Clinical characteristics of unexpected death among young enlisted military personnel: Results of a three-decade retrospective surveillance
To explore the causes of sudden and unexpected death in a young and healthy military population, to examine the various patterns of diseases associated with these tragic events, and to investigate the factors found to be associated with this grave outcome. We retrospectively investigated 151 cases o...
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Veröffentlicht in: | Chest 2004-08, Vol.126 (2), p.528-533 |
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creator | AMITAL, Howard GLIKSON, Michael BURSTEIN, Moshe AFEK, Arnon SINNREICH, Ronit WEISS, Yuval ISRAELI, Vered |
description | To explore the causes of sudden and unexpected death in a young and healthy military population, to examine the various patterns of diseases associated with these tragic events, and to investigate the factors found to be associated with this grave outcome.
We retrospectively investigated 151 cases of Israeli military personnel who died unexpectedly over a 30-year period. We collected all the available medical records, autopsy results, and investigation committee reports.
A total of 151 cases of sudden and unexpected death occurred among enlisted military personnel during the period. Cardiac disorders caused 47% of deaths, followed by neurologic causes (17%) and pulmonary causes (11%). In 30 events (20%), the cause of death remained undetermined. Symptoms (eg, syncope, chest pain, palpitations, and others) occurred prior to death in 52 cases (34%). Asthma was the most common risk factor in our study population having been previously recognized in 10 cases (6.7%). Eight of the 13 subjects with asthma died following an acute asthmatic attack.
Cardiac events are the leading cause of unexpected death in young healthy people. The frequency of subjects with asthma was found to be higher than that in the general age-adjusted population. |
doi_str_mv | 10.1378/chest.126.2.528 |
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We retrospectively investigated 151 cases of Israeli military personnel who died unexpectedly over a 30-year period. We collected all the available medical records, autopsy results, and investigation committee reports.
A total of 151 cases of sudden and unexpected death occurred among enlisted military personnel during the period. Cardiac disorders caused 47% of deaths, followed by neurologic causes (17%) and pulmonary causes (11%). In 30 events (20%), the cause of death remained undetermined. Symptoms (eg, syncope, chest pain, palpitations, and others) occurred prior to death in 52 cases (34%). Asthma was the most common risk factor in our study population having been previously recognized in 10 cases (6.7%). Eight of the 13 subjects with asthma died following an acute asthmatic attack.
Cardiac events are the leading cause of unexpected death in young healthy people. The frequency of subjects with asthma was found to be higher than that in the general age-adjusted population.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.126.2.528</identifier><identifier>PMID: 15302740</identifier><identifier>CODEN: CHETBF</identifier><language>eng</language><publisher>Northbrook, IL: American College of Chest Physicians</publisher><subject>Adolescent ; Adult ; Age groups ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Asthma ; Asthma - mortality ; Autopsies ; Biological and medical sciences ; Cardiac arrhythmia ; Cardiology. Vascular system ; Cardiomyopathy ; Cardiovascular disease ; Cause of Death ; Chronic obstructive pulmonary disease, asthma ; Death, Sudden ; Death, Sudden, Cardiac ; Drug overdose ; Humans ; Investigations ; Ischemia ; Israel ; Medical records ; Medical sciences ; Medical screening ; Military Personnel ; Military service ; Myocarditis ; Pneumology ; Retrospective Studies</subject><ispartof>Chest, 2004-08, Vol.126 (2), p.528-533</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright American College of Chest Physicians Aug 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16001408$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15302740$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>AMITAL, Howard</creatorcontrib><creatorcontrib>GLIKSON, Michael</creatorcontrib><creatorcontrib>BURSTEIN, Moshe</creatorcontrib><creatorcontrib>AFEK, Arnon</creatorcontrib><creatorcontrib>SINNREICH, Ronit</creatorcontrib><creatorcontrib>WEISS, Yuval</creatorcontrib><creatorcontrib>ISRAELI, Vered</creatorcontrib><title>Clinical characteristics of unexpected death among young enlisted military personnel: Results of a three-decade retrospective surveillance</title><title>Chest</title><addtitle>Chest</addtitle><description>To explore the causes of sudden and unexpected death in a young and healthy military population, to examine the various patterns of diseases associated with these tragic events, and to investigate the factors found to be associated with this grave outcome.
We retrospectively investigated 151 cases of Israeli military personnel who died unexpectedly over a 30-year period. We collected all the available medical records, autopsy results, and investigation committee reports.
A total of 151 cases of sudden and unexpected death occurred among enlisted military personnel during the period. Cardiac disorders caused 47% of deaths, followed by neurologic causes (17%) and pulmonary causes (11%). In 30 events (20%), the cause of death remained undetermined. Symptoms (eg, syncope, chest pain, palpitations, and others) occurred prior to death in 52 cases (34%). Asthma was the most common risk factor in our study population having been previously recognized in 10 cases (6.7%). Eight of the 13 subjects with asthma died following an acute asthmatic attack.
Cardiac events are the leading cause of unexpected death in young healthy people. The frequency of subjects with asthma was found to be higher than that in the general age-adjusted population.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age groups</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Asthma</subject><subject>Asthma - mortality</subject><subject>Autopsies</subject><subject>Biological and medical sciences</subject><subject>Cardiac arrhythmia</subject><subject>Cardiology. Vascular system</subject><subject>Cardiomyopathy</subject><subject>Cardiovascular disease</subject><subject>Cause of Death</subject><subject>Chronic obstructive pulmonary disease, asthma</subject><subject>Death, Sudden</subject><subject>Death, Sudden, Cardiac</subject><subject>Drug overdose</subject><subject>Humans</subject><subject>Investigations</subject><subject>Ischemia</subject><subject>Israel</subject><subject>Medical records</subject><subject>Medical sciences</subject><subject>Medical screening</subject><subject>Military Personnel</subject><subject>Military service</subject><subject>Myocarditis</subject><subject>Pneumology</subject><subject>Retrospective Studies</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkU1LxDAQhoMo7rp69iZB0FvXfLRp600Wv2BBED2XNJ3aLOmHSbq4f8FfbVZXBC8ZMvPwzsw7CJ1SMqc8za5UA87PKRNzNk9YtoemNOc04knM99GUEMoiLnI2QUfOrUj401wcoglNOGFpTKboc2F0p5U0WDXSSuXBaue1criv8djBxwAhV-EKpG-wbPvuDW_6MbzQmUCGUquN9tJu8ADW9V0H5ho_gxuN_xaR2DcWIKpAyQqwBW97t1XVa8ButGvQxshOwTE6qKVxcLKLM_R6d_uyeIiWT_ePi5tlNDAR-wggo2VSMllmiayFAloykfCM1YQwEtM8JQpUVco0lyCqgHKWcM4F47yOM8Vn6PJHd7D9-xj8K1rtFGyHgH50hRBpmog0C-D5P3DVj7YLsxWMhE40J2mAznbQWLZQFYPVbTCj-LU4ABc7QLrgc23Drtr9cSJcJSYZ_wJGEI4w</recordid><startdate>20040801</startdate><enddate>20040801</enddate><creator>AMITAL, Howard</creator><creator>GLIKSON, Michael</creator><creator>BURSTEIN, Moshe</creator><creator>AFEK, Arnon</creator><creator>SINNREICH, Ronit</creator><creator>WEISS, Yuval</creator><creator>ISRAELI, Vered</creator><general>American College of Chest Physicians</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20040801</creationdate><title>Clinical characteristics of unexpected death among young enlisted military personnel: Results of a three-decade retrospective surveillance</title><author>AMITAL, Howard ; GLIKSON, Michael ; BURSTEIN, Moshe ; AFEK, Arnon ; SINNREICH, Ronit ; WEISS, Yuval ; ISRAELI, Vered</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p264t-ee81b5b2ab85af6ce1b265382f002041970cecdba79ae6db5b3253336233f48c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age groups</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Asthma</topic><topic>Asthma - mortality</topic><topic>Autopsies</topic><topic>Biological and medical sciences</topic><topic>Cardiac arrhythmia</topic><topic>Cardiology. Vascular system</topic><topic>Cardiomyopathy</topic><topic>Cardiovascular disease</topic><topic>Cause of Death</topic><topic>Chronic obstructive pulmonary disease, asthma</topic><topic>Death, Sudden</topic><topic>Death, Sudden, Cardiac</topic><topic>Drug overdose</topic><topic>Humans</topic><topic>Investigations</topic><topic>Ischemia</topic><topic>Israel</topic><topic>Medical records</topic><topic>Medical sciences</topic><topic>Medical screening</topic><topic>Military Personnel</topic><topic>Military service</topic><topic>Myocarditis</topic><topic>Pneumology</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>AMITAL, Howard</creatorcontrib><creatorcontrib>GLIKSON, Michael</creatorcontrib><creatorcontrib>BURSTEIN, Moshe</creatorcontrib><creatorcontrib>AFEK, Arnon</creatorcontrib><creatorcontrib>SINNREICH, Ronit</creatorcontrib><creatorcontrib>WEISS, Yuval</creatorcontrib><creatorcontrib>ISRAELI, Vered</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>AMITAL, Howard</au><au>GLIKSON, Michael</au><au>BURSTEIN, Moshe</au><au>AFEK, Arnon</au><au>SINNREICH, Ronit</au><au>WEISS, Yuval</au><au>ISRAELI, Vered</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical characteristics of unexpected death among young enlisted military personnel: Results of a three-decade retrospective surveillance</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>2004-08-01</date><risdate>2004</risdate><volume>126</volume><issue>2</issue><spage>528</spage><epage>533</epage><pages>528-533</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>To explore the causes of sudden and unexpected death in a young and healthy military population, to examine the various patterns of diseases associated with these tragic events, and to investigate the factors found to be associated with this grave outcome.
We retrospectively investigated 151 cases of Israeli military personnel who died unexpectedly over a 30-year period. We collected all the available medical records, autopsy results, and investigation committee reports.
A total of 151 cases of sudden and unexpected death occurred among enlisted military personnel during the period. Cardiac disorders caused 47% of deaths, followed by neurologic causes (17%) and pulmonary causes (11%). In 30 events (20%), the cause of death remained undetermined. Symptoms (eg, syncope, chest pain, palpitations, and others) occurred prior to death in 52 cases (34%). Asthma was the most common risk factor in our study population having been previously recognized in 10 cases (6.7%). Eight of the 13 subjects with asthma died following an acute asthmatic attack.
Cardiac events are the leading cause of unexpected death in young healthy people. The frequency of subjects with asthma was found to be higher than that in the general age-adjusted population.</abstract><cop>Northbrook, IL</cop><pub>American College of Chest Physicians</pub><pmid>15302740</pmid><doi>10.1378/chest.126.2.528</doi><tpages>6</tpages></addata></record> |
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subjects | Adolescent Adult Age groups Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Asthma Asthma - mortality Autopsies Biological and medical sciences Cardiac arrhythmia Cardiology. Vascular system Cardiomyopathy Cardiovascular disease Cause of Death Chronic obstructive pulmonary disease, asthma Death, Sudden Death, Sudden, Cardiac Drug overdose Humans Investigations Ischemia Israel Medical records Medical sciences Medical screening Military Personnel Military service Myocarditis Pneumology Retrospective Studies |
title | Clinical characteristics of unexpected death among young enlisted military personnel: Results of a three-decade retrospective surveillance |
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