POTENTIAL MISCLASSIFICATION OF ALCOHOL INTOXICATION AS CARDIOVASCULAR DEATHS IN YAKUTSK IN 2007-2018: A FORENSIC AUTOPSY DATA-BASED STUDY


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Abstract

Aim: To study potential misclassification of deaths from alcohol poisoning as cardiovascular deaths in Yakutsk, Sakha (Yakutia) Republic, North-East Siberia. Methods: All deaths from 2007 to 2018 registered at the Bureau of Forensic Expertise (BFE) in Yakutsk comprised the study base (n = 9 708). Data on underlying cause of death, age, gender and blood alcohol concentration (BAC) were obtained from the medical records at the BFE. Proportions of cases with BAC > 0 %, 2.50-3.99 %, 4.00-4.99 % and 5.00 % or more among those who had codes I00-I99 as an underlying cause of death (n = 4 067). All analyses were performed separately for men and women for the following age-groups: 15-29, 30-39, 40-49, 50-59, 60-69 and 70 + years. Analyses were replicated for underlying causes of death coded as C00-D48 and J00-J99. BAC > 4,0 % was considered as potentially lethal dose. Results: Altogether, 37.6 % of men and 51.0 % of women who died from diseases of circulatory system had BAC > 0 % Proportions of cases with BAC of 4 % or more among those aged 15-29 years were 6.7 % for men and 16.6 % for women. Corresponding proportions for age-groups 30-39, 40-49, 50-59, 60-69 and 70 + years were 8,9 %, 7,6 %, 4,8 %, 4,9 %, и 1,2 % among men and 18,3 %, 10,3 %, 13,8 %, 4,0 % и 1,5 % among women. The highest proportion of cases with BAC > 4,0 % was observed among women aged 15-29 years (42.9 %) and among women aged 30-39 years (37.5 %). Conclusions: Contrary to the results of the earlier studies in the European part of Russia our findings suggest that a substantial proportion of sudden cardiac deaths and deaths from diseases of circulatory system in general could be caused by alcohol poisoning particularly among women

About the authors

N. V. Savvina

M. K. Ammosov North-Eastern Federal University

O. G. Bessonova

M. K. Ammosov North-Eastern Federal University

E. A. Borisova

M. K. Ammosov North-Eastern Federal University

E. Yu. Kolbina

Forensic Bureau of Sakha (Yakutia) Republic

S. B. Kalmakhanov

Al Farabi Kazakh National University

A. M. Grjibovski

M. K. Ammosov North-Eastern Federal University; Al Farabi Kazakh National University; Northern State Medical University; West Kazakhstan Marat Ospanov Medical University

Email: Andrej.Grjibovski@gmail.com
доктор медицины, заведующий ЦНИЛ

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Copyright (c) 2019 Savvina N.V., Bessonova O.G., Borisova E.A., Kolbina E.Y., Kalmakhanov S.B., Grjibovski A.M.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
 


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