Dergiler / İstanbul Kuzey Klinikleri / 2021 / Cilt: 8 - Sayı: 4

An analysis of 1344 consecutive acute intoxication cases admitted to an academic emergency medicine department in Turkey

Sayfa
377–384
Yayın Tarihi
2022-10-18
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

The AUCs for each were 0.89 (SE 0.04; p

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:OBJECTIVE: One of the major causes of emergency department (ED) visits is acute poisoning.
📊
Temel Bulgular & Veri:METHODS: This single-center, retrospective study was conducted using medical records of consecutive patients admitted to the ED between January 2016 and December 2017.
💡
Sonuç & Katkı:The AUCs for each were 0.89 (SE 0.04; p
🔬Tür:Araştırma Makalesi
📍Kapsam:2016 Verileri
⚙️Değişkenler:Alan Parametreleri

Abstract

OBJECTIVE: One of the major causes of emergency department (ED) visits is acute poisoning. Acute intoxications occur soon after either single or multiple exposures to toxic substances, and they started to be a more serious problem in developing countries. The objective of this study was to investigate the local patterns of acute intoxications, as well as clinical and sociodemographic characteristics of patients with acute poisoning, admitted to our hospital’s ED. METHODS: This single-center, retrospective study was conducted using medical records of consecutive patients admitted to the ED between January 2016 and December 2017. RESULTS: A total of 1344 patients were included in the statistical analysis. Of these, 673 (50.1%) were female. Mean (±SD) age was 32.2 (±12.0), ranging between 17 and 84 years. The highest number of poisoning cases was observed in summer, especially in July (10.0%) and August (11.8%), whereas lowest number of admissions related to poisoning occurred during winter in November (5.1%) and December (5.2%). Among admitted cases, many were suicide attempts (55.7%) followed by non-intentional (accidental) ingestion of non-pharmaceutical (n=553, 41.2%) and pharmaceutical agents (n=42, 3.1%). Single agents were the most common cause of acute intoxications (63.2%) rather than multidrug intoxications. Most frequently observed causes of poisonings were recreational substances (30.0%) and agents exposed by inhalation (13.2%). INR, lactate, and pH levels at admission were significant predictors of 7-day mortality without a significant paired difference between each other. The AUCs for each were 0.89 (SE 0.04; p

🔖

Bu Makaleye Atıf Yap

Altinok, A. D., Akoglu, H., Sacak, M. E., Onur, O. (2022). An analysis of 1344 consecutive acute intoxication cases admitted to an academic emergency medicine department in Turkey. İstanbul Kuzey Klinikleri, Cilt: 8 - Sayı: 4, 377–384. https://ajindex.com/articles/551269

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (17)

  1. Chelkeba L, Mulatu A, Feyissa D, Bekele F, Tesfaye BT. Patterns and epidemiology of acute poisoning in Ethiopia: systematic review of observational studies. Arch Public Health 2018;76:34
  2. Farrell DJ, Bower L. Fatal water intoxication. J Clin Pathol 2003;56:803–4
  3. Rajasuriar R, Awang R, Hashim SB, Rahmat HR. Profile of poisoning admissions in Malaysia. Hum Exp Toxicol 2007;26:73–81
  4. Gummin DD, Mowry JB, Spyker DA, Brooks DE, Fraser MO, Banner W. 2016 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 34th Annual Report. Clin Toxicol (Phila) 2017;55:1072–52
  5. Poojari PG, Thunga G, Nair S, Kunhikatta V, Rao M. A global overview of poison treatment apps and databases. Int J Toxicol 2019;38:146–53
  6. Ouédraogo M, Ouédraogo M, Yéré S, Traoré S, Guissou IP. Acute intoxications in two university hospitals in Burkina Faso. Afr Health Sci 2012;12:483–6
  7. Camidge DR, Wood RJ, Bateman DN. The epidemiology of self-poisoning in the UK. Br J Clin Pharmacol 2003;56:613–9
  8. Republic of Turkey Ministry of Heath. Health Statistics Year Book. Available at: https://dosyasb.saglik.gov.tr/Eklenti/30148,ingilizcesiydijiv1pdf.pdf?0. Accessed May 10, 2019
  9. Sorge M, Weidhase L, Bernhard M, Gries A, Petros S. Self-poisoning in the acute care medicine 2005–2012. Anaesthesist 2015;64:456–62
  10. WHO. Poisoning Prevention and Management. Available at: https:// www.who.int/ipcs/poisons/en/2019. Accessed May 10, 2019
  11. McClure GM. Suicide in children and adolescents in England and Wales 1970-1998. Br J Psychiatry 2001;178:469–74
  12. Rajbanshi LK, Arjyal B, Mandal R. Clinical profile and outcome of patients with acute poisoning admitted in intensive care unit of tertiary care center in Eastern Nepal. Indian J Crit Care Med 2018;22:691–6
  13. Güloğlu C, Kara IH. Acute poisoning cases admitted to a university hospital emergency department in Diyarbakir, Turkey. Hum Exp Toxicol 2005;24:49–54
  14. Kaya E, Yilmaz A, Saritas A, Colakoglu S, Baltaci D, Kandis H, et al. Acute intoxication cases admitted to the emergency department of a university hospital. World J Emerg Med 2015;6:54–9
  15. Saglam ZA, Demir B, Ataoglu EH, Yenigun M, Temiz LU, Saler T. Causes of acute poisoning in adults: A retrospective study, in a hospital in Istanbul, Turkey. J Public Health 2011;20:59–63
  16. Selçuk M, Çakar N. Single-center analysis of acute intoxication: sixyear data case. Türk Yoğun Bakım Derneği Dergisi 2015;13:57–61
  17. Bakhai