Causes of acute poisoning in adults: a retrospective study, in a hospital in Istanbul, Turkey

Sağlam, Zuhal Aydan; Demir, Başar; Ataoğlu, Esra; Yenigün, Mustafa; Temiz, Levent Ümit; Saler, Tayyibe

doi:10.1007/s10389-011-0436-0

Cited by 8 publications

(19 citation statements)

References 27 publications

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“…[9][10][11]18 although household products and drugs were reported as more common in some studies from Africa and Turkey. 4,12 Less adherence to local regulations, proximity to rural India, agriculture as a major profession of country and "role model" from previous victims may all have a role in an abundance of poisoning from pesticides and other agricultural products. Noteworthy of mention, we found some cases with formalin (in lab workers) and even fertilizer which was available being used as poisoning agents.…”

Section: Discussionmentioning

confidence: 99%

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Trend and outcome of acute poisoning case: an experience from emergency department of eastern Nepal

Bhandari

Gupta

2017

Int J Community Med Public Health

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Background: Poisoning is common in Nepal. The objective of the study was to describe the profile of poisoning cases presenting to the emergency of a medical university in eastern Nepal. The specific focus was on to describe the presentation, demographics, delay to care and describe the triage parameters at presentation. Methods: An observational study was done. The secondary data from case files of all poisoning patients starting February 2012 to March 2013 were analyzed after retrieving them from Hospital record. Results: Poisoning constituted 3.89% of total emergency visits. Mean age was 24 years with female: male 1.32. Median time delay to presentation from the incident was 4 hours. Mortality rate was 5.1%, intubation rate 6.3%. Agricultural products ingestion (763/1399) was the commonest modality. The triage vitals were noted as median 110 mm of Hg (Q25, Q75 100, 120) for systolic blood pressure, median 87 mm of Hg (Q25, Q75 73, 93) for mean arterial pressure and median 97 (Q25, Q75 94, 98) for SPO2 by pulse oximetry. The level of consciousness was noted as alert (87.6%), response to verbal stimuli (3.7%), response to pain stimuli (7.1) and unconscious (1.6%). Comparison between mortality and no mortality groups showed significant difference for mean arterial pressure (n 1399, p<0.001, Kruskal Wallis Test), SPO2 (n 1399, p<0.001, Kruskal Wallis Test) and state of consciousness (n 1399, p<0.001, Chi Square test). Conclusions: Agricultural products are commonest, drugs and unknown poisons are significant. A large proportion is still unknown poisoning. Triage parameters can help to identify patients in risk of high mortality.

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Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] The reasons for poisoning are mostly intentional self-harm, accidental and sometimes homicidal. It poses a significant burden on the health resources with an appreciable mortality and morbidity.…”

Section: Introductionmentioning

confidence: 99%

Trend and outcome of acute poisoning case: an experience from emergency department of eastern Nepal

Bhandari

Gupta

2017

Int J Community Med Public Health

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“…Bu sonuç literatürdeki birçok çalışma ile uyumludur (3)(4)(5) . Yine, taradığımız hastalarda akut zehirlenme olgularının %84,8'inin intihar amaçlı olduğu saptandı ve bu olguların %72'si kadındı.…”

Section: Discussionunclassified

“…İlaçlarla oluşan zehirlenmeler, intihar amaçlı olabileceği gibi ilacın kaza ile yüksek doz alımı ya da normal dozlarıyla oluşabilen ilaç reaksiyonları şeklinde olabilmektedir. Ülkemizde daha çok suisid amaçlı alımın olduğu ve kadınlarda daha sık görüldüğü çeşitli çalışmalarda bildirilmiştir (2)(3)(4)(5) . İlaçlar dışında çeşitli besin maddeleri, kimyasallar, endüstriyel ve tarımsal kaynaklı maddeler, inhale edilen toksik gazlar ve hayvansal zehirler etiyolojik nedenler arasında sayılabilir.…”

Section: Introductionunclassified

Analysis of the poisoning cases administered in intensive care unit

Urfalıoğlu¹,

Dilmen²,

Öner³

et al. 2015

IKSST

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Araştırma ÖZETAmaç: Çalışmamızda, 2010-2014 Material and Methods: We retrospectively reviewed the records of all the patients above 10 years age treated in Elazığ Research and Training Hospital Intensive Care Unit with the diagnosis of poisoning between January 2010 and January 2014.Results: A total of 480 patients (women, n=334; 69.6%, mean age, 26.2±12.01 yrs and men, n=146; 30.4%, mean age, 28.3±11.8 years) were included in the study. The most common cause of poisoning was related to drug therapy (n=411 (85.6%). In single drug poisoning, the most frequently encountered group was using analgesic-antiinflammatory drugs (n= 125: 37.4%). Majority (n=407: 84.8%) of all cases were suicide attempts with a female predominancy (n=293: 72%).

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“…İntoksikasyonların ülkemizde daha çok özkıyım amaçlı meydana geldiği ve sıklıkla kadınlarda görüldüğü rapor edilmiştir. 3,4 Bu çalışmada 2014-2016 yılları arasında Kayseri Eğitim Araştırma Hastanesi Anestezi Yoğun Bakım Ünitesine zehirlenme tanısı ile kabul edilmiş hastaların; demografik özellikleri, zehirlenme türü ve ajanların olası bölgesel farklılık-larının ortaya konması amaçlanmıştır.…”

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Evaluation of Acute Intoxication Cases Followed in Kayseri Training and Research Hospital Anesthesiology Intensive Care Unit

Destegül¹,

Çapar²

2018

Turkiye Klinikleri J Anest Reanim

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8ehirlenmeler tüm dünyada önemli bir sağlık sorunu olup, sık rastlanılan medikal acillerdendir.1 Gelişmekte olan ülkelerde zehirlenmeler %0,07-0,7 sıklığında görülmektedir.2 Ülkemizde de Sağlık Bakanlığının verilerine göre, 2002 yılında tüm hastaların %4,2'sinin zehirlenme vakası olduğu rapor edilmiştir. A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Zehirlenme; ilaç zehirlenmesi; yoğun bakım ünitesi A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The aim of the retrospective study was to analyze demographic and epidemiolgical features of intoxication cases in our city, Kayseri. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Patients, the number of 109 included to the study, who were followed up in the intensive care unit due to the acute intoxication in Kayseri Educational and Research Hospital between 2014-2016 years. Patient's age, gender, education level, type of toxic agent, hospitalization day, number of cases per month, and prognosis were examined. R Re es su ul lt ts s: : A total of 109 poisoned patients consist of 76 (70%) womenand 33 (30%) men and the rate is about 2.3/1. The most common cause of poisoning was releated to drug therapy and antidepressants were more frequent agents in drug group. The second most common cause was carbon monoxide and mushroom. A hundered and seven of them were discharged from hospital (98.16%), 1 of them was transported to another unit (0.91%) and 1 of them died (0.91%) during treatment period. C Co on nc cl lu us si io on n: : Young age and women are found to be the highest risk group for acute intoxication and medicaldrug poisoning was also found to be the most common type of intoxication.

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Causes of acute poisoning in adults: a retrospective study, in a hospital in Istanbul, Turkey

Cited by 8 publications

References 27 publications

Trend and outcome of acute poisoning case: an experience from emergency department of eastern Nepal

Trend and outcome of acute poisoning case: an experience from emergency department of eastern Nepal

Analysis of the poisoning cases administered in intensive care unit

Evaluation of Acute Intoxication Cases Followed in Kayseri Training and Research Hospital Anesthesiology Intensive Care Unit

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