Cent Eur J Public Health 2017, 25(4):266-270 | DOI: 10.21101/cejph.a4749

Manner of Death of Older People with Regard to Blood Alcohol Concentration

Lubica Juríčková1, Kateřina Ivanová1, Martin Dobiáš2, Richard Andrášik3, Peter Ondra2
1 Department of Social Medicine and Public Health, Faculty of Medicine and Dentistry, Palacký University Olomouc, Olomouc, Czech Republic
2 Department of Forensic Medicine and Medical Law, Faculty of Medicine and Dentistry, Palacký University Olomouc, Olomouc, Czech Republic
3 Department of Mathematical Analysis and Applications of Mathematics, Faculty of Science, Palacký University Olomouc, Olomouc, Czech Republic

Objective: Alcohol abuse is related to a wide variety of negative health outcomes including mortality in older people. Alcohol abuse in older people is characterised by certain specific features uncommon in general adult population. The main objective of this study was to analyse the autopsy protocols of deceased older people in relation to blood alcohol concentration (BAC), sex, age, and manner of death. As a positive BAC, > 0.20 g/kg was accepted.

Methods: The sample consists of 1,012 deceased older people (i.e. aged 65 years and over) selected out of 2,377 autopsied subjects in the period from 2003-2013. Subjects included into the sample were chosen via the proportional sampling method. Data (BAC, sex, age, and manner of death) was recorded in a single structured protocol. Data was evaluated statistically (Kolmogorov-Smirnov two-sample test, Wilcoxon two-sample test, risk ratio).

Results: Among older people, there has been a statistically significant correlation of natural death with sex (men died earlier) and with increased BAC (people with positive BAC died earlier). In case of violent death there is a difference in the types of accidents in older people with positive BAC (> 0.2 g/kg) and with negative BAC (≤ 0.2 g/kg). Drowning is more common in older people with positive BAC.

Conclusions: Health campaigns in Europe and the Czech Republic aimed at reducing alcohol consumption mainly deal with young people. Alcohol abuse has an impact on premature mortality even in older people. As shown by this study, older people with positive BAC die significantly earlier.

Klíčová slova: older people, alcohol abuse, death, autopsy

Vloženo: 29. únor 2016; Revidováno: 2. únor 2017; Zveřejněno: 30. prosinec 2017  Zobrazit citaci

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Juríčková L, Ivanová K, Dobiáš M, Andrášik R, Ondra P. Manner of Death of Older People with Regard to Blood Alcohol Concentration. Cent Eur J Public Health. 2017;25(4):266-270. doi: 10.21101/cejph.a4749. PubMed PMID: 29346847.
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    Reference

    1. Ministry of Health of the Czech Republic. Health 2020 - Action Plan no. 4c [Internet]. Prague: Ministry of Health of the CR; 2015 [cited 2015 Dec 10]. Available from: http://www.mzcr.cz/verejne/dokumenty/akcni-plany-pro-implementaci-narodni-strategie-zdravi-2020_10814_3016_5.html. (In Czech.)
    2. Skopalová B. The Influence of Alcohol on the Health Status of Seniors. Adiktologie. 2014 July;14(4):420-7. (In Czech.)
    3. Centre for Ageing Research and Development. Focus on alcohol misuse among older people aged 65 or over [Internet]. Ireland: CARDI; 2013 [cited 2015 Jan 10]. Available from: http://www.drugs.ie/resourcesfiles/ResearchDocs/Ireland/2013/Focus_on_alcohol_misuse_among_older_people_02_8_13_jh.pdf.
    4. Atkinson PM. Aging and alcohol use disorders: diagnostic issues in the elderly. International Psychogeriatrics. 1990 Spring;2(1):55-72. Přejít k původnímu zdroji... Přejít na PubMed...
    5. Dar K. Alcohol use disorders in older people: fact or fiction? Advances in Psychiatric Treatment. 2006 July;12(3):173-81. Přejít k původnímu zdroji...
    6. Fink A, Hays RD, Moore AA, Beck JC. Alcohol-Related Problems in Older Persons. Arch Intern Med. 1996 Jun;156(11):1150-6. Přejít k původnímu zdroji...
    7. Wetterling T, Veltrup C, John U, Driessen M. Late onset alcoholism. European Psychiatry. 2003 May;18(3):112-8. Přejít k původnímu zdroji...
    8. Curtis JR, Geller G, Stokes EJ, Levine DM, Moore RD. Characteristics, diagnosis, and treatment of alcoholism in elderly patients. J Am Geriatr Soc 1989Apr;37(4):310-6. Přejít k původnímu zdroji... Přejít na PubMed...
    9. Zaridze D, Maximovitch D, Lazarev A, Igitov V, Boroda A, Boreham J, et al. Alcohol poisoning is a main determinant of recent mortality trends in Russia: evidence from a detailed analysis of mortality statistics and autopsies. Int J Epidemiol. 2009 Feb;38(1):143-53. Přejít k původnímu zdroji... Přejít na PubMed...
    10. Jones WA, Kugelberg FC, Holmgren A, Ahlner J. Five-year update on the occurrence of alcohol and other drugs in blood samples from drivers killed in road-traffic crashes in Sweden. Forensic Science International. 2009 Apr;186(1-3):56-62. Přejít k původnímu zdroji... Přejít na PubMed...
    11. Sorock GS, Chen LH, Gonzalgo SR, Baker SP. Alcohol-drinking history and fatal injury in older adults. Alcohol. 2006 Nov;40(3):193-9. Přejít k původnímu zdroji... Přejít na PubMed...
    12. Grundstrom AC, Guse CE, Layde PM. Risk factors for falls and fall-related injuries in adults 85 years of age and older. Arch Gerontol Geriatr. 2012 May-Jun;54(3):421-8. Přejít k původnímu zdroji... Přejít na PubMed...
    13. Kaplan MS, McFarland BH, Huguet N, Conner K, Caetano R, Giesbrecht N, Nolte KB. Acute alcohol intoxication and suicide: a gender-stratified analysis of the National Violent Death Reporting System. Injury Prevention. 2013 Feb;19(1):38-43. Přejít k původnímu zdroji... Přejít na PubMed...
    14. Caetano R, Kaplan MS, Huguet N, McFarland BH, Conner K, Giesbrecht N, Nolte KB. Acute Alcohol Intoxication and Suicide among United States Ethnic/Racial Groups: Findings from the National Violent Death Reporting System. Alcoholism: Clinical and Experimental Research. 2013 May;37(5):839-46. Přejít k původnímu zdroji... Přejít na PubMed...
    15. World Health Organization. Global status report on alcohol and health 2014. Geneva: WHO; 2014.
    16. Bulletin of the Ministry of Health of the Czech Republic. 2006 Sep;(7):15. (In Czech.)
    17. Corder GW, Foreman DI. Nonparametric Statistics for Non-Statistians: A Step-by-Step Approach. New Jersey (USA): Wiley; 2009. Přejít k původnímu zdroji...
    18. Simon SD. Understanding the Odds Ratio and the Relative Risk. Journal of Andrology. 2001 July-Aug;22(4):533-6. Přejít na PubMed...
    19. R Development Core Team. R: A language and environment for statistical computing. R Foundation for Statistical Computing. Vienna (Austria); 2008.
    20. Juríčková L, Dobiáš M, Ivanová K, Ondra P. Problems of alcohol abuse at deceased people in the Olomouc and Zlín Regions: a pilot study. Gnosis Medica. 2014;2(2):16-22. (In Czech.)
    21. Straka L, Zubor P, Novomesky F, Stuller F, Krajcovic J, Kajo K, Danko J. Fatal alcohol intoxication in woman: A forensic autopsy study from Slovakia. BMC Public Health. 2011 Dec;11:924. Přejít k původnímu zdroji... Přejít na PubMed...
    22. Holmgren A, Jones AW. Demographics of suicide victims in Sweden in relation to their blood-alcohol concentration and the circumstances and manner of death. Forensic Science International. 2010 May;198(1-3):17-22. Přejít k původnímu zdroji... Přejít na PubMed...
    23. Lunetta P, Pentillä A, Sarna S. The Role of Alcohol in Accident and Violent Deaths in Finland. Alcoholism: Clinical and Experimental Research. 2001 Nov;25(11):1654-61. Přejít k původnímu zdroji... Přejít na PubMed...
    24. Darke S, Duflou J, Torok M. Drugs and violent death: comparative toxicology of homicide and non-substance toxicity suicide victims. Addiction. 2009 Jun;104(6):1000-5. Přejít k původnímu zdroji... Přejít na PubMed...
    25. Anderson P, Wojnar M, Jakubczyk A, Gual A, Reynolds J, Segura L, et al. Managing Alcohol Problems in General Practice in Europe: Results from the European ODHIN Survey of General Practitioners. Alcohol and Alcoholism. 2014 July;49(5):531-9. Přejít k původnímu zdroji... Přejít na PubMed...
    26. Zelený T, Bencko V. Healthcare system financing and profits: all that glitters is not gold. Cent Eur J Public Health. 2015 Mar;23(1):3-7. Přejít k původnímu zdroji... Přejít na PubMed...
    27. Klugar M, Čáp J, Klugarová J, Marečková J, Roberson DN, Kelnarová Z. The active aging personal strategies of older adults in Europe: a systematic review of qualitative evidence. JBI Database System Rev Implement Rep. 2016 Aug;14(5):193-257. Přejít k původnímu zdroji... Přejít na PubMed...

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