ABSTRACT
The objective of the present study was to identify risk factors among epidemiological factors and meteorological conditions in connection with fatal pulmonary embolism. Information was collected from forensic autopsy records in sudden unexpected death cases where pulmonary embolism was the exact cause of death between 2001 and 2010 in Budapest. Meteorological parameters were detected during the investigated period. Gender, age, manner of death, cause of death, place of death, post-mortem pathomorphological changes and daily meteorological conditions (i.e. daily mean temperature and atmospheric pressure) were examined. We detected that the number of registered pulmonary embolism (No 467, 211 male) follows power law in time regardless of the manner of death. We first described that the number of registered fatal pulmonary embolism up to the nth day can be expressed as Y(n) = α â n (ß) where Y denotes the number of fatal pulmonary embolisms up to the nth day and α > 0 and ß > 1 are model parameters. We found that there is a definite link between the cold temperature and the increasing incidence of fatal pulmonary embolism. Cold temperature and the change of air pressure appear to be predisposing factors for fatal pulmonary embolism. Meteorological parameters should have provided additional information about the predisposing factors of thromboembolism.
Subject(s)
Atmospheric Pressure , Pulmonary Embolism/mortality , Temperature , Adult , Aged , Aged, 80 and over , Cities/epidemiology , Female , Humans , Hungary/epidemiology , Male , Middle Aged , Risk FactorsABSTRACT
Climatic and seasonal triggering factors have received an increasing attention among risk factors of sudden cardiac death. The relationship between cold weather conditions and ischemic heart disease death is well established. In this study, there were 7450 (4967 males, 2483 females) cardiovascular death cases medico-legally autopsied between 1995 and 2004. In most of the cases (76%) cardiac death occurred at the scene, and 17% had acute ischemic heart disease. In order to examine the relationship between daily maximum, minimum and mean temperature, air humidity, air pressure, wind speed, global radiation and the daily numbers of death cases, statistical analysis were accomplished using correlation coefficients, and Box-Whisker-plot diagrams. A significant negative correlation was detected between daily mean temperature and cardiovascular mortality. A remarkable seasonal variation was found. Cold and dry weather may be an important risk factor in bringing on the onset of sudden cardiac death.
Subject(s)
Death, Sudden, Cardiac/epidemiology , Seasons , Temperature , Acute Disease , Adolescent , Adult , Cardiovascular Diseases/mortality , Child , Child, Preschool , Chronic Disease , Female , Forensic Medicine , Humans , Hungary/epidemiology , Infant , Infant, Newborn , Male , Middle Aged , Radiation , Risk FactorsABSTRACT
Meteorological factors are well known to modulate human health status and the rate of death cases. The suicidal rate might have been influenced by climatic and seasonal triggering factors. In this study 4918 suicidal cases (3099 male, 1819 female) in Budapest were investigated in connection with climatic data, as daily maximum, minimum temperature, and air humidity. The most frequent methods of suicide were intoxication, hanging and jumping. A mild seasonal variation was found, however, the rate of suicidal death was influenced by warm temperatures. Higher frequency of suicidal deaths was detected in warm weather with low relative humidity, which implies dominantly dry anticyclonic meteorological conditions. Our results suggest that the medico-legal investigation may help specific suicide prevention programme regarding to the climate change and meteorological conditions as potential risk factors of suicidal cases.
