Analysis of the poisoning cases administered in intensive care unit

Urfalıoğlu, Aykut; Dilmen, Necla; Öner, Sait Fatih; Hanbeyoğlu, Onur; Gündoğdu, Zafer

doi:10.5222/iksst.2015.063

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…While 59.5% (n=100) of drug intoxications were female, 92.3% (n=24) of drug abuse cases were male. The mean age and distribution range of drug intoxications was 27.8±8.3 (17-67) years, while the mean age and distri-bution range of drug users was 26.5±3.8 (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33) years. While the mean duration of stay in the ICU was 2.3±1.2 days for drug intoxications, it was 2.8±1.9 days for drug use.…”

Section: Resultsmentioning

confidence: 99%

“…It is known that pre-existing psychiatric problems are an essential factor in suicidal intoxication attempts. Dogan et al 10 in 23% of the patients, Yeşiller et al 17 in 34.1% of patients, and Urfalıoğlu et al 18 emphasized that 51% of the patients had a history of psychiatric illness. In our study, 35.1% of intoxication cases had a history of psychiatric illness, which was consistent with the literature.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Acute Drug Intoxications and Drug Use in the Intensive Care Unit: A Retrospective, Single-Center Analysis

ARSLAN

Şahin

2023

JoCASS

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Aim: Drug intoxications and drug uses are public health problems and an important reason for patient admission to emergency departments and intensive care units (ICU).This study aims to evaluate the demographic and clinical data of acute drug intoxications and drug use. Methods: Patients followed up in the ICU for acute drug intoxications and drug use between January 2014 and January 2020 were evaluated retrospectively. Results: A total of 194 patients were included in the study, including 168 drug intoxication and 26 drug use. While 59.5% of drug intoxications were female, the mean age was 27.8±8.3 years, 92.3% of drug use was male, and the mean age was 26.5±3.8 years. While the mean duration of stay in the ICU was 2.3±1.2 days for drug intoxications, it was 2.8±1.9 days for drug use. The highest rate of drug intoxication was between the ages of 17-30, and 98.8% of them were suicidal. Most of the intoxications (61.9%) occurred with multiple drugs, most commonly with analgesics (40.4%) and antidepressants (34.5%). The mortality rate of drug intoxication was 0.6%, and the mortality rate of drug users was 11.5%. While male gender and mechanical ventilation (Mv) requirement were significantly higher in drug use, Glasgow coma scale (GCS) scores at discharge and hospitalization were significantly lower (p

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluation of Acute Drug Intoxications and Drug Use in the Intensive Care Unit: A Retrospective, Single-Center Analysis

ARSLAN

Şahin

2023

JoCASS

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“…In different studies, intoxication mortality rates range between 0.2% and 23.5% [7] [14] [16] [24]. Kose et al showed that 29.4% of the patients needed mechanical ventilation support and the mortality rater in their findings was 23.5% [25].…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Analysis of Intoxicated Patients Admitted to the Intensive Care Unit: A Single-Institution Assessment in the Post-Pandemic Period

Arikan,

Yeşilkaya,

Taşdelen

et al. 2024

JBM

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Background: The aim of this study was to evaluate the clinical and epidemiological characteristics of patients with acute intoxication admitted to the Intensive Care Unit (ICU). Material and Methods: An observational retrospective study was conducted on intoxicated patients who admitted to ICU between January 2022 and January 2024. Data were collected from the patients medical records. The demographic characteristics, causes of intoxications, clinical parameters, the mean stay in the ICU, treatment modalities and prognosis were recorded. Results: A total of 2875 critically ill patients were admitted during the study period, and 109 (3.79%) of them were acute intoxications. Their mean of ages was 38.09 ± 12.29. The female-to-male ratio was 1.37/1. Drugs were found to be the primary cause (62.39%) of intoxications, and analgesics, antidepressants, and antibiotics were the most frequent agents. Suicidal attempts were present in 66 patients, most of them were female (62.13%) and between 17 -24 years (40.91%). The other common causes of intoxications were carbon monoxide (CO) (22.02%), methyl/ethyl alcohol (8.26%) and mushroom (5.50%). The mean stay in the ICU was 2.69 ± 0.89 days. Mechanical ventilation was applied to 10 of our patients. Renal replacement therapy was required in 6 patients. Despite all treatments, 6 of our patients died, and we found the mortality rate to be 5.50%. Conclusion: Intoxications were more frequent in young female patients and drugs were the most common cause with suicidal intent. Unfortunately, CO poisoning continues to be a very important problem in our city. These findings provided significant information about the characteristics of intoxications in Karabuk.

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“…Çalışmamızda yoğun bakım ünitemize kabul edilen hastaların intihar amacıyla en çok ilaç kullandıkları tespit edilmiş olup bu oran %70,5 olarak bulunmuştur. Kullanılan ilaçlar incelendiğinde ilk sırada analjezikler, ikinci sırada ise antidepresanlar gelmekte ve bu sonuçlar literatürle uyum göstermektedir (9,(13)(14)(15). İntihar amacıyla bu ilaçların tercih edilme sebeplerin başında ilaçlara reçetesiz olarak çok kolay ulaşılması ve yaygın olarak kullanılması olduğunu düşünüyoruz.…”

Section: Discussionunclassified

Retrospective Investigation of Intoxication Cases Followed up in Intensive Care Unit

Tüfek¹,

Taşdemir²,

Sıvacı³

2017

tybdd

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Objective: In this study, it was aimed to retrospectively evaluate the demographic and etiological characteristics, duration of intensive care stay and prognosis of intoxication cases followed up in intensive care unit over a period of 70 months. Materials and Methods: Between January 2011 and October 2016, epidemiology of intoxication cases, who stayed and followed up in Afyon Karahisar University Medical Faculty Hospital Anesthesiology and Reanimation Intensive Care Unit were retrospectively evaluated. Patients were evaluated for age, gender, intoxication effect, cause of intoxication, duration of stay in intensive care unit, need for mechanical ventilation, seasonal variation of intoxication and mortality rates. Results: In the study 122 cases of intoxication were included. Of the patients 81.1% applied with drug or toxic substance intake for attempted suicide. Women made of 65.6% of our patients. The average age of the patients was calculated as 33.12±15.61. When drugs and toxic compounds they took were evaluated, analgesics took the first order, antidepressants took the second order and organophosphates from toxic compounds took the third order. In terms of seasons, the admissions were mostly during spring and winter. The average duration of stay in our intensive care unit was 4.9 days. Mortality rate was determined as 4.9%. Mortalite oranımız %4,9 olarak tespit edilmiştir. Sonuç: Yoğun bakım ünitemizde takip ettiğimiz zehirlenme olgularının büyük bir kısmını kadınların ve gençlerin oluşturduğu tespit edilmiştir. Kolay ulaşılabilen analjezik ve antidepresanlar intihar amaçlı kullanıldığı ve kaza ile en çok organofosfatlara maruz kalındığı sonucuna varılmıştır ve tarımsal ilaç kullanımı hakkında halkın bilinçlendirilmesi ve etiketlerinin açık net ve anlaşılır olması ve gıdalarla aynı ortamda bulundurulmaması zehirlenme vakalarını önemli oranda azaltacağını düşünmekteyiz.

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Analysis of the poisoning cases administered in intensive care unit

Cited by 3 publications

References 8 publications

Evaluation of Acute Drug Intoxications and Drug Use in the Intensive Care Unit: A Retrospective, Single-Center Analysis

Evaluation of Acute Drug Intoxications and Drug Use in the Intensive Care Unit: A Retrospective, Single-Center Analysis

A Retrospective Analysis of Intoxicated Patients Admitted to the Intensive Care Unit: A Single-Institution Assessment in the Post-Pandemic Period

Retrospective Investigation of Intoxication Cases Followed up in Intensive Care Unit

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