Profile of unnatural mortalities in Northern part of Ghana; a forensic-based autopsy study

Ossei, Paul Poku Sampene; Ayibor, William Gilbert; Agagli, B.M.; Fuseini, G.; Oduro-Manu, G.; Ka-Chungu, S.

doi:10.1016/j.jflm.2019.05.012

Cited by 8 publications

(16 citation statements)

References 19 publications

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“…There has been an increase in sudden cardiac deaths on a regular basis over the entire duration of the study, from 7 cases in 2010, to 17 cases in 2018. This increase is mainly in myocardial infarction, which represented 3 cases in 2010 and 12 cases in 2018, concordant with certain African series [4,13]. This situation in the developing countries is explained by the urbanization anarchic with emergence of bad habits hygieno-dietary.…”

Section: Discussionsupporting

confidence: 83%

“…Mohamed et al [4] had noted 476 cases in 3 years, an average of 158.7 cases /year. Ossei et al [5] found 1,470 cases over 9 years, an average of 163.33 cases /year. The frequencies of the African series are much lower than those of the developed countries.…”

Section: Discussionmentioning

confidence: 96%

“…This observation is consistent with the majority of series where there was a male predominance. Mohamed et al [4] noted a sex ratio (H/F) of 2.97; Ossei et al [5] found a sex ratio (H/F) of 3.1. This male predominance is explained by the higher and earlier incidence of ischemic heart disease in men, a different susceptibility to ischemia, a different distribution of structural heart disease and the protective nature of estrogens [6,7].…”

Section: Discussionmentioning

confidence: 99%

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Sudden death of adults in Togo: Autopsy results of a series of 318 cases

Darré¹,

Djiwa²,

Napo‐Koura³

2019

Preprint

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Objectives: The purpose of the study was to determine the circumstances of occurrence of these sudden deaths, risk factors, to identify the causes of sudden death in adults at autopsy. Results: A total of 318 sudden death cases were recorded. The sex ratio (M/F) was 1.8, and the mean age was 43 ± 0.36 years. Sudden deaths were the second most common reason for autopsies after traffic accidents. The place of death was home in 76.7% of cases and in hospitals in 23.3%. Obesity was noted in 59.4%, with an umbilical adipose panicle varying between 7 and 12 cm thick. Cardiovascular causes excluding cerebral involvement (n=173cases, 54.40%) followed by pulmonary causes (n=100 cases, 31.44%) were the most common cause of sudden death. The predominant cardiac pathology was infarction accounting for 32.07% of all causes of sudden death, and pulmonary embolism with 19.49% was the leading cause at the pulmonary level.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

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Sudden death of adults in Togo: Autopsy results of a series of 318 cases

Darré¹,

Djiwa²,

Napo‐Koura³

2019

Preprint

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“…Three (3) studies reported drowning in multiple sites (countries) [20,21,22]. Twenty-four (57%) of the articles originated from South Africa [20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43], three (7.1%) were from Ethiopia [20,44,45], Ghana [20,46,47], Malawi [20,48,49], Nigeria [50,51,52] and Uganda [53,54,55] respectively, while 2 (4.8%) studies were from Cote d’Ivoire [20,56], Kenya [20,57] and Egypt [21,22] respectively. One (2.4%) article each originated from Burkina Faso [20], Guinea [58], The Gambia [20], Tanzania [59], Seychelles [60] and Zimbabwe [61], See Figure 1 for location.…”

Section: Resultsmentioning

confidence: 99%

“…The most commonly used data were surveillance data (46%) and death registers including hospital, police and coronial reports. Twelve (12) studies investigated and described drowning exclusively [21,22,23,24,25,26,27,30,43,50,54,60], while in 30 studies, drowning was reported as part of a wider study including studies investigation all cause of death and external causes of death [20,28,29,31,32,33,34,35,36,37,38,39,40,41,42,44,45,46,47,48,49,51,52,53,55,56,57,58,59,61]. Measures used to describe drowning were proportions and rates.…”

Section: Resultsmentioning

confidence: 99%

Epidemiology, Risk Factors and Measures for Preventing Drowning in Africa: A Systematic Review

Miller,

Alele,

Emeto

et al. 2019

Medicina

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Background and Objectives: Drowning is a leading cause of unintentional injury related mortality worldwide, and accounts for roughly 320,000 deaths yearly. Over 90% of these deaths occur in low- and middle-income countries with inadequate prevention measures. The highest rates of drowning are observed in Africa. The aim of this review is to describe the epidemiology of drowning and identify the risk factors and strategies for prevention of drowning in Africa. Materials and Methods: A review of multiple databases (MEDLINE, CINAHL, PsycINFO, Scopus and Emcare) was conducted from inception of the databases to the 1st of April 2019 to identify studies investigating drowning in Africa. The preferred reporting items for systematic review and meta-analysis (PRISMA) was utilised. Results: Forty-two articles from 15 countries were included. Twelve articles explored drowning, while in 30 articles, drowning was reported as part of a wider study. The data sources were coronial, central registry, hospital record, sea rescue and self-generated data. Measures used to describe drowning were proportions and rates. There was a huge variation in the proportion and incidence rate of drowning reported by the studies included in the review. The potential risk factors for drowning included young age, male gender, ethnicity, alcohol, access to bodies of water, age and carrying capacity of the boat, weather and summer season. No study evaluated prevention strategies, however, strategies proposed were education, increased supervision and community awareness. Conclusions: There is a need to address the high rate of drowning in Africa. Good epidemiological studies across all African countries are needed to describe the patterns of drowning and understand risk factors. Further research is needed to investigate the risk factors and to evaluate prevention strategies.

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African particularities of sudden adult death in Togo on autopsy cases

Darré

Djiwa

Tchaou

et al. 2021

Heliyon

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Background: The purpose of the study was to determine the circumstances of occurrence of these sudden deaths, risk factors, to identify the causes of sudden death in adults at autopsy, with a view to improving prevention. Methods: This is a retrospective study of the cases of sudden death that were the subject of an autopsy in the pathology anatomy department of the University Hospital Sylvanus Olympio in Lom e from 2009 to 2018. Results: A total of 318 sudden death cases were recorded. The sex ratio (M/F) was 1.8, and the mean age was 43 AE 0.36 years. Sudden deaths were the second most common reason for autopsies after traffic accidents. The place of death was home in 76.7% of cases and in hospitals in 23.3%. Obesity was noted in 59.4%, with an umbilical adipose panicle varying between 7 and 12 cm thick. Cardiovascular causes excluding cerebral involvement (n ¼ 173 cases, 54.40%) followed by pulmonary causes (n ¼ 100 cases, 31.44%) were the most common cause of sudden death. The predominant cardiac pathology was infarction accounting for 32.07% of all causes of sudden death, and pulmonary embolism with 19.49% was the leading cause at the pulmonary level. Conclusion:The victims of sudden death in Togo are relatively young, predominantly male and predominantly obese. The main causes of sudden death were myocardial infarction followed by pulmonary embolism. The prevention of sudden death remains paramount, especially in the African context, where pre-hospital care is often inadequate.

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Profile of unnatural mortalities in Northern part of Ghana; a forensic-based autopsy study

Cited by 8 publications

References 19 publications

Sudden death of adults in Togo: Autopsy results of a series of 318 cases

Sudden death of adults in Togo: Autopsy results of a series of 318 cases

Epidemiology, Risk Factors and Measures for Preventing Drowning in Africa: A Systematic Review

African particularities of sudden adult death in Togo on autopsy cases

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