2009年における鹿児島県の浴室内突然死例の検討 : 発生率と環境気温との関係を中心に

機関リポジトリ Web Site

書誌事項

タイトル別名
  • Sudden Death in the Bath in Kagoshima Prefecture in 2009 : A Study Focused on the Relationship between the Incidence of the Deaths and Ambient Temperature
  • 2009ネン ニオケル カゴシマケン ノ ヨクシツ ナイ トツゼンシ レイ ノ ケントウ : ハッセイリツ ト カンキョウ キオン トノ カンケイ オ チュウシン ニ

この論文をさがす

抄録

In Japan, sudden death in the bath (what is called ‘bath-related death’) has been reported in the elderly population in thewinter. Our continuous investigations into bath-related death in Kagoshima Prefecture from 2006 to 2008 have shown thatthe death in Kagoshima occur at similar frequency as other prefectures in Japan, despite the warm environment inKagoshima. In this study, retrospective investigation of the inquest records in Kagoshima Prefecture in 2009 wasperformed in order to obtain the better understanding of the factors associated with bath-related death, especially, therelationship between the occurrence of the deaths and ambient temperature. The total number of the cases was 172 (83males and 89 females), which corresponds to a crude mortality rate of 8.2 per 100,000 person-year. As previously reported,most deaths occurred during winter season (52.9%), particularly on cold days. There was a significant negative correlationbetween the incidence of the deaths during each month and monthly mean air temperature. Moreover, the incidence of the deaths showed significant negative correlation with ambient temperature including maximum, minimum and mean airtemperature of the day. Particularly, deaths occurred frequently on the days when the maximum, minimum and mean airtemperature was ＜15°C, ＜8°C ＜12°C, respectively. Further, the occurrence of the deaths significantly increased on the dayswhen intraday air temperature difference was ≥ 14°C. Accordingly, a great intraday temperature difference as well as low ambienttemperature should be a predisposing factor for bath-related death. In addition, most cases occurred in the home bath atthe time when elderly people usually bathe (4-8 p.m.). The time when deaths occurred in men tended to be earlier thanthat in women, because elder Japanese men were accustomed to bathing first, so that they might enter a very coldbathroom. Our results indicate that bath-related death occurs most often during the normal daily life of the aged. In orderto reduce the number of those tragic deaths in the bath, it is necessary to accumulate evidence by autopsy and by serialinvestigations, and to prompt the government and society to develop protective activities.

収録刊行物

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ