unnatural deaths in elderly, followed by suicide and homicide (Kumar and Verma 2014;Eilertsen et al 2006;Akar et al 2014). Several studies have focused on the safety of elderly people in public roads and suggest, through an analysis of risk factors, the establishment of means to protect them (Lucidi et al 2014).…”

Section: Discussionmentioning

confidence: 99%

“…We observed that accidental poisoning was especially caused by carbon monoxide and due the increased use of braziers in winter. In Turkey, Akar et al (2014) found that carbon monoxide poisoning was the second cause of death in the elderly after traffic accidents, with 21.7% and 37.7% respectively. It is noteworthy that the fatal work-related accidents of the elderly found in our study are a rare entity and very little studied in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…This is explained by the easy accessibility of hanging (Chan et al 2007). Suicide occurs most often in the victim's home and less frequently in public places or rest centers according to a study from Turkey (Akar et al 2014). Male gender, retirement, social isolation, and psychiatric and somatic pathologies are predisposing factors (Akar et al 2014;Pitkälä et al 2000;Nomura et al 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Suicide occurs most often in the victim's home and less frequently in public places or rest centers according to a study from Turkey (Akar et al 2014). Male gender, retirement, social isolation, and psychiatric and somatic pathologies are predisposing factors (Akar et al 2014;Pitkälä et al 2000;Nomura et al 2016). Neoplastic and neurological pathologies are particularly associated with a high risk of suicide (Pitkälä et al 2000).…”

Section: Discussionmentioning

confidence: 99%

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Unnatural death in the elderly: a retrospective study of medicolegal autopsies in Northern Tunisia

Braham

Gharbeoui

Bellali

et al. 2019

Egypt J Forensic Sci

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Background: The growing proportion of elderly implies that natural and unnatural deaths of the elderly will be increasingly confronted. The objective of our study was to determine the unnatural manner and causes of death in the elderly, defined as individuals at least 65 years of age at the time of death. We conducted a monocentric restrospective study based on police investigation reports and medicolegal autopsy reports collected from the Department of Legal Medicine of Charles Nicolle Hospital in Tunis, Tunisia between January 1st, 2016 and December 31st, 2017. Results: During this period, 3837 autopsies were performed. Five hundred ninety-two (15.4%) were 65 years or older at the time of death. Of these, 264 deaths were categorized as accidental, suicidal, homicidal, or unknown. The mean age of victims was 75.3 years (± 6.7), unnatural deaths were higher in urban areas (64%) and victims were living alone in 24.7% of cases. Accidents accounted for the majority of unnatural deaths (90.5%) and were more common in males. Traffic accidents accounted for 66.9% of accidental deaths; they were more frequent in pedestrians and more frequent on Monday. They were followed by accidental falls which accounted for 17.2% of accidents and occurred in the home especially or in the workplace. Charcoal brazier was incriminated in 11 cases of accidental thermal burns and in all cases of accidental carbon monoxide poisoning. Suicide and homicide were uncommon manners of death; they were observed in 16 and eight cases respectively. Hanging was the most used suicidal mean. Suicides were more common in males; they took place especially in the victim's home, and history of psychiatric disorders was frequently elicited. Conclusions: Autopsies provide important statistical data that can be used for preventive strategies. For instance, actions must be carried out on the maintenance of public roads and raising awareness among public road users. Preventive measures should also include home improvement to help the elderly avoid accidental falls, installing smoke detectors, and the non-use of defective or rudimentary heating.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Unnatural death in the elderly: a retrospective study of medicolegal autopsies in Northern Tunisia

Braham

Gharbeoui

Bellali

et al. 2019

Egypt J Forensic Sci

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“…Bei den nichtnatürlichen Todesfällen spielen wie im internationalen Vergleich Unfälle, Suizide und Tötungen die größte Rolle [2,10,11,20,39].…”

Section: Diskussionunclassified

Retrospektive Mortalitätsstudie nichtnatürlicher Todesfälle der Generation 65+ im Obduktionsgut der Rechtsmedizin Frankfurt am Main anhand zweier Zeitintervalle

et al. 2021

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Zusammenfassung Hintergrund und Ziel der Arbeit Aufgrund des demografischen Wandels ist mit einer Änderung des Altersspektrums bei den Obduktionen zu rechnen. Ziel der Arbeit war die Untersuchung der nichtnatürlichen Todesfälle, bei denen die Verstorbenen ein Mindestalter von 65 Jahren erreicht hatten, da dieser Populationsgruppe zukünftig eine wachsende Bedeutung zukommen wird. Material und Methoden In dieser retrospektiven Mortalitätsstudie wurden alle nichtnatürlichen Todesfälle mit einem Sterbealter ≥ 65 Jahren analysiert, die in den Jahren 2000–2002 (Zeitraum I) und 2013–2015 (Zeitraum II) im Institut für Rechtsmedizin des Universitätsklinikums der Goethe-Universität in Frankfurt am Main obduziert wurden. Für die Analyse der suizidal Verstorbenen wurden zudem Daten nichtobduzierter Selbsttötungen (n = 100) aus Besichtigungen aufgenommen. Ergebnisse Aus den 1206 Obduktionen resultierten 669 natürliche (55,5 %) und 404 nichtnatürliche (33,5 %) Todesfälle. Darunter ergaben sich 221 Unfälle (Zeitraum I n = 105; Zeitraum II n = 116), 82 Suizide (Zeitraum I n = 55; Zeitraum II n = 27), 41 Todesfälle im Zusammenhang mit medizinischen Interventionen (Zeitraum I n = 7; Zeitraum II n = 34) und 40 Tötungsdelikte (Zeitraum I n = 23; Zeitraum II n = 17). Verkehrsunfälle und Stürze bilden die größten Subgruppen bei den Unfällen. Erhängen und Erschießen sind die am meisten angewandten Suizidarten. Vergleicht man Zeitraum I mit II, so fällt die signifikante Zunahme von Todesfällen im Zusammenhang mit ärztlichen Maßnahmen auf. Eine signifikante Abnahme von Suizidenten ist durch die abnehmende Obduktionsrate in dieser Gruppe zu begründen. Die relative und absolute Fallzahl an Tötungsdelikten im Obduktionsgut weisen keine wesentliche Veränderung auf. Diskussion/Schlussfolgerung Die Ergebnisse dieser Studie stimmen großteils mit der Literatur überein. Im Zeitvergleich zeigt sich eine relative Zunahme nichtnatürlicher Todesfälle im gerontologischen Obduktionsgut. Dies wird durch den Anstieg von Obduktionen nach iatrogenen Komplikationen wesentlich mitgeprägt.

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The Elderly as Social Victims of Modernization: Abuse and Neglect of the Elderly in Turkey

Kalayci

Özkul

2019

International Handbook of Elder Abuse and Mistreatment

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Elderly deaths in Ankara, Turkey

Cited by 11 publications

References 19 publications

Unnatural death in the elderly: a retrospective study of medicolegal autopsies in Northern Tunisia

Unnatural death in the elderly: a retrospective study of medicolegal autopsies in Northern Tunisia

Retrospektive Mortalitätsstudie nichtnatürlicher Todesfälle der Generation 65+ im Obduktionsgut der Rechtsmedizin Frankfurt am Main anhand zweier Zeitintervalle

The Elderly as Social Victims of Modernization: Abuse and Neglect of the Elderly in Turkey

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