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  • 101.
    Sjögren, Harmeet
    et al.
    Umeå universitet, Medicinsk fakultet, Samhällsmedicin och rehabilitering, Rättsmedicin.
    Eriksson, Anders
    Umeå universitet, Medicinsk fakultet, Samhällsmedicin och rehabilitering, Rättsmedicin.
    Ahlm, Kristin
    Umeå universitet, Medicinsk fakultet, Samhällsmedicin och rehabilitering, Rättsmedicin.
    Alcohol and unnatural deaths in Sweden: a medico-legal autopsy study.1999Ingår i: 15th Triennial Meeting International Association of Forensic Sciences, 1999, s. 38-Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
    Abstract [sv]

    The aim was to inverstigate role of alcohol in all types of unnatural deaths in Sweden. It was found that two of five unnatural deaths are associated with alcohol. Alcohol-associated mortality varies between different groups of external causes of death, between males and females, and with age.

  • 102. Sjögren, Harmeet
    et al.
    Eriksson, Anders
    Umeå universitet, Medicinsk fakultet, Samhällsmedicin och rehabilitering, Rättsmedicin.
    Ahlm, Kristin
    Alcohol and unnatural deaths in Sweden: a medico-legal autopsy study.2000Ingår i: Journal of Studies on Alcohol, ISSN 0096-882X, Vol. 61, nr 4, s. 507-14Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    OBJECTIVE: To investigate alcohol involvement in all types of unnatural deaths in Sweden. METHOD: All cases of unnatural death that underwent medico-legal autopsies (1992-1996) in Sweden were analyzed (N = 15,630; i.e., 68% of all unnatural deaths). Alcohol was regarded as contributing to the death if: (1) there was any indication that the deceased was a "known alcoholic"; (2) the underlying or contributing causes of death were alcohol-related; (3) the deceased had alcohol-related inpatient diagnosis during a period of 3 years prior to death; or (4) the case tested positive for blood alcohol. RESULTS: Thirty-nine percent of the blood-tested cases (n = 13,099) were positive for alcohol. Almost 40% of the unnatural deaths were associated with alcohol. Alcohol involvement was most common in the intoxication group (84%), followed by the "undetermined" (65%), homicide (55%), fall (48%), fire (44%), asphyxia (41%), suicide (35%) and traffic (22%) groups. More than half (52%) of the deaths in the age group 30-60 years, 35% of those aged 0-29 years and 25% of those aged 60 and over were associated with alcohol. CONCLUSIONS: In Sweden, two of five unnatural deaths are associated with alcohol; this is a conservative estimate. Alcohol-associated mortality varies considerably between different groups of external causes of death, between men and women, and with age.

  • 103. Sjögren, Harmeet
    et al.
    Eriksson, Anders
    Umeå universitet, Medicinsk fakultet, Samhällsmedicin och rehabilitering, Rättsmedicin.
    Ahlm, Kristin
    Umeå universitet, Medicinsk fakultet, Samhällsmedicin och rehabilitering, Rättsmedicin.
    Role of alcohol in unnatural deaths: a study of all deaths in Sweden.2000Ingår i: Alcoholism, clinical and experimental research, ISSN 0145-6008, Vol. 24, nr 7, s. 1050-6Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Most previous research has concentrated on the role of alcohol in one type of unnatural death in a selected population, but the present objective was to investigate the role of alcohol in all unnatural deaths (autopsied and not autopsied). METHODS: All cases of unnatural death from 1992 through 1996 in Sweden were analyzed (n = 23,132). Death was attributed at least in part to alcohol if the deceased was a "known alcoholic"; if the underlying or contributing cause of death was alcohol-related; if the deceased had an alcohol-related inpatient diagnosis during the 3-year period prior to death; or if the deceased tested positive for blood alcohol. RESULTS: Just over 28% of the unnatural deaths could be associated with alcohol; the association with alcohol was more than twice as common in deaths of males (35%) as in females (16%). When only autopsied cases or only blood-tested cases were taken as the denominators, 38% and 44%, respectively, of the deaths were associated with alcohol. Alcohol involvement also was twice as common in intentional deaths (36%) as in unintentional deaths (18%). The intoxication group (78%) had the highest fraction of deaths that could be associated with alcohol, followed by the undetermined group (62%), homicide (49%), fire (41%), suicide (35%), asphyxia (29%), traffic (18%) and fall (9%) groups. In the 20- to 59-year age group, alcohol involvement was found in 51% of the males and 35% of the females (47% for males and females combined). CONCLUSIONS: The present estimates are conservative; alcohol involvement in unnatural deaths probably is even higher, up to 44% of the total. The present estimation is an important step in policy-making to lower the number of alcohol-related deaths in Sweden.

  • 104.
    Sjögren, Harmeet
    et al.
    Umeå universitet, Medicinsk fakultet, Samhällsmedicin och rehabilitering, Rättsmedicin.
    Eriksson, Anders
    Umeå universitet, Medicinsk fakultet, Samhällsmedicin och rehabilitering, Rättsmedicin.
    Romelsjö, Anders
    Alcohol-related mortality in Sweden2001Bok (Övrigt vetenskapligt)
  • 105. Sjögren, Harmeet
    et al.
    Valverius, Peter
    Eriksson, Anders
    Umeå universitet, Medicinsk fakultet, Samhällsmedicin och rehabilitering, Rättsmedicin.
    Gender differences in role of alcohol in fatal injury events.2006Ingår i: European journal of public health, ISSN 1101-1262, Vol. 16, nr 3, s. 267-71Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The aim was to investigate the differences in alcohol involvement in fatal injury events between females and males. METHODS: Information was obtained from the Forensic Medicine Database and the Forensic Toxicology Database of the National Board of Forensic Medicine, and from the inpatient register of the National Board of Health and Welfare. Alcohol was regarded to be involved in the injury event: if there was any indication that the deceased was a 'known alcoholic'; if the underlying or contributing causes of death were alcohol-related; if the deceased had alcohol-related inpatient diagnosis during a 3-year period prior to death; or if the deceased tested positive for blood alcohol at autopsy. All injured cases who underwent medico-legal autopsies (1992-1996) in Sweden were analysed (4471 females and 11 156 males). RESULTS: Compared to males, females died more often (P < 0.05) in intentional injury events (48.0% females, 44.2% males), were less often (P < 0.001) blood alcohol-positive (29% females, 43% males), had lower (P < 0.05) blood alcohol concentrations (0.17% in females, 0.18% in males), and were less likely (P < 0.001) to have an alcohol-related history (18.4% females, 24.4% males). For females, intentional deaths (31.4%) were significantly (P < 0.001) more often alcohol-related than unintentional deaths (22.9%). A significantly (P < 0.001) higher proportion of deaths in males (48.4%) were alcohol-related compared to females (32.9%). CONCLUSIONS: Almost every third injury event in females and in almost every other event in males is alcohol-related, showing that alcohol plays an important part in fatal injuries in females even though it is mostly a male problem.

  • 106. Spigset, Olav
    et al.
    Öström, Mats
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Eriksson, Anders
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Death resulting from asthma associated with sertraline2001Ingår i: The American journal of forensic medicine and pathology : official publication of the National Association of Medical Examiners, ISSN 0195-7910, Vol. 22, nr 4, s. 419-20Artikel i tidskrift (Refereegranskat)
  • 107. Stattin, E-L
    et al.
    Mörner, S
    Eriksson, Anders
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Wisten, A
    Molecular genetic autopsy in sudden cardiac deaths2009Ingår i: Monogenetic Cardiovascular Disease, 2009, s. 28-29Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 108.
    Steinwall, David
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Befrits, Fabian
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Naidoo, Steve R
    Hardcastle, Timothy
    Eriksson, Anders
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Muckart, David J.J.
    Deaths at a level 1 trauma unit: a clinical finding and post-mortem correlation study2012Ingår i: Injury, ISSN 0020-1383, E-ISSN 1879-0267, Vol. 43, nr 1, s. 91-95Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Missed injuries continue to cause deaths amongst trauma patients. Regardless of the definition of missed injuries, it is important to identify all injuries at any stage in the care of trauma patients in order to improve patient outcome. This study was performed to evaluate to what extent missed injuries contribute to a fatal outcome at a new Level 1 Trauma Unit.

    METHODS: The medical records and autopsy reports of all trauma patients who died at the IALCH trauma unit from March 2007 through August 2009 were reviewed. The mortality rate and incidence of missed injuries were determined. A missed injury was defined as one that was found at autopsy but was not mentioned in the medical records or in any ante mortem radiological report. This excluded minor injuries such as superficial contusions and minor lacerations, which are sometimes not included in the case notes during resuscitation. Deaths due to trauma are considered unnatural and legal provisions require that all unnatural deaths undergo medico-legal postmortem examination. The study was approved by the UKZN Biomedical Research Ethics Committee.

    RESULTS: Five hundred and forty-seven patients were admitted to the trauma unit of which 135 (24.7%) demised. Three patients were excluded, due to inability to retrieve their autopsy reports, leaving a study group of 132 patients in which there were 100 males and 32 females. The mean age was 33.2 years, mean ISS was 34.0. A total of 26 missed injuries were found in 14 patients, giving a total incidence of 10.6%. Three percent had missed injuries that were variously deemed to be possibly related, probably related, or related to the fatal outcome, whether the deaths were deemed preventable or not. Severe physiological derangement which precluded any imaging before death may have caused the injury to be overlooked. The thorax was the anatomical region where most injuries were missed.

    CONCLUSIONS: A number of injuries remain undetected in trauma care and are found only at autopsy, emphasizing that the autopsy remains an important tool in evaluating trauma care. However, in only a few patients did the missed injuries have a detrimental effect on outcome.

  • 109. Thid, Micael
    et al.
    Eriksson, Anders
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Retsmedicinske systemer i de nordiske lande2004Ingår i: Retsmedicin: nordisk laerebog / [ed] Jørgen L. Thomsen, Köpenhavn: Foreningen af danske Laegestuderendes forlag aktieselskab , 2004, 1, s. 425-436Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 110. Thid, Micael
    et al.
    Rognum, Torleiv
    Eriksson, Anders
    Umeå universitet, Medicinsk fakultet, Samhällsmedicin och rehabilitering, Rättsmedicin.
    Death investigation systems. Nordic countries.2005Ingår i: Encyclopedia of Forensic and Legal Medicine, Elsevier, Oxford , 2005Kapitel i bok, del av antologi (Refereegranskat)
  • 111. Thid, Micael
    et al.
    Rognum, Torleiv
    Eriksson, Anders
    Umeå universitet, Medicinsk fakultet, Samhällsmedicin och rehabilitering, Rättsmedicin.
    Forensic pathology in the Nordic countries2004Ingår i: Scandinavian Journal of Forensic Science, Vol. 1, s. 4-7Artikel i tidskrift (Refereegranskat)
  • 112.
    Timby, Niklas
    et al.
    Umeå universitet, Medicinsk fakultet, Samhällsmedicin och rehabilitering, Rättsmedicin.
    Eriksson, Anders
    Umeå universitet, Medicinsk fakultet, Samhällsmedicin och rehabilitering, Rättsmedicin.
    Boström, Kerstin
    Gamma-hydroxybutyrate associated deaths.2000Ingår i: American Journal of Medicine, ISSN 0002-9343, Vol. 108, nr 6, s. 518-9Artikel i tidskrift (Övrigt vetenskapligt)
  • 113.
    Öström, Mats
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Ahlm, Kristin
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Eriksson, Anders
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Brister i handläggningen av onaturliga dödsfall1999Ingår i: Svenska Läkaresällskapets Handlingar Hygiea, 1999Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
    Abstract [sv]

    Enligt gällande svenska rättsregler förutsätts att i princip samtliga onaturliga dödsfall, inkluderande samtliga fall där misstanke finns om yttre våld, förgiftning, missbruk eller om fel eller försummelse inom sjukvården, ska anmälas till polis och genomgå rättsmedicinsk undersökning. Syftet med den föreliggande undersökningen var att närmare studera de dödsfall som inte genomgått rättsmedicinsk undersökning trots att så borde ha skett enligt gällande regelverk, och att belysa varför så inte blivit fallet.

  • 114.
    Öström, Mats
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Eriksson, Anders
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Snowmobile fatalities aspects on preventive measures from a 25-year review.2002Ingår i: Accident; analysis and prevention, ISSN 0001-4575, Vol. 34, nr 4, s. 563-8Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    During October 1973 through May 1998, 157 snowmobile fatalities were autopsied in Northern Sweden, including 131 riders, 15 passengers, six occupants with unknown position and five victims pulled by a snowmobile. Most fatalities occurred during March and April (41%), on weekends/holidays (75%), between 18:00 and 02:00 h (59%), during darkness (63%), in clear weather (84%) and at leisure time (94%). The median age was 39 years and 92% were men. The most common causes of death were blunt trauma (53%) and drowning (38%). A total of 64% were inebriated by alcohol, with a mean blood alcohol concentration of 1.7 g/l. More inebriated victims were found during weekends/holidays than on weekdays (75 vs. 51%) and during nighttime than during daytime (92 vs. 52). Driving into water was the most common event (38%) followed by collisions with immobile objects (20%). Alcohol and speeding were the most common contributors to the crashes, while flotation snowmobile suit and helmet use were considered to be the most important injury prevention factors.

  • 115.
    Öström, Mats
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Eriksson, Anders
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Snowmobilie fatalities in Sweden1999Ingår i: Proceeding annual meeting American Academy of Forensic Sciences, 1999Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
123 101 - 115 av 115
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