Pattern of Occurrence in Cases of Sudden Natural Deaths - A Retrospective Study

Authors

  •   Mithra Velusamy Department of Forensic Medicine and Toxicology, Government Ramanathapuram Medical College and Hospital, Ramanathapuram – 623502, Tamil Nadu

Keywords:

Autopsy, Cardiovascular System, Sudden Natural Death

Abstract

Introduction: Sudden death is said to be sudden or unexpected when the victim not known to have been suffering from any dangerous disease, injury or poisoning is found dead or dies within 24 hours of the onset of terminal illness (WHO). Incidences of sudden natural deaths are increasing now a days and specifically in healthy young individuals. Our study may help to provide epidemiological data regarding the sudden death so that appropriate action can be made to reduce the morbidity and mortality. Aim: This retrospective study was undertaken to analyse the pattern of occurrence in cases of sudden natural deaths autopsied at Mortuary, Government Rajaji Hospital, Madurai. Materials and Methods: This retrospective study had been conducted for the period of one year on the autopsy cases brought to Mortuary, Government Rajaji Hospital, Madurai. During study period total of 4110 autopsies were conducted, out of which 224 cases (6%) were sudden deaths. Result: Most of the cases were from the 41-50 years age group. Of the 224 cases, 119 cases were due to diseases of cardiovascular system and 43 cases were due to diseases of respiratory system. Conclusion: We observed that sudden death cases were higher in younger age group and cardiovascular system was most commonly involved.

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Published

2025-03-30

How to Cite

Velusamy, M. (2025). Pattern of Occurrence in Cases of Sudden Natural Deaths - A Retrospective Study. Journal of Health and Technology, 1(1), 42–48. Retrieved from http://www.ejournal-tnmgrmu.ac.in/index.php/health/article/view/22

Issue

Section

Research Article

References

1. International statistical classification of diseases and related health problems, 10th revision (ICD-10). Version for 2010. Geneva: WHO; 2010.

2. Reddy KSN, Murthy OP. The Essentials of Forensic Medicine and Toxicology. 32nd ed. Hyderabad: K. Shaguna Devi; 2013. p. 145.

3. Karmakar RN. Mukherjee JB, editor. Forensic medicine and toxicology. 4th ed. Kolkata: Academic Publishers; 2011. p. 225-6.

4. Pathology of sudden natural death [database on the Internet]. Medscape. Available from: http://emedicine.medscape.com/article/1680282-overview

5. Nandy A. Principles of forensic medicine: Including toxicology. 3rd ed. Calcutta: New Central Book Agency; 2005.

6. Rao DS, Yadhukul. Sudden and unexpected natural deaths a four-year autopsy review. J Punjab Acad Forensic Med Toxicol. 2008; 8(2):20-4.

7. Zanjad NP, Nanadkar SD. Study of sudden unexpected deaths in medico-legal autopsies. J Indian Acad Forensic Med. 2006; 28(1):27-30.1. Saukko P, Knight B, editor. Knight’s Forensic Pathology. 3rd ed. London: Arnold Publishers; 2004. p. 492495. https://doi.org/10.1177/0971097320060108

8. Ambade VN. Study of natural deaths in Nagpur region. J Medico-Legal Assoc Maharashtra. 2002; 14(1-2):11-4.

9. Obiorah C, Amakiri C. Systemic analysis of sudden natural deaths at Braithwaite Memorial Specialist Hospital, Port Harcourt, Nigeria. Niger Health J. 2012.

10. Escoffery CT, Shirley SE. Causes of sudden natural death in Jamaica: A medicolegal (coroner’s) autopsy study from the University Hospital of the West Indies. Forensic Sci Int. 2002; 129(2):116-21. https://doi.org/10.1016/S03790738(02)00268-2 PMid:12243880.

11. Kuller L, Lilienfeld A, Fisher R. Sudden and unexpected deaths in young adults: An epidemiological study. JAMA. 1966; 198(3):248-52. https://doi.org/10.1001/jama.1966.03110160076024 PMid:5952921.

12. Azmak AD. Sudden natural deaths in Edirne, Turkey, from 1984 to 2005. Med Sci Law. 2007; 47(2):147-55. https://doi.org/10.1258/rsmmsl.47.2.147 PMid:17520960.

13. Nordrum I, Eide TJ, Jorgensen L. Unexplained and explained natural deaths among persons above 1 year of age in a series of medico-legal autopsies. Forensic Sci Int. 1998; 93(23):89-98. https://doi.org/10.1016/S0379-0738(98)00033-4 PMid:9717261.

14. Kumar V, San KP, Idwan A, Shah N, Hajar S, Norkahfi M. A study of sudden natural deaths in medico-legal autopsies in University Malaya Medical Centre (UMMC), Kuala Lumpur. J Forensic Leg Med. 2007; 14(3):151-4. https://doi.org/10.1016/j.jcfm.2006.05.005 PMid:16914354.

15. Sarkioja T, Hirvonen J. Causes of sudden unexpected deaths in young and middle-aged persons. Forensic Sci Int. 1984; 24(4):247-61. https://doi.org/10.1016/03790738(84)90159-2 PMid:6724459.

16. Puranik R, Chow CK, Duflou JA, Kilborn MJ, McGuire MA. Sudden death in the young. Heart Rhythm. 2005; 2(12):1277-82. https://doi.org/10.1016/j.hrthm.2005.09.008 PMid:16360077.

17. Gupta S, Panchal R, Sondarva D. An approach to sudden natural deaths in medico-legal autopsies at Karamsad, Gujarat. J Indian Acad Forensic Med. 2011; 33(1):30-2. https://doi.org/10.1177/0971097320110110

18. DiMaio VJ, DiMaio DJ. Natural death as viewed by the medical examiner: A review of 1000 consecutive autopsies of individuals dying of natural disease. J Forensic Sci. 1991; 36(1):17-24. https://doi.org/10.1520/JFS13000J PMid:2007867.

19. Anderson RE, Hill RB, Broudy DW, Key CR, Pathak D. A population-based autopsy study of sudden, unexpected deaths from natural causes among persons 5 to 39 years old during a 12-year period. Hum Pathol. 1994; 25(12):1332-40. https://doi.org/10.1016/0046-8177(94)90094-9 PMid:8001928.

20. de la Grandmaison GL, Durigon M. Sudden adult death: A medico-legal series of 77 cases between 1995 and 2000. Med Sci Law. 2002; 42(3):225-32. https://doi.org/10.1177/002580240204200306 PMid:12201067.

21. Chaudhari SH, Sane AMM, Zine KU, Ingale DI, Hiremath R. Study of sudden natural deaths in medico-legal autopsies with special reference to cardiac causes. Univ Curr Res Rev. 2013; 5(2):37-42.