Dead in hot bathtub phenomenon: Accidental drowning or natural disease?

American Journal of Forensic Medicine and Pathology

Volumn 34, Issue 2, 2013, Pages 164-168

  Satoh, Fumiko ^a   Osawa, Motoki ^a   Hasegawa, Iwao ^a   Seto, Yoshihisa ^a   Tsuboi, Akio ^a  

^a TOKAI UNIVERSITY SCHOOL OF MEDICINE   (Japan)

Author keywords

bathing; drowning; elderly; ischemic heart disease; sudden death

Indexed keywords

ALCOHOL; CENTRAL DEPRESSANT AGENT; NEUROLEPTIC AGENT;

ACCIDENT; ACID ASPIRATION; ADOLESCENT; ADULT; AGED; ARTICLE; BATH; BRAIN HEMORRHAGE; CARDIOMEGALY; CHILD; DROWNING; DRUG OVERDOSE; FEMALE; FORENSIC PATHOLOGY; HEART DISEASE; HEART MUSCLE ISCHEMIA; HUMAN; JAPAN; MALE; MIDDLE AGED; MORTALITY; PATHOLOGY; RETROSPECTIVE STUDY; SEASON; SEIZURE; SUDDEN DEATH; VERY ELDERLY; YOUNG ADULT;

ACCIDENTS; ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANTIPSYCHOTIC AGENTS; BATHS; CARDIOMEGALY; CENTRAL NERVOUS SYSTEM DEPRESSANTS; CHILD; DEATH, SUDDEN; DROWNING; DRUG OVERDOSE; ETHANOL; FEMALE; FORENSIC PATHOLOGY; HEART DISEASES; HUMANS; INTRACRANIAL HEMORRHAGES; JAPAN; MALE; MIDDLE AGED; MYOCARDIAL ISCHEMIA; RESPIRATORY ASPIRATION; RETROSPECTIVE STUDIES; SEASONS; SEIZURES; YOUNG ADULT;

EID: 84878843185     PISSN: 01957910     EISSN: 1533404X     Source Type: Journal    
DOI: 10.1097/PAF.0b013e31828d68c7     Document Type: Article

References (33)

1. McGraw C, Drennan V. Assisting older people with bathing. J Community Nurs. 2009;23:12-16.
2. Takasaki Y, Ohnaka T, Tochihara Y, et al. Environmental and behavioral conditions of bathing among elderly Japanese. J Physiol Anthropol. 2007;26:235-240.
3. Hong Y, Ichikawa N, Kamata M, et al. Experimental study on the usability on residential hot water supply system [in Japanese]. J SHASE. 1991;45:43-59.
4. Fukunishi K, Maruyama J, Takahashi H, et al. Characteristics of bath-related burns in Japan. Burns. 1999;25:272-276.
5. Tokyo Medical Examiner Office, Annual report. Tokyo, 2005. Available at: http://www.fukushihoken.metro.tokyo.jp/kansatsu/database/db-h17/index.html [in Japanese]. Accessed April 22, 2011.
6. Chiba T, Yamauchi M, Nishida N, et al. Risk factors of sudden death in the Japanese hot bath in the senior population. Forensic Sci Int. 2005;149:151-158.
7. Eren B, Fedakar R, Turkmen N, et al. Deaths in the Turkish hamam (hot bath). Bratisl Lek Listy. 2009;110:697-700.
8. Yoshioka N, Chiba T, Yamauchi M, et al. Forensic consideration of death in the bathtub. Leg Med. 2003;5:S375-S381.
9. Hitosugi M, Takatsu A, Kinugasa Y, et al. Estimation of normal heart weight in Japanese subjects: development of a simplified normal heart weight scale. Leg Med. 1999;1:80-85.
10. World Health Statistics Annual. Health and Welfare Statistics Association Japan [in Japanese]. J Health Welfare Stat. 2008;55:58-60.
11. Kuroki H, Taniguti Y, Fujita M, et al. Bath-related death in Japan with the epidemiological analysis in Osaka. Available at: http://plaza.umin.ac.jp/ ~GHDNet/98/i407furo.html [in Japanese]. Accessed April 22, 2011.
12. Budnick LD, Ross DA. Bathtub-related drownings in the United States, 1979-81. Am J Public Health. 1985;75:630-633.
13. Kanda K, Ohnaka T, Tochihara Y, et al. Effects of the thermal conditions of the dressing room and bathroom on physiological responses during bathing. Appl Human Sci. 1996;15:19-24.
14. Winslow EH, Lane LD, Gaffney FA. Oxygen uptake and cardiovascular responses in control adults and acute myocardial infarction patients during bathing. Nurs Res. 1985;34:164-169.
15. Robichaud-Ekstrand S. Shower versus sink bath: evaluation of heart rate, blood pressure, and subjective response of the patient with myocardial infarction. Heart Lung. 1991;20:375-382.
16. Luurila OJ. Cardiac arrhythmias, sudden death and the Finnish sauna bath. Adv Cardiol. 1978;25:73-81.
17. Hannuksela ML, Ellahham S. Benefits and risks of sauna bathing. Am J Med. 2001;110:118-126.
18. Allison TG, Reger WE. Comparison of responses of men to immersion in circulating water at 40.0 and 41.5 degrees C. Aviat Space Environ Med. 1998;69:845-850.
19. Miwa C, Matsukawa T, Iwase S, et al. Human cardiovascular responses to a 60-min bath at 40 degrees C. Environ Med. 1994;38:77-80.
20. Nagasawa Y, Komori S, Sato M, et al. Effects of hot bath immersion on autonomic activity and hemodynamics: comparison of the elderly patient and the healthy young. Jpn Circ J. 2001;65:587-592.
21. Shin TW, Wilson M, Wilson TW. Are hot tubs safe for people with treated hypertension? CMAJ. 2003;169:1265-1268.
22. Kuroyanagi K, Kumagai T, Matsuo Y, et al. Epidemiological analysis of bath death in Tokyo 23 wards area [in Japanese]. Shinzo. 2000;32:38-47.
23. Devos C, Timperman J, Piette M. Deaths in the bath. Med Sci Law. 1985;25:189-200.
24. Steensberg J. Epidemiology of accidental drowning in Denmark 1989-1993. Accid Anal Prev. 1998;30:755-762.
25. Satoh F, Fujita MQ, Misawa S, et al. Elevation of blood viscosity as a putative risk factor for sudden death during bathing. J Jpn Soc Biorheol. 2006;20:44-50.
26. Lowe GDO, Drummond MM, Lorimer AR. Relation between extent of coronary artery disease between extent of coronary artery disease and blood viscosity. Br Med J. 1980;280:673-674.
27. Lunetta P, Levo A, MännikköA, et al. Death in bathtub revisited with molecular genetics: a victim with suicidal traits and a LQTS gene mutation. Forensic Sci Int. 2002;130:122-124.
28. Hanak V, Kalra S, Aksamit TR, et al. Hot tub lung: presenting features and clinical course of 21 patients. Respir Med. 2006;100:610-615.
29. Burns MJ, Linden CH. Another hot tub hazard: toxicity secondary to bromine and hydrobromic acid exposure. Chest. 1997;111:816-819.
30. Papadodima SA, Athanaselis SA, Skliros E, et al. Forensic investigation of submersion deaths. Int J Clin Pract. 2010;64:75-83.
31. Lawler W. Bodies recovered from water: a personal approach and consideration of difficulties. J Clin Pathol. 1992;45:654-659.
32. Saukko P, Knight B. Immersion deaths. In: Saukko P, Knight B, eds. Knight's Forensic Pathology. 3rd ed. London, United Kingdom: Arnold; 2004;395-411.
33. Piette MH, De Letter EA. Drowning: still a difficult autopsy diagnosis. Forensic Sci Int. 2006;163:1-9.