Yang Kyung-Moo, Lee Bong-Woo, Oh Jaeseong, Yoo Seong Ho
Division of Forensic Medicine, National Forensic Service, Seoul, South Korea.
Medical Examiner's Office, National Forensic Service, Wonju, South Korea.
Forensic Sci Med Pathol. 2018 Sep;14(3):307-313. doi: 10.1007/s12024-018-9993-7. Epub 2018 Jun 21.
Although the benefits of sauna bathing have been demonstrated in epidemiological studies, sauna deaths have been reported. The aim of this study was to determine the demographic and forensic characteristics associated with different blood alcohol concentrations (BACs) in sauna deaths in Korea. In this retrospective analysis, data were collected from a nationwide pool in Korea between January 2008 and December 2015 to determine the role of alcohol intoxication in sauna deaths based on the subjects' BAC and to evaluate the demographic and forensic characteristics associated with different BACs. One hundred and three deaths were classified into 2 groups: the non-intoxication (NI) group (BAC,<0.08%; n = 27) and the intoxication (I) group (BAC,≥0.08%; n = 76). Demographic and forensic characteristics were compared between the groups using a multinomial logistic regression analysis. The proportions of decedents who were male (odds ratio: 17.4, 95.0% confidence interval: 3.8-79.8) and in a prone position at the scene of death (odds ratio: 11.3, 95.0% confidence interval: 2.1-60.1) were significantly higher (P < 0.001 and P < 0.05, retrospectively) in the I group than in the NI group. However, no significant differences were observed with respect to obesity, coronary artery narrowing, and liver pathology. Sauna deaths exhibited different characteristics according to BACs detected at autopsy. The differences in sauna deaths between the I and NI groups may have implications for the targeted prevention of sauna deaths associated with alcohol consumption.
尽管流行病学研究已证实桑拿浴有益健康，但仍有桑拿浴死亡的报道。本研究旨在确定韩国桑拿浴死亡案例中与不同血液酒精浓度（BAC）相关的人口统计学和法医学特征。在这项回顾性分析中，收集了2008年1月至2015年12月韩国全国范围内的数据，以根据受试者的BAC确定酒精中毒在桑拿浴死亡中的作用，并评估与不同BAC相关的人口统计学和法医学特征。103例死亡案例分为两组：非中毒（NI）组（BAC<0.08%；n = 27）和中毒（I）组（BAC≥0.08%；n = 76）。使用多项逻辑回归分析比较两组之间的人口统计学和法医学特征。I组中男性死者的比例（优势比：17.4，95.0%置信区间：3.8 - 79.8）和死亡现场呈俯卧位的比例（优势比：11.3，95.0%置信区间：2.1 - 60.1）显著高于NI组（回顾性分析，P < 0.001和P < 0.05）。然而，在肥胖、冠状动脉狭窄和肝脏病理方面未观察到显著差异。根据尸检时检测到的BAC，桑拿浴死亡呈现出不同特征。I组和NI组之间桑拿浴死亡的差异可能对针对性预防与饮酒相关的桑拿浴死亡具有启示意义。
