Prognostic outcome indicators following hanging injuries

Hanging as a method of attempting suicide is increasing in incidence. A retrospective review of victims of hanging injuries presenting to our institution over a 5-year period was performed. Forty-two cases were reviewed. Drug and/or alcohol ingestion was identified in 70% of cases. There were no cer...

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Bibliographic Details
Published in:Resuscitation 2002-07, Vol.54 (1), p.27-29
Main Authors: Penney, D.J., Stewart, A.H.L., Parr, M.J.A.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adult and adolescent clinical studies
Aged
Asphyxia - therapy
Biological and medical sciences
Cardiopulmonary Resuscitation
Female
Glasgow Coma Scale
Hanging injury
Heart Arrest - therapy
Humans
Injuries of the limb. Injuries of the spine
Male
Medical sciences
Middle Aged
Patient
Prognosis
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Retrospective Studies
Risk Factors
Suicide
Suicide, Attempted
Survival Rate
Trauma
Traumas. Diseases due to physical agents
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Summary:Hanging as a method of attempting suicide is increasing in incidence. A retrospective review of victims of hanging injuries presenting to our institution over a 5-year period was performed. Forty-two cases were reviewed. Drug and/or alcohol ingestion was identified in 70% of cases. There were no cervical spine injuries identified, although two unexpected thoracic spine fractures were found. There was an 88% survival rate, with a low incidence (5%) of poor neurological outcome. The Glasgow Coma Score at scene or on arrival at hospital was found to be a prognostic indicator. Victims without spontaneous cardiac output at scene did not survive, even if cardiopulmonary resuscitation was successful initially.
ISSN:0300-9572
1873-1570
DOI:10.1016/S0300-9572(02)00050-3