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Validity of post-mortem alcohol reports.

P J Karhunen1, A Penttilä

  • 1Department of Forensic Medicine, University of Helsinki, Finland.

Alcohol and Alcoholism (Oxford, Oxfordshire)
|January 1, 1990
PubMed
Summary
This summary is machine-generated.

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Interviews with loved ones accurately reveal deceased individuals' drinking habits. High alcohol consumption correlated with specific autopsy findings like fatty liver and positive blood alcohol tests.

Area of Science:

  • Forensic Toxicology
  • Addiction Medicine
  • Public Health

Background:

  • Assessing alcohol consumption in deceased individuals is crucial for medicolegal investigations.
  • Reliable methods for determining post-mortem alcohol intake are essential for accurate cause of death determination.

Purpose of the Study:

  • To evaluate the reliability of interviews with relatives/friends in estimating daily alcohol consumption of deceased males.
  • To correlate reported alcohol intake with autopsy findings and toxicological data.

Main Methods:

  • Medicolegal autopsy data from 95 men in Helsinki were analyzed.
  • Interviews with relatives/friends were conducted to estimate daily alcohol dose.
  • Reported alcohol consumption was compared with autopsy findings (e.g., liver status, diseases) and post-mortem toxicology.

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Main Results:

  • Data on daily alcohol dose were obtained for 64% of cases; 34% consumed ≥80g/day.
  • High alcohol consumers (≥80g/day) showed increased incidence of positive post-mortem blood alcohol, fatty liver, enlarged liver, alcoholic hepatitis, and chronic pancreatitis.
  • High alcohol consumers had a lower mortality rate from cardiovascular diseases.
  • Positive post-mortem blood alcohol and fatty liver were sensitive indicators of high alcohol consumption.

Conclusions:

  • Interviews with next-of-kin provide reliable data on the drinking behavior of the deceased.
  • Specific autopsy findings, particularly fatty liver and positive blood alcohol tests, are indicative of high alcohol consumption.