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
Hauptverfasser: AMITAL, Howard, GLIKSON, Michael, BURSTEIN, Moshe, AFEK, Arnon, SINNREICH, Ronit, WEISS, Yuval, ISRAELI, Vered
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container_end_page 533
container_issue 2
container_start_page 528
container_title Chest
container_volume 126
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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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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