Article
Sudden unexpected non-violent death between 1 and 19 years in
north Spain
Benito Morentina, Beatriz Aguilerab, Pedro Manuel Garamendia, M Paz Suarez-Mierb
a Forensic Anatomic
Institute, Bilbao, Spain, b Section of Histopathology, Institute of
Toxicology, Madrid, Spain
Correspondence to: Dr B Morentin, Clinica Medico Forense, Buenos Aires 4, 48001 Bilbao, Spain email: morentin.b{at}AJU.ej-gv.es
Accepted 4 February
2000
AIMS
To study the epidemiological,
clinical, and pathological characteristics of sudden unexpected
non-violent deaths between 1 and 19 years.
METHODSPopulation based
observational study of all sudden unexpected non-violent deaths between
1 and 19 years, from 1990 to 1997, in a north Spain county (Bizkaia).
In each case, clinical information and circumstances of death were
obtained and a complete forensic autopsy was performed.
RESULTSThere were 34 sudden
unexpected non-violent deaths. The mortality rate was 1.7 per 100 000
persons per year (representing 9% of the mortality rate of all
non-violent deaths). In 10 cases the cause of death was cardiac, in 13 cases extracardiac, and 11 cases were unexplained. In 17 cases there
were no pathological antecedents and in nine cases death occurred in
patients with known disorders. Syncopes prior to death were present in
five cases. Exercise related deaths occurred in seven cases (mainly associated with cardiac causes). Eight cases were "death in bed".
Keywords: sudden death; adolescence
© 2000 by Archives of Disease in Childhood
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- Some cases of unexpected sudden death are associated with tumors
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