Original Article

PROFILE OF MORTALITY BY CHOKING IN THE LEGAL MEDICAL INSTITUTE OF LIMA IN MACEIÓ – ALAGOAS

How to cite: Silva MB, Gomes MVAG, Duarte ML. Perfil da mortalidade por asfixia no Instituto Médico Legal Estácio de Lima em Maceió – Alagoas. Persp Med Legal Perícia Med. 2018; 6.

https://dx.doi.org/10.47005/030201

Projeto de pesquisa aprovado pelo Comitê de Ética em Pesquisa da Fund. Universitária de Ciências da Saúde / Escola de Ciências Médicas de Alagoas, sob o parecer/registro/cadastro número 1.482.297, registrado no SISNEP sob o número 51052715.4.0000.5011, contemplado pela bolsa de pesquisa da instituição/programa Fundação de Amparo a Pesquisa do Estado de Alagoas – FAPEAL. Os autores informam a inexistência de conflito de interesse na realização desta pesquisa.

PERFIL DA MORTALIDADE POR ASFIXIA NO INSTITUTO MÉDICO LEGAL ESTÁCIO DE LIMA EM MACEIÓ – ALAGOAS

Mariana Barros Silva (1)

Lattes:  http://lattes.cnpq.br/7542952936240855

Marcus Vinícius de Acevedo Garcia Gomes (1)

Lattes:  http://lattes.cnpq.br/5494399406966394

Maria Luisa Duarte (1)

Lattes: http://lattes.cnpq.br/1797072187529809 – ORCID: https://orcid.org/0000-0001-9030-2720

 

(1) Universidade Estadual de Ciências da Saúde de Alagoas, Maceió-AL, Brasil. (Autor principal)

 E-mail: maribarrosmed@gmail.com

ABSTRACT

Asphyxiation has been increasing as an important modality of violent death worldwide, being locally subject to modifications of its profile according to sociocultural and geographical aspects. This study presents a transverse, observational, predominantly descriptive analysis. It was performed at the Estácio de Lima Medical Institute – Maceió / AL, using cadaveric records from January 2011 to December 2015 in order to trace the epidemiological profile of deaths by asphyxia, with the following variables being observed: gender, age, color / race, historical information, cause of death, cadaveric transformation status, and use of primary or secondary identification method. During the study, a prevalence of 80.5% of male deaths was observed, with the majority of victims being young or adult, accounting for 28.5% and 42.1% of the cases, respectively. As for the type of asphyxia, the most frequent were drowning (48%), hanging (29%) and suffocation (14%) among all ages; For the month, January was considered the one with the highest number of deaths; And, according to the occupation, a total of 41.2% of employed individuals were followed, followed by 26% of uninformed and 13.9% of students. From this study useful data may be obtained for the elaboration of public policies more appropriate to the situation lived by the local population and tourists.

Keywords: hypoxia, asphyxia, physical-chemical energy, cause of death.


Bibliographical references

  1. França GV. Medicina legal. ed. Rio de Janeiro: Guanabara Koogan, 2011.
  2. Delmonte C, Capelozzi VL. Morphologic determinants of asphyxia in lungs: a semiquantitative study in forensic autopsies. Am J Forensic Med Pathol. 2001; 22(2): 139-49.
  3. Decreto-Lei 2848, de 7 de dezembro de 1940. Código de Processo Penal. Disponível em: <www.planalto.gov.br/ccivil_03/decreto-lei/Del2848compilado.htm>. (Acesso em: 02 de outubro de 2015).
  4. Azmak D. Asphyxial deaths: A retrospective study and review of the literature. American Journal of Forensic Medicine and Pathology. 2006; 27(2): 134- 44.
  5. Singh A, Gorea RK, Dalal JS, Thind AS, Walia D. A study of demographic variables of violent asphyxial death. Journal of Punjab Academy of Forensic Medicine and Toxicology. 2003; 3(1): 32-34.
  6. Patel-Ankur P, Bhoot-Rajesh R; Patel-Dhaval J; Patel-Khushbu A. Study of violent asphyxia death. International Journal of Medical Toxicology and Forensic Medicine. 2013; 3(2): 48-57.
  7. Centers for Disease Control and Prevention. Multiple Cause of Death 1999-2004. Atualizado em: 03/04/2017. Citado em: 24/07/2017. Disponível em: https://wonder.cdc.gov/mcd-v2004.html.
  8. Machado DB, Santos DN. Suicídio no Brasil de 2000 a 2012. Jornal Brasileiro de Psiquiatria, Rio de Janeiro. 2015; 64(1): 45-54.
  9. Martins CBG, Mello-Jorge MHP. Circunstâncias e fatores associados às mortes por causas acidentais entre crianças, adolescentes e jovens em Cuiabá, Brasil. Revista Paulista de Medicina, São Paulo. 2013; 131(4): 228-37.
  10. Segundo ASS, Sampaio MC. Perfil epidemiológico dos afogamentos em praias de Salvador, Bahia, 2012. Revista Epidemiologia e Serviços de Saúde, Brasília. 2015; 24(1): 31-8.
  11. Guptill KS, Hargarten SW, Baker TD. American travels deaths in Mexico. Causes and prevention strategies. West J Med. 1991; 154(2): 169–71.
  12. Shankar MB, Pradeep KG, Vinod CN, Rajendiran G, Chhikara S, Sharma S. Victimo-epidemiological profile of violent asphyxial deaths in Manipal, Karnataka. Indian Journal of Forensic and Community Medicine. 2015; 2(1): 29-34.
  13. Tirmizi SZA, Mirza FH, Paryar HA. Medicolegal Investigation of Violent Anphyxial Deaths – Na Autopsy Based Study. Journal of the Dow University of Health Sciences Karachi. 2012; 6(3):86-90.
  14. Ghadge MR, Samel DR, Kulkarni DV, Pate R. Socio-demographic factors in mechanical asphyxia deaths in Thane region, Maharasha, India. International Journal of Research in Medical Sciences. 2016; 4(9):4078-83.
  15. Singh B, Ghosh M, Sangal A, Srivastava AK. A Post-Mortem Medicolegal Study of Violent Asphyxial Deaths – An Autopsy Based Study. International Archives of BioMedical and Clinical Research. 2017; 3(2): 104-7.
  16. Sales RCC, Lima AB. Aspectos epidemiológicos dos afogamentos no município de Fortaleza. Revista de Salvamento Acuático y Primeros Auxilios. 2013; 4(38): 107-13.