Unintentional drowning: Role of medicinal drugs and alcohol

BMC Public Health
Tuulia PajunenPhilippe Lunetta

Abstract

Alcohol is a well-known risk factor in unintentional drownings. Whereas psychotropic drugs, like alcohol, may cause psychomotor impairment and affect cognition, no detailed studies have focused on their association with drowning. Finland provides extensive post-mortem toxicological data for studies on drowning because of its high medico-legal autopsy rates. Drowning cases, 2000 through 2009, for which post-mortem toxicological analysis was performed, came from the database of the Toxicological Laboratory, Department of Forensic Medicine, University of Helsinki, using the ICD-10 nature-of-injury code T75.1. The data were narrowed to unintentional drowning, using the ICD-10 external-injury codes V90, V92, and W65-74. Each drowning case had its blood alcohol concentration (BAC) and concentrations of other drugs recorded. Evaluation of the contribution of psychotropic drugs to drowning was based on their blood concentration by means of a 6-grade scale. Among victims ≥15 years old, unintentional drownings numbered 1697, of which, 303 (17.9%) were boating-related and 1394 (82.1%) non-boating-related. Among these, 65.0% of boating-related and 61.8% of non-boating-related victims were alcohol-positive (=BAC ≥ 50 mg/dL). The male-to-fem...Continue Reading

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Citations

Jun 5, 2018·Drug and Alcohol Review·Kyra HamiltonMartin S Hagger
Sep 15, 2020·Traffic Injury Prevention·Philippe Lunetta, Kari Haikonen
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Nov 11, 2019·Preventive Medicine·Marine ChauvinNathalie Auger
Dec 21, 2021·Journal of Forensic Sciences·Mehmet AtilganRefik Akman

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