Prognostic outcome indicators following hanging injuries

Resuscitation. 2002 Jul;54(1):27-9. doi: 10.1016/s0300-9572(02)00050-3.

Abstract

Hanging as a method of attempting suicide is increasing in incidence. A retrospective review of victims of hanging injuries presenting to our institution over a 5-year period was performed. Forty-two cases were reviewed. Drug and/or alcohol ingestion was identified in 70% of cases. There were no cervical spine injuries identified, although two unexpected thoracic spine fractures were found. There was an 88% survival rate, with a low incidence (5%) of poor neurological outcome. The Glasgow Coma Score at scene or on arrival at hospital was found to be a prognostic indicator. Victims without spontaneous cardiac output at scene did not survive, even if cardiopulmonary resuscitation was successful initially.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Asphyxia / therapy*
  • Cardiopulmonary Resuscitation*
  • Female
  • Glasgow Coma Scale
  • Heart Arrest / therapy
  • Humans
  • Male
  • Middle Aged
  • Prognosis
  • Retrospective Studies
  • Risk Factors
  • Suicide, Attempted*
  • Survival Rate