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Prognostic factors in hanging injuries

      Abstract

      The objectives of this study were to review variable factors influencing outcomes in hanging and to identify prognostic factors related to outcomes. Forty-seven patients presented to our department. Eleven patients survived and 36 died. A significant difference in mean hanging time was observed between survivor (11.8 ± 8.37 minutes) and nonsurvivor (50.81 ± 61.9). In survivors, heartbeat was recognized in 63.6% at the scene and in 90.9% on arrival. Conversely, cardiopulmonary arrest (CPA) was recognized in all nonsurvivors and heartbeat was recognized on arrival in only 5.6%. Thirty-nine (83%) had a Glasgow Coma Score (GCS) of 3 on arrival. Three (7.7%) of theses 39 patients survived. In survivors, eight patients had a GCS greater than 3. A significant difference in outcome existed between patients with a GCS of 3 and those with a GCS greater than 3. Hanging time, presence of CPA at the scene and on arrival, and GCS on arrival represented prognostic factors of outcome in hanging.

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      References

        • Reay D.T
        • Cohen W
        • Ames S
        Injuries produced by jugical hanging.
        Am J Forensic Med Pathol. 1994; 15: 183-186
        • Kaki A
        • Crosby E.T
        • Lui A.C
        Airway and respiratory management following non-lethal hanging.
        Can J Anaesth. 1997; 44: 445-450
        • Suzuki K
        • Meguro K
        • Wada M
        • Fujita K
        • Nose T
        Embolization of a ruptured aneurysm of the distal anterior inferior cerebellar artery.
        Surg Neurol. 1999; 51: 509-512
        • Hausmann R
        • Bets P
        delayed death after attempted suicide by hanging.
        Int J Legal Med. 1997; 110: 164-166
        • McHugh T.P
        • Stout M
        Near-hanging injury.
        Ann Emerg Med. 1983; 12: 774-776
        • Saternus K.S
        Injury of the vertebral artery in suicidal hanging.
        Forensic. Sci Int. 1984; 25: 265-275
        • Penney D.J
        • Stewart A.H
        • Parr M.J
        Prognostic outcome indicators following hanging injuries.
        Resuscitation. 2002; 54: 27-29
        • Cooke C.T
        • Cadden G.A
        • Margolius K.A
        Death by hanging in Western Australia.
        Pathology. 1995; 27: 268-272
        • Bowen D.A
        Hanging—a review.
        Forensic. Sci Int. 1982; 20: 247-249
        • Vander K.L
        • Wolfe R
        The emergency department management of near-hanging victims.
        J Emerg Med. 1994; 12: 285-292
        • Nemoto E.M
        Patjogenesis of cerebral ischemic anoxia.
        Crit Care Med. 1978; 6: 203-214
        • Fieschi C
        • Mackenzie E
        • Lenzi G.L
        • et al.
        Facts-and trends in cerebral blood flow and metabolism.
        J Cereb Blood Flow Metab. 1989; 9: 573-578
        • Ohkawa S
        • Yamadori A
        CT in hanging.
        Neuroradiology. 1993; 35: 591
        • Aufderheide T.P
        • Aprahamian C
        • Mateer J.R
        • et al.
        Emergency airway management in hanging victims.
        Ann Emerg Med. 1994; 24: 879-884
        • Feigin G
        Frequency of neck organ fractures in hanging.
        Am J Forensic Med Pathol. 1999; 20: 128-130
        • Adams N
        Near hanging.
        Emerg Med. 1999; 11: 17-21
        • Bradshaw D.A
        Complications of suicidal hanging.
        Mili Med. 1994; 159: 720-721
        • Clark M.A
        • Kerr F.C
        Unusual hanging deaths.
        J Forensic Sci. 1986; 31: 747-755