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Viral infection and sudden non-cardiac death: A systematic review

dc.contributor.authorCainé, Laura
dc.contributor.authorCordeiro, Francisco
dc.date.accessioned2024-11-26T09:55:56Z
dc.date.available2024-11-26T09:55:56Z
dc.date.issued2024-07-29
dc.description.abstractIntroduction: Sudden non-cardiac death (SNCD) is a clinical entity comprising deaths lacking previous clinically significant symptoms, and in which the mechanisms of death do not involve the heart. Infection is a major cause of SNCD, particularly in children, and viruses are frequently involved in the disease process. Nevertheless, SNCD of viral infectious causes remains poorly characterized. Thus, a systematic review of the literature describing the association between viral infection and the development of SNCD was performed. Methods: PRISMA statement guidelines were followed in this systematic review. A literature search was conducted across MEDLINE, Scopus and Web of Science databases. Studies considered eligible were autopsy series or cohort studies of sudden death cases, in which evidence of viral disease as a cause of death was demonstrated, along with identification of causative agents. Results: Twelve studies published between 1996 and 2020 were included in this review. Selected studies were categorized into three groups according to the study population: infants and young children (up to four years of age); presumed sudden infant death syndrome patients; and older individuals (five years of age and older). SNCD with viral implication represents a minority of sudden death cases in all age groups, with infants and young children having a higher prevalence across studies. Respiratory infection was the main cause of viral SNCD, with influenza virus and respiratory syncytial virus being the most commonly identified agents in older individuals, and infants and young children respectively. Disseminated infection, gastrointestinal infection, and meningitis were other identified causes of SNCD in children. Conclusions: No studies have directly assessed the frequency and causes of viral SNCD. Infants and young children show a considerable, but variable, prevalence of this clinical entity. Wider implementation of post-mortem virological molecular testing may help uncover previously unknown cases. More research into viral SNCD is needed, especially in the adult population.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCordeiro FP, Cainé L. Viral infection and sudden non-cardiac death: A systematic review. J Forensic Leg Med. 2024 Aug;106:Article 102727. doi: 10.1016/j.jflm.2024.102727.pt_PT
dc.identifier.doi10.1016/j.jflm.2024.102727pt_PT
dc.identifier.issn1752-928X
dc.identifier.urihttp://hdl.handle.net/10400.26/52916
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversion10.1016/j.jflm.2024.102727pt_PT
dc.subjectForensic microbiologypt_PT
dc.subjectForensic pathologypt_PT
dc.subjectInfectionpt_PT
dc.subjectSudden deathpt_PT
dc.subjectViral diseasespt_PT
dc.subjectViruspt_PT
dc.titleViral infection and sudden non-cardiac death: A systematic reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage7pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleJournal of forensic and legal medicinept_PT
oaire.citation.volume106pt_PT
person.familyNameCainé
person.givenNameLaura
person.identifierAAR-9087-2020
person.identifier.ciencia-id021A-33DD-869D
person.identifier.orcid0000-0002-6542-4256
person.identifier.scopus-author-id2311978
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication1a1e1ffc-1439-48f2-a4c3-359c66db3ad1
relation.isAuthorOfPublication.latestForDiscovery1a1e1ffc-1439-48f2-a4c3-359c66db3ad1

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