Journals / Ege Klinikleri Tıp Dergisi / 2022 / Cilt: 60 - Sayı: 1

Retrospective Analysis of Patients Presenting to the Emergency Department With Poisoning After Oral Drug Ingestion

Acil Servise Oral İlaç Alımı Sonrası Zehirlenme ile Başvuran Hastaların Retrospektif İncelenmesi

Pages
61–68
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusions: Although intoxication cases are full of uncertainties, according to the results of our study, poisonings after oral drug intake often progress with a good prognosis.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim In cases of intoxication with oral medication, especially for suicide, the patient takes very high doses of medication, and often a life threatening situation occurs This situation is an important part of emergency department ( admissions In this study, we tried to examine the treatment and prognosis of patients who were poisoned by taking oral drugs intentionally or accidentally and applied to our emergency department for 2 years Methods In our study, we retrospectively reviewed the files of 257 patients who applied to our ED with the complaint of accidentally or intentionally taking oral drugs between January 2018 and December 2020 and were diagnosed with intoxication The demographic characteristics of these patients, the medications they took, their symptoms at admission, the treatments applied, and their prognosis were evaluated Results In our study, archiving data were analysed retrospectively and 257 records were included It was determined that the most frequent admissions to the ED were between 16 00 and 00 00 and in July 12 It was observed that women (54.9%) most often attempted suicide and that they did so mainly by taking analgesic drugs (32.2%). 51.8% of the patients were asymptomatic, 30.8% were treated in the ED, and 2 (0.8%) of 27 patients who were referred to another hospital died.
📊
Key Findings & Data:Aim In cases of intoxication with oral medication, especially for suicide, the patient takes very high doses of medication, and often a life threatening situation occurs This situation is an important part of emergency department ( admissions In this study, we tried to examine the treatment and prognosis of patients who were poisoned by taking oral drugs intentionally or accidentally and applied to our emergency department for 2 years Methods In our study, we retrospectively reviewed the files of 257 patients who applied to our ED with the complaint of accidentally or intentionally taking oral drugs between January 2018 and December 2020 and were diagnosed with intoxication The demographic characteristics of these patients, the medications they took, their symptoms at admission, the treatments applied, and their prognosis were evaluated Results In our study, archiving data were analysed retrospectively and 257 records were included It was determined that the most frequent admissions to the ED were between 16 00 and 00 00 and in July 12 It was observed that women (54.9%) most often attempted suicide and that they did so mainly by taking analgesic drugs (32.2%). 51.8% of the patients were asymptomatic, 30.8% were treated in the ED, and 2 (0.8%) of 27 patients who were referred to another hospital died.
💡
Conclusion & Impact:Conclusions: Although intoxication cases are full of uncertainties, according to the results of our study, poisonings after oral drug intake often progress with a good prognosis.
🔬Design:Review & Systematic Survey
📍Scope:2018 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim In cases of intoxication with oral medication, especially for suicide, the patient takes very high doses of medication, and often a life threatening situation occurs This situation is an important part of emergency department ( admissions In this study, we tried to examine the treatment and prognosis of patients who were poisoned by taking oral drugs intentionally or accidentally and applied to our emergency department for 2 years Methods In our study, we retrospectively reviewed the files of 257 patients who applied to our ED with the complaint of accidentally or intentionally taking oral drugs between January 2018 and December 2020 and were diagnosed with intoxication The demographic characteristics of these patients, the medications they took, their symptoms at admission, the treatments applied, and their prognosis were evaluated Results In our study, archiving data were analysed retrospectively and 257 records were included It was determined that the most frequent admissions to the ED were between 16 00 and 00 00 and in July 12 It was observed that women (54.9%) most often attempted suicide and that they did so mainly by taking analgesic drugs (32.2%). 51.8% of the patients were asymptomatic, 30.8% were treated in the ED, and 2 (0.8%) of 27 patients who were referred to another hospital died. Conclusions: Although intoxication cases are full of uncertainties, according to the results of our study, poisonings after oral drug intake often progress with a good prognosis.

Özet

Amaç Oral yolla alınan ilaçlarla zehirlenmelerde özellikle özkıyım amaçlı yapıldığı zaman, hasta çok yüksek dozda ilaç a l makta ve çoğu zaman hayati tehlike oluşmaktadır Bu durum acil servis başvurularında önemli bir yer tutmaktadır Bu çalışmamızda acil servisimize 2 yıl süreyle başvuran kasıtlı ya da kasıtsız oral yolla ilaç alıp zehirlenen hastaların tedavileri prognozu incelenmeye çalışılmıştır Materyal ve Metod Çalışmamızda Ocak 2018 Aralık 2020 tarihleri arasında kazayla ya da suicid amaçla oral yolla zehirlenme şikayeti ile Acil Servis’imize başvurup intoksikasyon tanısı almış 257 hasta dosyası geriye dönük taranmıştır Bu hastaların demografik özellikleri alınan ilaçlar semptom uygulanan tedavi ve prognoz incelenmeye çalışılmıştır Bulgular Çalışmamıza 257 dosya dahil edilmiştir Acil Servis’e en sık 16 00 00 00 saatleri arasında ve Temmuz 12 ayında başvuru olduğu tespit edilmiştir En fazla kadınların 54 9 suicid girişiminde bulunduğu ve en çok analjezik türevi ilaç 32 2 alarak suicid girişiminde bulundukları görülmüştür Hastaların 51 8 ’inin asemptomatik olduğu 30 8 ’inin Acil Servis’te tedavi aldığı başka bir hastaneye sevk olan 27 hastadan 2 ’sinin 0 8 ex olduğu öğrenildi Sonuç Her ne kadar intoksikasyon vakaları belirsizliklerle dolu olsa da, çalışmamız sonuçlarına göre oral ilaç alımı sonrası zehirlenmeler sıklıkla iyi prognozla seyretmektedir

🔖

Cite This Article

GÜVEN, O., KURT, B. F. (2022). Retrospective Analysis of Patients Presenting to the Emergency Department With Poisoning After Oral Drug Ingestion. Ege Klinikleri Tıp Dergisi, Cilt: 60 - Sayı: 1, 61–68. https://ajindex.com/articles/495567

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (1)

  1. Linden CH, Burns JM Poisoning and drug overdosage In Harrison's Principles of Internal Medicine Harrison TR, et al eds McGraw Hill 16 th ed 2581 2593 2006 Akköse Ş Fedakar R Bulut M Çebiçci H 2003 Zehirlenme olgularının beş yıllık analizi Acil Tıp Dergisi 3 1 8 10 Çetin, N G Beydilli, H Tomruk, Ö 2004 Acil servise başvuran intoksikasyon olgularının geriye dönük analizi SDÜ Tıp Fakültesi Dergisi, 11 4 Kaya, E Yilmaz A Saritas A Colakoglu S Baltaci D Kandis H Kara, I H 2015 Acute intoxication cases admitted to the emergency department of a university hospital World journal of emergency medicine 6 1 54 Mete, B Söyiler V Pehlivan, E 2020 Psikiyatrik bozukluklar ile özkıyım arasındaki ilişkinin incelenmesi 2013 2018 yılları için kayıtlara dayalı geriye dönük bir araştırma Klinik Psikiyatri Dergisi, 23 1 Christodoulou C Douzenis A Papadopoulos F C Papadopoulou A Bouras G Gournellis R Lykouras L 2012 Suicide and seasonality Acta Psychiatrica Scandinavica 125 2 127 146 Salib E 1997 Elderly suicide and weather conditions is there a link? International journal of geriatric psychiatry 12 9 937 941 Yilmaz A Guven F M K Korkmaz, İ Karabulut, S 2006 Acil serviste akut zehirlenmelerin retrospektif analizi CÜ Tıp Fakultesi Dergisi, 28 1 21 26 ÖZÇELİKAY, G 2001 Akılcı ilaç kullanımı üzerinde bir pilot çalışma Ankara Üniversitesi Eczacılık Fakültesi Dergisi 30 2 9 18 Kondolot, M Akyıldız, B Görözen F Kurtoğlu, S Patıroğlu T 2009 Çocuk acil servisine getirilen zehirlenme olgularının değerlendirilmesi Çocuk Sağlığı ve Hastalıkları Dergisi, 52 2 68 4 Sarıkayalar F Çocuklarda zehirlenmeler Katkı Pediatri Dergisi 2001 22 4 377 95 Ozturk M Ipekci A Kiyak S K Akdeniz, Y S Aydin, Y Ikizceli I Sogut O 2019 Bleeding complications in warfarin treated patients admitted to the emergency department Journal of clinical medicine research 11 2 106 Yeşil O Akoğlu H Özge O N U R Güneysel Ö 2008 ACİL SERVİSE BAŞVURAN ZEHİRLENME OLGULARININ GERİYE DÖNÜK ANALİZİ Marmara Medical Journal 21 1 26 32 Deniz T Kandiş H Saygun M Büyükkoçak Ü Ülger H Karakuş A 2009 Kırıkkale Üniversitesi Tıp Fakültesi acil servisine başvuran zehirlenme olgularının analizi Düzce Tıp Fakültesi Dergisi 11 2 15 20 Ersoy A Kara, D Cangir C C Erdoğan E Ali, A Büyükyıldırım A 2013 Yoğun Bakımda İntoksikasyon Olgularının Değerlendirilmesi Med J Okmeydani Train Res Hosp 29 72 5 Satar S Seydaoglu G 2005 Analysis of acute adult poisoning in a 6 year period and factors affecting the hospital stay Advances in therapy 22 2 137 147 Bu