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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2006 / Cilt: 12 - Sayı: 2

Pulmonary and systemic fat embolism as a cause of death in forensic autopsy practice

Adli otopsilerde ölüm nedeni olarak akciğer ve sistemik yağ embolizmi

Arzu Akçay TURAN
Safa ÇELİK
Ferah KARAYEL
Işıl PAKİŞ
Nadir ARICAN
Pages
129–134
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Post-traumatic survival time and the severity of trauma had a very weak negative correlation without any statistical significance.

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND: The aim of this study was to evaluate the possible correlations between the grade of fat embolism and age, gender, severity of trauma and post-traumatic survival time.
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Key Findings & Data:RESULTS: Twenty-eight cases (90%) died due to trauma and its complications.
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Conclusion & Impact:Post-traumatic survival time and the severity of trauma had a very weak negative correlation without any statistical significance.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Adli tıp · Emboli · yağ

Abstract

BACKGROUND: The aim of this study was to evaluate the possible correlations between the grade of fat embolism and age, gender, severity of trauma and post-traumatic survival time. METHODS: Thirty-one cases with pulmonary and/or systemic fat embolism, auotopsied at the Morgue Department of Council of Forensic Medicine were evaluated retrospectively. RESULTS: Twenty-eight cases (90%) died due to trauma and its complications. Nineteen cases (61%) were injured in motor vehicle-related accidents. Post-traumatic survival time varied between 0-384 hours (61.6 ± 86.2 hours). Abbreviated injury scale (AIS) was 8.1 ±3.9 and injury severity score (ISS) was 26.5±19.7 SD. Twenty-four (77%) cases were determined as isolated pulmonary fat embolism and 7 (23%) cases as systemic fat embolism on histopathological examination. Possible correlations between the grade of fat embolism and age, gender, severity of trauma and post-traumatic survival time were evaluated statistically with using Chi-square and Spearman's correlation tests. CONCLUSION: There were no correlations between the grade of fat embolism and age, gender, the severity of trauma. Post-traumatic survival time and the severity of trauma had a very weak negative correlation without any statistical significance.

Özet

AMAÇ: Bu çalışmada akciğer ve/veya sistemik yağ embolisi gelişen olgularda yağ embolisinin yaygınlığı ile yaş, cins, travmanın ağırlığı ve travma sonrası yaşam süresi, arasındaki ilişkiler sorgulandı. GEREÇ-YÖNTEM: Adli Tıp Kurumu Morg İhtisas Dairesi’nde otopsileri yapılan, akciğer ve/veya diğer yaşamsal organlarında histopatolojik olarak, yağ embolisi saptanan 31 olgu geriye dönük olarak değerlendirildi. BULGULAR: Travma ve travmaya bağlı komplikasyonlar nedeni ile hayatını kaybeden 28 olgunun (%90) 19’unu (%61) araç içi ve araç dışı trafik kazaları oluşturmaktaydı. Travma sonrası yaşam süresi 0-384 saat (61.6±86.2) arasında değişmekteydi. Olgularda saptanan travmatik değişiklikler kısaltılmış yaralanma cetveli (AIS) ve yaralanma ağırlık cetveline (ISS) göre değerlendirildi; AIS değeri 8.1±3.9 (SD), ISS değeri 26.5±19.7 (SD) olarak bulundu. Olguların histopatolojik değerlendirmesinde 24 olguda (%77) izole akciğer yağ embolisi, 7 olguda (%23) sistemik yağ embolisi saptandı. Yağ embolisinin yaygınlığı ile yaş, cinsiyet, travma derecelendirmesi, travma sonrası yaşam süresi arasındaki ilişkiler istatistiksel olarak, Ki-kare ve Spearman korelasyon testleri ile araştırıldı. SONUÇ: Yaş, cinsiyet ve ISS değerleri ile akciğer yağ embolisinin derecelendirilmesi arasında anlamlı ilişki saptanmadı. Travma sonrası yaşam süresi ve ISS değerleri arasında ise istatistiksel anlamlılık olmadığı halde negatif bir ilişki olduğu belirlendi.

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Cite This Article

TURAN, A. A., ÇELİK, S., KARAYEL, F., PAKİŞ, I., ARICAN, N. (2006). Pulmonary and systemic fat embolism as a cause of death in forensic autopsy practice. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 12 - Sayı: 2, 129–134. https://ajindex.com/articles/324465

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