Mittleman R E, Wetli C V
JAMA. 1982 Mar 5;247(9):1285-8.
Demographic features and predisposing factors to fatal food asphyxiation (cafe coronary) were determined by analyzing 141 such fatalities over a 20-year period. Old age, poor dentition, and alcohol consumption were expected findings. Other predisposing factors included institutionalization in long-term medical care facilities, sedative drugs, and natural diseases, most notably parkinsonism. Since institutionalized patients tended to asphyxiate on soft, friable, or snack-like foods, future improvements in rescue techniques should take this into consideration. The incidence of 0.66 per 100,000 population has remained unchanged over the two decades studied. Observers were present at the time of the fatal incident in 85% of the cases. In only a third, the food was lodged ion a supraglottic location. These data indicate that continued efforts toward greater awareness of the cafe coronary syndrome still are needed. Special attention should be directed to the predisposing role of institutionalization, sedative drugs, and natural diseases.
通过对20年间141例此类死亡病例进行分析，确定了致命性食物窒息（咖啡馆冠心病）的人口统计学特征和诱发因素。高龄、牙齿不好和饮酒是预期的发现。其他诱发因素包括长期医疗护理机构中的收容、镇静药物和自然疾病，最显著的是帕金森病。由于收容患者往往因柔软、易碎或类似零食的食物而窒息，未来救援技术的改进应考虑到这一点。在所研究的二十年中，每10万人0.66的发病率保持不变。85%的病例在致命事件发生时有观察者在场。只有三分之一的病例中，食物卡在声门上部位。这些数据表明，仍需要继续努力提高对咖啡馆冠心病综合征的认识。应特别关注收容、镇静药物和自然疾病的诱发作用。
