Postmortem computed tomography is an informative approach for prevention of sudden unexpected natural death in the elderly

• DOI: 10.2147/rmhp.s10260
• Publication Date: 2010-09-20T00:20:47Z
• Authors: Toshihiro Toshihi...; Toshihiro Toshihi...; Miyuki Hibi; Miki Ishibashi; Atsuhiro Nakatsuka; Yukinari Omori; Ken Ishikura; Tsuyoshi Hatada; Taichi Takeda; Yoshiyuki Takei; Kan Takeda
• Keywords: Sudden Death; Natural death

Introduction: Less than 10% of unnatural death cases have been examined by autopsy in Japan. In particular, the causes elderly not yet actively investigated. Here, we evaluated possible use postmortem computed tomography (PMCT) to investigate sudden unexpected natural (SUND) elderly. Methods and subjects: Death confirmed within 24 hours since onset symptoms at Emergency Department Mie University Hospital were defined as cases. A total 212 cases, including 175 SUND that occurred a 3-year period from September 2006 August 2009 Results discussion: The number was highest patients their seventies (56 26%), followed eighties sixties. Sudden more men women fifties seventies, while it over age 90. PMCT performed 80% regardless deceased. 26 (27.1%) established PMCT, many which hemorrhagic diseases. Signs aortic aneurysm rupture detected thoracic abdominal areas 8 over, whereas signs absent younger group. Also, 18% bathing-related (BRSD). BRSD rarely caused diseases, suggesting drop blood pressure bathing is an important factor BRSD. Conclusion: method relatively acceptable bereaved families. It useful for establishing approximately 30% examined. findings suggested early detection treatment aneurysms preventive measurements are prevention Keywords: (SUND), (PMCT), (BRSD)