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Journal Article

Citation

Li R, Hu L, Hu L, Zhang X, Phipps R, Fowler DR, Chen F, Li L. J. Forensic Sci. 2017; 62(5): 1213-1219.

Affiliation

Sino-US Forensic Science Research Center, Collaborative Innovation Center of Judicial Civilization, China University of Political Science and Law, Beijing, 100088, China.

Copyright

(Copyright © 2017, American Society for Testing and Materials, Publisher John Wiley and Sons)

DOI

10.1111/1556-4029.13412

PMID

28120403

Abstract

Deaths caused by acute alcohol intoxication (AAI) remain a major public health issue. This study is retrospective and descriptive: an 8-year case analysis of deaths due to AAI in Maryland. Study showed that of 150 AAI deaths, the death rate among Hispanics (10.41/100,000 population) was significantly higher than all the non-Hispanics combined (1.88/100,000 population). The majority of individuals were young adults, overweight, and binge drinkers. The obese group showed significantly lower mean heart and peripheral blood alcohol concentration (BAC) (0.36%, 0.37%) than the normal weight group (0.45%, 0.42%). Based on the PBAC and urine AC ratio, 49.6% deaths likely occurred close to peak phase, followed by postabsorptive phase (31.6%) and absorptive phase (18.8%). Our results indicate that forensic pathologists should evaluate postmortem BAC in the light of individual's age, drinking history, body weight, possible phase of alcohol intoxication, and other autopsy findings when certifying AAI as primary cause of death.

© 2017 American Academy of Forensic Sciences.


Language: en

Keywords

acute alcohol intoxication; forensic autopsy; forensic science; forensic toxicology; obesity; postmortem alcohol concentration

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