The Magnitude And Causes Of Out Of Hospital Sudden Death In Autopsy Studies, Among Selected Governmental Hospitals In Addis Ababa, Ethiopia
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Date
2018-07
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Addis Abeba University
Abstract
Background: Sudden death (SD) is one of the most important problems in medicine. More than
40% of patients die suddenly, mostly in an out-of-hospital setting. The precise prevalence of
sudden cause of death (SD) in Ethiopia is poorly investigated, especially in young patients. This
precludes evaluation of the Problem and determination of possible prophylactic solutions.
Objective; The aim of this study was to evaluate the magnitude and Cause of out of hospitals
sudden death in autopsy studies in selected governmental hospitals of Addis Ababa, Ethiopia
from January 1, 2014 to October 31, 2017
Methods: Retrospective study was conducted from Registry book on the magnitude and Cause of
sudden death in autopsy studies of selected governmental hospitals of Addis Ababa, Ethiopia
from January 1, 2014 to October 31, 2017. Data was collected from police reports about
circumstance of death and pathological features were analyzed by autopsy. Data was entered and
analyzed using SPSS version 21 and P value<0.05 was considered to be statistically significant.
Result: During the Four year interval of this study, 746 patients underwent autopsy for sudden
cause of death, 80.2% were males and 19.8% were females. The Mean age of the participants
was 40 years. About 0.3% has risk factors. In 321 (43%), Sudden death was attributable to noncardiac
causes. 121 (16.2%) patients with uncertain pathology result and about 165 patient
(22.1%) died due to disease unrelated to the heart (poisoning, intoxication and drowning). The
rest of those who presented with sudden cause of death died due to cardiac causes,
Cardiomyopathy 102(13.7%) and MI 36(4.8%). About 154(20.6%) and 218(29.2%) were student
and employees in occupation respectively.
Conclusion: In this study SCDoccurred predominantly in men of relatively young age and was
most frequently associated with Myocardial Infarction. Students and employees take almost half
of the SCD. Improved preventive measures, health care access, and enhanced emergency
management may reduce sudden cause of death from MI and other cardiac diseases in this Area.
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Keywords
Sudden cause of death, sudden cause of death, Autopsy.