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Related Experiment Videos

Unacceptably high site variability in postmortem blood alcohol analysis

P A Sylvester1, N A Wong, B F Warren

  • 1University Department of Surgery, University of Bristol, Bristol Royal Infirmary, UK.

Journal of Clinical Pathology
|July 11, 1998
PubMed
Summary

Postmortem blood alcohol concentration (BAC) testing reveals significant site-to-site variability. Vitreous humor alcohol concentration closely mirrors femoral vein BAC, suggesting its utility in forensic pathology for accurate alcohol level determination.

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Area of Science:

  • Forensic Pathology
  • Toxicology
  • Postmortem Analysis

Background:

  • Blood alcohol concentration (BAC) testing is crucial in forensic pathology.
  • Accurate BAC measurement is vital for determining alcohol's role in mortality.
  • Postmortem changes can affect BAC values, necessitating careful site selection.

Purpose of the Study:

  • To investigate the variability of postmortem blood alcohol concentration (BAC) across different anatomical sites.
  • To determine the optimal site for postmortem blood alcohol measurement.
  • To assess the reliability of vitreous humor alcohol concentration as a surrogate for blood alcohol levels.

Main Methods:

  • Blood alcohol concentrations were measured from six different anatomical sites in nine subjects at necropsy.

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  • Subjects included cases where alcohol was the primary cause of death.
  • Blood:vitreous humour alcohol concentration ratios (B:V ratios) were calculated and correlated.
  • Main Results:

    • Significant, albeit small, consistent differences in BAC were observed between sampling sites (p < 0.04).
    • Vitreous humor alcohol concentration demonstrated the closest correlation with femoral vein BAC (B:V ratio = 0.94, r = 0.98).
    • Left heart blood showed a lower correlation with femoral blood compared to other measured sites.

    Conclusions:

    • Postmortem blood alcohol concentration measurements can exhibit significant intra-subject variation.
    • Vitreous humor alcohol concentration is a reliable indicator of femoral vein blood alcohol concentration.
    • Femoral vein is the optimal site for postmortem blood alcohol measurement, with vitreous humor as a viable alternative.