Journal of the Korean Society of School Health (한국학교보건학회지)

The Korean Society of School Health (한국학교보건학회)
권호 표지

A study of incidence and trend of unexpected sudden death of studentsin school during 17 years from 1988 to 2004 in seoul

최근 17년간(1988년-2004년) 학교내 학생 돌연사 빈도 및 추이 분석

  • Lee, Hui-U (Research association of Prevention for unexpected sudden death of Students) ;
  • Sin, Seon-Mi (Research association of Prevention for unexpected sudden death of Students) ;
  • Hong, Yeong-Mi (Research association of Prevention for unexpected sudden death of Students) ;
  • Kim, Min-Hoe (Research association of Prevention for unexpected sudden death of Students) ;
  • Yun, Deok-Seop (Research association of Prevention for unexpected sudden death of Students) ;
  • O, Gyeong-Sun (Research association of Prevention for unexpected sudden death of Students) ;
  • Lee, Bun-Ok (Research association of Prevention for unexpected sudden death of Students) ;
  • Gwon, Yong-Cheol (Research association of Prevention for unexpected sudden death of Students) ;
  • Sin, Sang-Uk (Research association of Prevention for unexpected sudden death of Students) ;
  • Kim, Tae-Suk (The Seoul Safety Mutual aid Association)
  • Published : 2006.06.01
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose : This study was to identify the incidence, trend, and situation of the unexpected sudden death of elementary, middle, and high school students in school for 17 years from 1988 to 2004 in seoul. Methods : We used the data of The Seoul Safety Mutual aid Association in seoul. Subjects were 53 unexpected sudden death in school from elementary, middle, and high school students, and we explored the gender, month, a day of the week, year, contents of situation, and medical certificate of death. Statistic analysis were chi-square test, Cochran-Armitage trend test, and the tool was SAS 9.1.Results : There were 53 unexpected sudden death students(male 42 and female 11). The incidence of male students was higher than that of female during 16 years except in 1995. The incidence occurred in middle school students were 31 (58.5%) of 53 and were also most frequent in middle school students in both of male and female students. In 1990, the incidence was 8(15.1%) students, 6(11.3%) in 1992 , and 5(9,4%) in 2000 respectively. The frequency of unsuspected sudden death in March was 11(20.8%) of 53 students, 11 (20.8%) in September, 7(13.2%) in October. In Thursday, it was 12(22.6%) of 53 students. Only 14(26.4%) students of 53 died during general life, but 39(73.6%) were related to excercise. The diagnosis of 14 students died during general life were cardiac arrest 7(50.5%), brain disorder 3(21.4%) which were based on medical certificate. But the diagnosis of 39 students died during or after excercise were brain disorder including cerebral hemorrhage 9(23.1%), heart disease 9(23.1%), cardiac arrest 8(20.5%), and unknown 6(15.4%), respectively. Conclusion : The incidence of unexpected sudden death were more frequent in male students, in middle school, and in excercise-related situation and the trend was similar for 17 years. Therefore, to prevent the unexpected sudden death, it needs to further study substantially the risk factors of unexpected sudden death including past history, life-style, nutrition and development, family history, and learning environment.

Keywords

References

  1. 곽정식(1993). 돌연사 감정의 현황과 문제점. 중앙의학, 8(4), 275-380
  2. 문국진(1983). 돌연사례의 법의학적 고찰. 제1보 : 그 사회적 실태분석. 고려대 의대 논문집, 20(2), 255
  3. 문국진(1984). 우리나라 돌연사례의 유인 및 위험성 법의학적 고찰. 고려대 의대 논문집, 21(2), 877
  4. 세계보건기구( 2006), http://www.who.int/en
  5. 일본스포츠진흥센타(2003). 학교에서 반드시 갖추어 놓아야 할 돌연사 예방법. 독립행정법인 일본 스포츠 진흥 센터, 1-20
  6. Anderson RE, Hill RB, Broudy DW, Key CR. Pathak D(1994). A population-based autopsy study of sudden, unexpected deaths from natural causes among persons 5 to 39 years old during a 12-year period. Hum Pathol, 25(12), 1332-40 https://doi.org/10.1016/0046-8177(94)90094-9
  7. Bauce B, Rampazzo A, Basso C, Bagattin A, Daliento L, Tiso N, Turrini P, Thiene G, Danieli GA, Nava A(2002). Screening for ryanodine receptor type 2 mutations in families with effort-induced polymorphic ventricular arrhythmias and sudden death: early diagnosis of asymptomatic carriers. J Am Coll Cardiol, 17:40(2), 341-9
  8. Driscoll DJ, Edwards WD(1985). Sudden unexpected death in children and adolescents. J Am Coll Cardiol, 5(6 Suppl), 118B-121B https://doi.org/10.1016/S0735-1097(85)80077-2
  9. Escoffery CT, Shirley SE(2002). Causes of sudden natural death in Jamaica: a medicolegal (coroner's) autopsy study from the University Hospital of the West Indies. Forensic Sci Int. 129(2), 116-21 https://doi.org/10.1016/S0379-0738(02)00079-8
  10. Garson A Jr(1991). Sudden death in the young. Hosp Pract (Off Ed), 26(9), 10 https://doi.org/10.1080/21548331.1991.11705286
  11. Jaeger M(1990). Sudden death during sport activities. How can the incidence be reduced? Ann Cardiol Angeiol (Paris). 39(10), 565-70
  12. Kitada M, Nakajima S, Uheda K. Yasutake K. Nakagawa T, Matsumoto T(1980). Studies on sudden unexpected death among school children and high school students in Osaka Prefecture. Jpn Circ J, 44(10), 859-62 https://doi.org/10.1253/jcj.44.859
  13. Leestma JE, Walczak T, Hughes JR, Kalelkar MB, Teas SS(1989). A prospective study on sudden unexpected death in epilepsy. Ann Neurol, 26(2), 195-203 https://doi.org/10.1002/ana.410260203
  14. Omae T, Ueda K. Hasuo Y, Tanaka K(1983). Sudden unexpected deaths in a Japanese community--Hisayama study. Jpn Circ J, 47(5), 554-61 https://doi.org/10.1253/jcj.47.1
  15. Rirnsza ME, Schackner RA, Bowen KA, Marshall W(2002). Can child deaths be prevented? The Arizona Child Fatality Review Program experience.Pediatrics, 110(1 Pt 1) :e11 https://doi.org/10.1542/peds.110.1.1
  16. Tabib A, Loire R, Miras A, Thivolet-Bejui F, Timour Q, Bui-Xuan B, Malicier D(2000). Unsuspected cardiac lesions associated with sudden unexpected perioperative death. Eur J Anaesthesiol, 17(4):230-5 https://doi.org/10.1097/00003643-200004000-00004
  17. Tester DJ, Kopplin LJ(2005). Creighton W, Burke AP, Ackerman MJ. Pathogenesis of unexplained drowning: new insights from a molecular autopsy. Mayo Clin Proc, 80(9), 1234-5: author reply 1235-6
  18. Wehrrnacher WH, Puglisi JL, Bers DM, Messmore H(2005). Sudden unexpected death.Compr Ther, 31(3), 176-80 https://doi.org/10.1385/COMP:31:3:176
  19. Wren C, O'Sullivan JJ. Wright C(2000). Sudden death in children and adolescents. Heart, 83(4), 410-3 https://doi.org/10.1136/heart.83.4.410