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立陶宛死亡个体的乙醇消费特征。

Ethyl alcohol consumption characteristics of deceased individuals in Lithuania.

机构信息

Faculty of Medicine, Vilnius University, Vilnius, M. K. Ciurlionio str. 21, Lithuania.

Department of Pathology, Forensic Medicine, Institute of Biomedical Sciences of the Faculty of Medicine of Vilnius University, Vilnius, M. K. Ciurlionio str. 21/27, Lithuania.

出版信息

J Forensic Leg Med. 2024 Nov;108:102785. doi: 10.1016/j.jflm.2024.102785. Epub 2024 Nov 2.

Abstract

The number of alcohol-related deaths in Lithuania has fallen by almost one-third in the last decade; however, the number of deaths has been on the rise since 2019. Data on the postmortem investigation of victims between 2018 and 2022 were obtained from the Lithuanian State Forensic Medicine Service database. This study analyzed data from 1200 autopsies. The deceased victims were categorized based on their cause of death and blood alcohol concentration (sober, legally intoxicated, mild, medium, or heavy). The causes of death were diseases (54.17 %, n = 650), suicides (12.08 %, n = 145), homicides (2.5 %, n = 30), and accidents (31.25 %, n = 375). Toxicological tests for alcohol were performed in all cases. Alcohol levels in the blood and urine were measured using gas chromatography. A significant correlation was observed between blood alcohol concentration and age (r = -0.13, p = 0.007). A statistically significant difference was observed in the proportions of men and women who were intoxicated. Among the causes of death, the group of individuals who died because of accidents exhibited the highest average blood alcohol concentration. Alcohol intoxication is undoubtedly a contributing factor to fatalities resulting from accidents and homicides. These findings assist in determining the intoxication level of victims and in assessing any potential links that may contribute to or predispose victims to lethal outcomes in cases of disease, suicide, homicide, or accident.

摘要

立陶宛因酒精相关的死亡人数在过去十年中下降了近三分之一;然而,自 2019 年以来,死亡人数一直在上升。从立陶宛国家法医服务数据库中获取了 2018 年至 2022 年期间对受害者进行死后调查的数据。本研究分析了 1200 次尸检的数据。根据死因和血液酒精浓度(清醒、法定醉酒、轻度、中度或重度)对死者进行分类。死因包括疾病(54.17%,n=650)、自杀(12.08%,n=145)、他杀(2.5%,n=30)和事故(31.25%,n=375)。所有病例均进行了酒精毒理学检测。使用气相色谱法检测血液和尿液中的酒精水平。血液酒精浓度与年龄呈显著负相关(r=-0.13,p=0.007)。醉酒男性和女性的比例存在统计学差异。在死因中,因事故死亡的人血液酒精浓度最高。酒精中毒无疑是导致事故和凶杀案死亡的一个因素。这些发现有助于确定受害者的醉酒程度,并评估任何可能导致或使受害者更容易发生疾病、自杀、凶杀或事故等致命后果的潜在联系。

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