Investigation of Aspiration Pneumonia and Respiratory Tract Complications in Cases Presenting to the Emergency Service with Intoxication: A Prospective Study

Abstract

Aim: In this study, we aimed to investigate the frequency of aspiration pneumonia (AP) and factors affecting AP development in patientspresenting to the emergency department with intoxication.Materials and Methods: This single-center prospective study was conducted during one year in patients admitted to the emergency serviceof a tertiary hospital for intoxication within the first two hours. The data obtained during the study were analyzed statistically using theStatistical Package for Social Sciences (SPSS version 22.0). The results were expressed as mean ± standard deviation. Univariate statisticalanalysis was performed using chi-square test for categorical variables and Mann-Whitney U test for non-parametric data.Results: Of the 50 acute poisoning cases included in the study, pneumonia developed in two cases (4%) in the study group within the firstseven days and none of the patients in the control group had AP or respiratory complications. No significant difference was found betweenthe study group and the control group in terms of AP development (p=0.113).Conclusion: Based on the results of this study, it was considered that gastric lavage and activated charcoal administration were moreclosely associated with AP development in patients presenting with intoxication compared other AP risk factors such as age, lower Glascowcoma scale, and antidepressant or antipsychotic overdose. Therefore, emergency physicians should be sensitive to such cases in order toreduce the duration of treatment and hospitalization of these patients.