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Swedish forensic data 1992–2009 suggest hydrogen cyanide as an important cause of death in fire victims

Overview of attention for article published in Inhalation Toxicology, February 2012
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Title
Swedish forensic data 1992–2009 suggest hydrogen cyanide as an important cause of death in fire victims
Published in
Inhalation Toxicology, February 2012
DOI 10.3109/08958378.2012.660285
Pubmed ID
Authors

Kristin Stamyr, Gunilla Thelander, Lena Ernstgård, Johan Ahlner, Gunnar Johanson

Abstract

Between 60 and 80% of all deaths related to fire are attributed to toxic fumes. Carbon monoxide (CO) is commonly thought to be the major cause. However, hydrogen cyanide (HCN) is also formed. Still, the exact contribution of HCN to fire-related fatalities is unknown. The aim of the study was to investigate the impact of HCN in relation to CO as a cause of death in fire victims. Data on carboxyhemoglobin (COHb) and blood cyanide from deceased fire victims in the period 1992-2009 were collected from two Swedish nationwide forensic databases (ToxBase and RättsBase). The databases contain data on COHb and/or cyanide from 2303 fire victims, whereof 816 on both COHb and cyanide. Nonparametric statistical tests were used. Seventeen percent of the victims had lethal or life-threatening blood cyanide levels (>1 µg/g) and 32% had lethal COHb levels (>50% COHb). Over 31% had cyanide levels above 0.5 µg/g, an indication of significant HCN exposure. The percentages may be underestimates, as cyanide is quickly eliminated in blood also after death. Our results support the notion that HCN contributes more to the cause of death among fire victims than previously thought.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 36 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 3%
Sweden 1 3%
Unknown 34 94%

Demographic breakdown

Readers by professional status Count As %
Other 8 22%
Student > Master 5 14%
Researcher 4 11%
Student > Ph. D. Student 3 8%
Student > Doctoral Student 2 6%
Other 5 14%
Unknown 9 25%
Readers by discipline Count As %
Medicine and Dentistry 8 22%
Pharmacology, Toxicology and Pharmaceutical Science 5 14%
Chemistry 4 11%
Environmental Science 3 8%
Engineering 3 8%
Other 4 11%
Unknown 9 25%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 January 2014.
All research outputs
#15,290,667
of 22,739,983 outputs
Outputs from Inhalation Toxicology
#759
of 921 outputs
Outputs of similar age
#99,649
of 155,500 outputs
Outputs of similar age from Inhalation Toxicology
#10
of 13 outputs
Altmetric has tracked 22,739,983 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 921 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.2. This one is in the 12th percentile – i.e., 12% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 155,500 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 24th percentile – i.e., 24% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 13 others from the same source and published within six weeks on either side of this one. This one is in the 15th percentile – i.e., 15% of its contemporaries scored the same or lower than it.