Bangungut in Manila: sudden and unexplained death in sleep of adult Filipinos
Bangungut in Manila: sudden and unexplained death in sleep of adult Filipinos
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DOI：
10.1093/ije/27.4.677
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发表时间：
1998-08-01
影响因子：
7.7
通讯作者：
Booton, EA
中科院分区：
文献类型：
--
作者：
Munger, RG;Booton, EA
背景：在一些亚洲人群中，睡眠猝死（SUDS）是年轻男性死亡的主要原因，但其历史和流行病学尚不清楚。方法回顾马尼拉地区的尸检记录，对SUDS的分类进行研究。1948年至1982年期间在马尼拉提交的死亡证明随后在一项关于南方猝死综合症发病率的研究中进行了审查。一项关于死亡证明的嵌套病例对照研究将出生地作为sud风险的一个指标。结果马尼拉1948-1982年期间（N = 722）的SUDS病例的分类从民间术语“bangungut”（“在睡眠中起床和呻吟”）演变为各种死后物的描述。各组受害者的特征相似：96%为男性，平均年龄33岁，死亡时间为凌晨3点。死亡是季节性的，在12月至1月达到高峰。与死亡对照组相比，SUDS患者出生在马尼拉地区以外的可能性更大（相对优势= 2.11;95% CI: 1.59-2.78）。从1948年到1982年，25-44岁男性的猝死率从每10万人-年10.8例上升到26.3例。结论马尼拉市SUDS的死亡证明分类发生了较大变化，掩盖了发病率的增加。猝死综合症在东南亚似乎是一种区域现象，可能是环境原因，因为死亡是季节性的，在研究的时间范围内有所增加，而且在马尼拉的移民中比在那里出生的人更常见。
Background Sudden and unexplained death in sleep (SUDS) is a leading cause of death of young men in several Asian populations, but the history and epidemiology of SUDS are not well known.Methods Autopsy records were reviewed in Manila in a study of the classification of SUDS. Death certificates filed in Manila during 1948-1982 were then reviewed in a study of SUDS incidence. A nested case-control study of death certificates examined birthplace as an indicator of SUDS risk.Results The classification of SUDS cases in Manila during 1948-1982 (N = 722) evolved from the folk term, bangungut ('to rise and moan during sleep'), to various descriptions of post-mortem artefacts. The characteristics of victims in each of the groups were similar: 96% male, mean age 33 years, and modal lime of death 3:00 a.m. The deaths were seasonal, peaking in December-January. SUDS victims were more likely than deceased controls to have been born outside of the Manila region (relative odds = 2.11; 95% CI: 1.59-2.78). The SUDS rate for men aged 25-44 years increased from 10.8 to 26.3 per 100 000 person-years from 1948 to 1982.Conclusion The death certificate classification of SUDS in Manila has changed considerably, obscuring an increase in incidence. SUDS appears to be a regional phenomenon in Southeast Asia and environmental causes are likely because the deaths are seasonal, increased over the timespan studied, and are more common among migrants to Manila than among those born there.