An Evaluation of the Autopsy Cases of Carbon Monoxide Poisoning in Trabzon Between 2009-2016

Hüseyin Çetin KETENCİ, (Trabzon Branch of the Council of Forensic Medicine, Trabzon, Türkiye)
Hülya KARADENİZ, (Karadeniz Technical University, Institute of Forensic Science, Trabzon, Türkiye)
Halil BOZ, (Adalet Bakanlığı Adli Tıp Kurumu Trabzon Adli Tıp Grup Başkanlığı, Trabzon, Türkiye)
Nazım Ercüment BEYHUN (Karadeniz Technical University, Faculty of Medicine, Department of Public Health, Trabzon, Türkiye)
Adli Tıp Bülteni
6 0
Yıl: 2018 Cilt: 23 Sayı: 3 Sayfa Aralığı: 174 - 179 Metin Dili: İngilizce DOI: 10.17986/blm.201834560 İndeks Tarihi: 16-04-2019

An Evaluation of the Autopsy Cases of Carbon Monoxide Poisoning in Trabzon Between 2009-2016

Öz:
Objective: Carbon monoxide related deaths, which are generallypreventable accidents, and more common when compared withother toxic substance consumption, arouse public attention in ourcountry.Materials and Methods: In this study, the aim is to investigatedifferent features of carbon monoxide poisoning related deaths autopsiedin Trabzon in 8-year period of time and demonstrate medico-legalaspects of this issue.Results: Our study consists of all deaths due to carbon monoxidepoisoning and autopsied by Trabzon Morgue Department of theCouncil of Forensic Medicine of Turkey between 2009 and 2016.Records of a total of 7133 criminal cases who were autopsied betweenthese years were examined and 215 cases who died due toCO poisoning were evaluated for age, sex, the month of the eventoccurred, origin, death time, CO source and carboxyhemoglobin(COHb) values. 215 criminal cases were constituting 3.01% of7133 criminal cases who were autopsied within 8 years in Trabzon.91 of the cases were (42.3%) female and 124 were (57.7%) maleand the male/female case ratio was 1.4. Mean age of the cases was48.8±27.1years. 24.1% of deaths occurred in January, 74% at home.CO source was found to be charcoal in 55.3% of cases. Mean COHblevel detected in cases was 54.9±17.6%.Conclusion: Carbon monoxide poisoning is an important socialproblem in our country as in many developing countries. It isconcluded that with their medicolegal experiences and suggestions,forensic medicine specialists can play an important role to managecarbon monoxide poisonings which are mainly preventableaccidents and to help to increase social consciousness for carbonmonoxide poisoning.
Anahtar Kelime:

Konular: Adli Tıp

Trabzon’da 2009-2016 Yılları Arasında Otopsisi Yapılan Karbon Monoksit Zehirlenmelerinin Değerlendirilmesi

Öz:
Amaç: Ülkemizde karbonmonoksit (CO) zehirlenmesine bağlı ölümlerin çoğunlukla önlenebilir kazalar şeklinde olması ve diğer toksik madde alımına bağlı ölümlere nazaran daha sık görülmesi, konunun gündemde kalmasını sağlamaktadır. Gereç ve Yöntem: Bu çalışmada 8 yıllık süre içerisinde Trabzon’da otopsisi yapılan CO zehirlenmesine bağlı meydana gelen ölüm olgularının çeşitli yönlerden incelenmesi ve konunun adlitıbbi boyutunun ortaya konulması amaçlanmıştır. Bulgular: Çalışmamız Adli Tıp Kurumu Trabzon Grup Başkanlığı Morg ihtisas Dairesi’nde 2009-2016 yılları arasında otopsisi yapılan karbonmonoksit zehirlenmesine bağlı ölümlerin tamamını kapsamaktadır. Bu yıllar arasında otopsileri yapılan toplam 7133 adli olguya ait kayıtlar incelenmiş olup CO zehirlenmesi sonucu ölen 215 olgu yaş, cinsiyet, olayın meydana geldiği ay, orijin, ölüm süresi, CO kaynağı ve karboksihemoglobin (COHb) değerleri açısından değerlendirilmiştir. 215 adli olgu Trabzon’da 8 yılda otopsisi yapılan 7133 adli olgunun %3.01›ini oluşturmaktadır. Olguların 91›i (%42.3) kadın, 124›ü (%57.7) erkek, erkek/kadın oranı 1,4›dür. Yaş ortalaması 48.8±27.1’dir. Ölümlerin %24,1 ocak ayında, %74›ü evlerde gerçekleşmiştir. Olguların %55.3›ünde CO kaynağı olarak soba kömürü bulunmuştur. Olgularda tespit edilen ortalama COHb düzeyi %54.9±17.6’dır. Sonuç: CO zehirlenmeleri, birçok ülkede olduğu gibi ülkemizde de sosyal bir sorun oluşturmaktadır. Adli Tıp Uzmanlarının; büyük çoğunluğu önlenebilir kazalar olan CO zehirlenmelerinin adli-tıbbi boyutunun ortaya konulmasında ve kamuoyunun bu konu ile ilgili olarak bilinçlendirilmesinde önemli katkıları olacağı kanaatindeyiz.
Anahtar Kelime:

Konular: Adli Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Prakash A, Agarwal SK, Prakash N. Carbon Monoxide Poisoning. Apollo Med. 2010;7:32–34. DOI: https://doi. org/10.1016/S0976-0016(12)60004-0
  • Iheagwara KN, Thom SR, Deutschman CS, Levy RJ. Myocardial Cytochrome Oxidase Activity is Decreased Following Carbon Monoxide Exposure. Biochim Biophys Acta 2007;1772(9):1112–6. DOI: https://doi.org/10.1016/j.bbadis.2007.06.002
  • Gorman D, Drewry A, Huang YL, Sames C. The Clinical Toxicology of Carbon Monoxide. Toxicology 2003;187:25– 38. DOI: https://doi.org/10.1016/S0300-483X(03)00005-2
  • Kao LW, Nanagas KA. Carbon Monoxide Poisoning. Med Clin North Am. 2005;89(6):1161- 94. DOI: https://doi. org/10.1016/j.mcna.2005.06.007
  • Ait El Cadi M, Khabbal Y, Idrissi L. Carbon Monoxide Poisoning in Morocco During 1999–2007. J Forensic Leg. Med. 2009;16:385–7. DOI: https://doi.org/10.1016/j. jflm.2009.01.017
  • Metin S, Yıldız Ş, Çakmak T, Demirbaş Ş. Frequency of Carbon Monoxide Poisoning in Turkey in 2010. TAF Prev Med Bull. 2011; 10(5):587-92. DOI: https://doi.org/10.5455/ pmb.20110417125648
  • Raub JA, NolfMM, Hampson NB, Thom SR. Carbon Monoxide Poisoning a Public Health Perspective. Toxicology 2000;145:1–14. DOI: https://doi.org/10.1016/S0300- 483X(99)00217-6
  • Eren F, Gürses MS, Ural MN, İnanır NT, Eren B, VojtisekT. Carbonmonoxide Poisoning Cases Autopsied in South Marmara Region, The Bulletin of Legal Medicine 2014;19(2):96-99. DOI: https://doi.org/10.17986/ blm.2014192755
  • Berber G, Üzün İ, Ak N. Evaluation of Carbon Monoxide Poisoning From The Morgue Department of Council of Forensic Medicine Between The Years 1995–1998. Forensic Medicine Annual Meeting Book, 16–19 May 2002, Antalya, Turkey.
  • Cantürk N, Basbulut AZ, Cantürk G, Dagalp R. Evaluation of The Autopsy Cases Carbon Monoxide Poisonings in Ankara Between 2002-2006. J Forensic Med. 2008;22:25-30.
  • Dirlik M, Bostancıoğlu B. Deaths Due To Carbon Monoxide Poisoning in Aydın, Western Turkey. Death Studies 2017;41(4):246-50. DOI: https://doi.org/10.1080/07481187 .2016.1259693
  • Battal D, Aktas A, Sungur MA, Bilgin NG, Cekin N. Evaluation of Poisoning Deaths In The Cukurova Region, Turkey, 2007-2011.Toxicol Ind Health. 2016;32(3):476–84. DOI: https://doi.org/10.1177/0748233713503376
  • Nazari J, Dianat I, Stedmon A. Unintentional Carbon Monoxide Poisoning in Northwest Iran: A 5-year study.J Forensic Leg. Med. 2010;17:388-39. DOI: https://doi.org/10.1016/j. jflm.2010.08.003
  • Liu Q, Zhou L, Zheng N, Zhuo L, Liu Y, Liu L.Poisoning Deaths In China: Type and Prevalence Detected At The Tongji Forensic Medical Center in Hubei. Forensic Sci Int. 2009;193:88–94. DOI: https://doi.org/10.1016/j.forsciint.2009.09.013
  • Buyuk Y, Kocak U. Fire-related fatalities in Istanbul, Turkey: Analysis of 320 Forensic Autopsy Cases. J Forensic Leg Med 2009;16:449-54.DOI: https://doi.org/10.1016/j. jflm.2009.05.005
  • Ruas F, Mendonça MC, Real FC, Vieira DN, Teixeira HM.Carbon Monoxide Poisoning As a Cause of Death and Differential Diagnosis in The Forensic Practice: A Retrospective Study, 2000-2010. J Forensic Leg. Med, 2014;24:1- 6. DOI: https://doi.org/10.1016/j.jflm.2014.02.002
  • Azmak D. Asphyxial deaths: A Retrospective Study And Review of The Literature. Am J Forensic Med Pathol 2006; 2: 134–144. DOI: https://doi.org/10.1097/01. paf.0000221082.72186.2e
  • Erturk S, Hancı IH, Koçak A, Aktas EO. Deaths Due to Poisoning Among Forensic Autopsies in Izmir Between 1990- 1994. Ege J Med. 2001;40:117-9.
  • Türkmen N, Akgöz S. Deaths Due to Carbon Monoxide Poisonings Autopsied in Bursa. J Forensic Med, 2005;19(2):20–25.
  • Przepyszny L, Jenkins A. The Prevalence of Drugs in Carbon Monoxide-Related Deaths: A Retrospective Study, 2000-2003. Am J Forensic Med Pathol 2007;28:242-8. DOI: https://doi.org/10.1097/01.paf.0000257417.26383.e4
  • Liu KY, Beautrais A, Caine E, Chan K, Chao A,Conwell Y, LawC, Lee D, Li P,Yip P. Charcoal Burning Suicidesin Hong Kong and Urban Taiwan: An Illustration of Theimpact of A Novel Suicide Method on Overall Regional Rates.J Epidemiol Community Health. 2007;61(3):248–53. DOI: https://doi.org/10.1136/jech.2006.048553
  • Shie HG, Li CY. Population-Based Case-Control Study of Risk Factors for Unintentional Mortality From Carbon Monoxide Poisoning in Taiwan. Inhal Toxicol. 2007;19(10),905– 12. DOI: https://doi.org/10.1080/08958370701432173
  • Choi YR, Cha ES, Chang SS, Khang YH, Lee WJ. Suicide From Carbon Monoxide Poisoning in South Korea: 2006– 2012. J Affect Disord. 2014;167:322–5. DOI: https://doi. org/10.1016/j.jad.2014.06.026
  • Lee AC, Ou Y, Lam SY, So KT, Kam CW. Non-Accidental Carbon Monoxide Poisoning From Burning Charcoal in Attempted Combined Homicide-Suicide. J Paediatr Child Health.2002;38(5):465–8. DOI: https://doi.org/10.1046/ j.1440-1754.2002.00019.x
  • Gören S, Tıraşçı Y, Üzün İ. The Retrospective Evaluation of Deaths In Bathroom. J Forensic Med. 2005;19(1):29–32. DOI: https://doi.org/10.1016/j.jflm.2012.04.031
  • Popovic V, Atanasijevic T, Nikolic S, Micic J. Concentration of Carbon-Monoxide in Carbonized Bodies Forensic Aspects. Leg Med 2009;11:318-20. DOI: https://doi. org/10.1016/j.legalmed.2009.01.045
  • Karapirli M, Kandemir E, AkyolS, Kantarci MN, Kaya M, Akyol O. Forensic and Clinical Carbon Monoxide (CO) Poisonings in Turkey: A Detailed Analysis. J Forensic Leg. Med. 2013;20:95-101. DOI: https://doi.org/10.1016/j. jflm.2012.04.031
  • Risser D, Schneider B. Should Coroners Be Able to Recognize Unintentional Carbon Monoxide-Related Deaths Immediately at The Death Scene? J Forensic Sci 1995;40(4):596- 8. DOI: https://doi.org/10.1520/JFS13832J.
APA Ketenci H, KARADENİZ H, boz h, BEYHUN N (2018). An Evaluation of the Autopsy Cases of Carbon Monoxide Poisoning in Trabzon Between 2009-2016. , 174 - 179. 10.17986/blm.201834560
Chicago Ketenci Huseyin Cetin,KARADENİZ HÜLYA,boz halil,BEYHUN Nazım Ercüment An Evaluation of the Autopsy Cases of Carbon Monoxide Poisoning in Trabzon Between 2009-2016. (2018): 174 - 179. 10.17986/blm.201834560
MLA Ketenci Huseyin Cetin,KARADENİZ HÜLYA,boz halil,BEYHUN Nazım Ercüment An Evaluation of the Autopsy Cases of Carbon Monoxide Poisoning in Trabzon Between 2009-2016. , 2018, ss.174 - 179. 10.17986/blm.201834560
AMA Ketenci H,KARADENİZ H,boz h,BEYHUN N An Evaluation of the Autopsy Cases of Carbon Monoxide Poisoning in Trabzon Between 2009-2016. . 2018; 174 - 179. 10.17986/blm.201834560
Vancouver Ketenci H,KARADENİZ H,boz h,BEYHUN N An Evaluation of the Autopsy Cases of Carbon Monoxide Poisoning in Trabzon Between 2009-2016. . 2018; 174 - 179. 10.17986/blm.201834560
IEEE Ketenci H,KARADENİZ H,boz h,BEYHUN N "An Evaluation of the Autopsy Cases of Carbon Monoxide Poisoning in Trabzon Between 2009-2016." , ss.174 - 179, 2018. 10.17986/blm.201834560
ISNAD Ketenci, Huseyin Cetin vd. "An Evaluation of the Autopsy Cases of Carbon Monoxide Poisoning in Trabzon Between 2009-2016". (2018), 174-179. https://doi.org/10.17986/blm.201834560
APA Ketenci H, KARADENİZ H, boz h, BEYHUN N (2018). An Evaluation of the Autopsy Cases of Carbon Monoxide Poisoning in Trabzon Between 2009-2016. Adli Tıp Bülteni, 23(3), 174 - 179. 10.17986/blm.201834560
Chicago Ketenci Huseyin Cetin,KARADENİZ HÜLYA,boz halil,BEYHUN Nazım Ercüment An Evaluation of the Autopsy Cases of Carbon Monoxide Poisoning in Trabzon Between 2009-2016. Adli Tıp Bülteni 23, no.3 (2018): 174 - 179. 10.17986/blm.201834560
MLA Ketenci Huseyin Cetin,KARADENİZ HÜLYA,boz halil,BEYHUN Nazım Ercüment An Evaluation of the Autopsy Cases of Carbon Monoxide Poisoning in Trabzon Between 2009-2016. Adli Tıp Bülteni, vol.23, no.3, 2018, ss.174 - 179. 10.17986/blm.201834560
AMA Ketenci H,KARADENİZ H,boz h,BEYHUN N An Evaluation of the Autopsy Cases of Carbon Monoxide Poisoning in Trabzon Between 2009-2016. Adli Tıp Bülteni. 2018; 23(3): 174 - 179. 10.17986/blm.201834560
Vancouver Ketenci H,KARADENİZ H,boz h,BEYHUN N An Evaluation of the Autopsy Cases of Carbon Monoxide Poisoning in Trabzon Between 2009-2016. Adli Tıp Bülteni. 2018; 23(3): 174 - 179. 10.17986/blm.201834560
IEEE Ketenci H,KARADENİZ H,boz h,BEYHUN N "An Evaluation of the Autopsy Cases of Carbon Monoxide Poisoning in Trabzon Between 2009-2016." Adli Tıp Bülteni, 23, ss.174 - 179, 2018. 10.17986/blm.201834560
ISNAD Ketenci, Huseyin Cetin vd. "An Evaluation of the Autopsy Cases of Carbon Monoxide Poisoning in Trabzon Between 2009-2016". Adli Tıp Bülteni 23/3 (2018), 174-179. https://doi.org/10.17986/blm.201834560
Sayfa Oluşturulma Tarihi
23-04-2024 7:38

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