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[Patients admitted to a medical intensive care unit following attempted hanging, 2010–21].

Hanqing Sun1, Cecilie Hotvedt2, Dag Jacobsen3

  • 1Institutt for klinisk medisin, Universitetet i Oslo, og, Ortopedisk avdeling, Molde Sjukehus.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|September 25, 2024
PubMed
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Hanging leads to high mortality, with cardiac arrest and low Glasgow Coma Scale (GCS) scores indicating worse outcomes. Survivors of hanging often show good cerebral function, with a high rate of organ donation.

Area of Science:

  • Medical Intensive Care
  • Neurology
  • Toxicology

Background:

  • Hanging is a leading cause of death in young adults in Norway.
  • This study focuses on patients admitted to the Medical Intensive Care Unit (MICU) following non-injurious hanging incidents.

Purpose of the Study:

  • To investigate the hospital course of patients admitted to the MICU after hanging.
  • To assess the cerebral function of these patients upon discharge.

Main Methods:

  • Retrospective analysis of medical records from Oslo University Hospital (OUS) between 2010 and 2021.
  • Classification of cerebral function using the Cerebral Performance Category (CPC) scale (1=normal, 5=brain death).

Main Results:

  • 60 patients were included; 45% (27/60) died, primarily those with pre-hospital cardiac arrest and a Glasgow Coma Scale (GCS) of 3.

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  • Survivors (33/60) predominantly showed good cerebral function (CPC 1 or 2).
  • Higher lactate levels and cardiac arrest were associated with mortality.

    • Conclusions:

    • Hanging carries a significant mortality risk, with specific clinical indicators predicting poor outcomes.
    • Despite high mortality, survivors of hanging often achieve good neurological recovery.
    • A notable rate of organ donation was observed among deceased patients.