TY - JOUR PY - 2011// TI - Laryngeal Choking on Food and Acute Ethanol Intoxication in Adults-An Autopsy Study JO - Journal of forensic sciences A1 - Nikolic, Slobodan A1 - Zivković, Vladimir A1 - Dragan, Babic A1 - Juković, Fehim SP - 128 EP - 131 VL - 56 IS - 1 N2 - The retrospective autopsy study included 98 adults who died because of laryngeal choking on a bolus of food: 67 men and 31 women (chi(2 )=( )6.843, p < 0.01), average age 58.61 +/- 15.87 years (range 26-92 years). Most of the subjects had poor dentition (chi(2 )=( )34.327, p < 0.01). Twenty individuals died in medical institutions, and 78 were nonhospitalized individuals. More than a third of the nonhospitalized individuals were under the influence of ethanol at the moment of death: average blood concentration 8.3 g/dL (SD = 11.0), ranged from 5.0 to 36.0. Nonhospitalized persons were at the moment of event more often under influence of ethanol than the subjects in control group (chi(2 )=( )38.874, p < 0.01), and at the same time significantly more intoxicated (z = -7.126, p < 0.01). Our study pointed out that poor dentition and impairment of the swallowing reflex, as a consequence of ethanol intoxication in individuals without mental disorders, were the most important risk factors for bolus death.

Language: en

LA - en SN - 0022-1198 UR - http://dx.doi.org/10.1111/j.1556-4029.2010.01510.x ID - ref1 ER -