Hong Kong Poison Information Centre: Annual Report 2015

Chan, YC; Tse, ML; Lau, FL

doi:10.1177/102490791602300605

Cited by 6 publications

(19 citation statements)

References 6 publications

(11 reference statements)

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“…The figures closely match that from Hong Kong where about 60% of the cohort had mild clinical effects and about 5% of the cases are graded as severe or fatal. 10 This is also consistent with other local studies. 4,9 Patients with mild effects could be managed in the outpatient setting especially if the exposure is unintentional.…”

Section: Discussionsupporting

confidence: 93%

See 1 more Smart Citation

A 24/7 hospital toxicology service: Experience of a new start-up

Arciaga

Tan

Kuan

et al. 2018

Proceedings of Singapore Healthcare

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Objectives: A toxicology team providing round-the-clock consultations for poisoning was established in Changi General Hospital in November 2014. This study aims to describe the epidemiology of patients referred to this service in 2015. Methods: A retrospective electronic and paper records review of all patients referred to the toxicology service from January to December 2015 was performed for demographics, poisoning, clinical, and outcome data. The cases were graded for poisoning severity score (PSS), likelihood of poisoning exposure and relative contribution to fatality for death cases. Results: A total of 306 cases were referred to this service in 2015. The median age was 34 years with majority being females (54%). The most common cause of poisoning was deliberate self-harm (62%) and the most common route of poisoning was oral (85%). Analgesics (21%) and sedatives (19%) were the most common poisoning classes. Six per cent of patients received decontamination and 17% received antidotes. The likelihood of poisoning exposure was probable to definite certainty for 85% of the cases. Mild poisoning (PSS 0-1) constituted 76% of the cohort, while 22% had moderate to severe poisoning (PSS 2-3). Out of the five fatalities, three were exposure-related fatalities contributing to a fatality rate of 1%. Fifty-four per cent of patients were admitted to the emergency department observation unit, 17% to general inpatient wards and 9% to either intensive care unit or high dependency wards. Conclusions: Although most poisoning cases resulted in mild clinical effects, a small but significant number of severe acuity cases occurred in this cohort.

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Section: Discussionsupporting

confidence: 93%

“…The Hong Kong Poison Information Centre (HKPIC), which has been established for almost 10 years, 10 provides a consultation service to all physicians and healthcare workers in Hong Kong. They have an average annual census of about 4000 cases of poisoning.…”

Section: Discussionmentioning

confidence: 99%

A 24/7 hospital toxicology service: Experience of a new start-up

Arciaga

Tan

Kuan

et al. 2018

Proceedings of Singapore Healthcare

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“…The increase in number of poisoning cases was primarily from our reporting service while the cases in the consultation remained similar. 2 Whether the increase in the reporting cases is due to the increased utilization of reporting system or a true increased incidence of the poisoning cases in Hong Kong needs further monitoring.…”

Section: Discussionmentioning

confidence: 99%

Hong Kong Poison Information Centre: Annual report 2016

Chan

et al. 2017

Hong Kong j. emerg. med.

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Results: A total of 4096 poisoned cases were analysed. There were 1871 male patients (45.7%), 2203 female patients (53.8%) and 22 sex unspecified patients (0.5%). The majority of the cases (63.1%) were between 20 and 59 years old. Common causes for poisoning were suspected self-harm/suicidal attempt (36.3%), unintentional exposure (18.4%) and abusive use (13.1%). Excluding the common co-ingestant ethanol, the five commonest types of poisons were benzodiazepines, paracetamol, household products, zopiclone and Chinese herbal medicine. Most patients were managed with supportive measures, while 14.3% and 12.9% of them were treated by decontamination and antidotes, respectively. Majority of the cases had uneventful recovery; 1% resulted in death and 3.9% had major outcomes. Six interesting cases and three poisoning outbreaks were discussed. Conclusion: This 11th annual report provided the updated epidemiological information on poisoning pattern in Hong Kong and highlighted important changes in comparing with our previous reports.

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“…The types of poisons were classified according to the annual reports of HKPIC. 8 Ethanol was found in 35 (13%) patients. Twenty patients out of these 35 patients were purely drunk requiring ICU admissions with no other poisons found.…”

Section: Resultsmentioning

confidence: 98%

Ten‐year profile of acute poisoning patients presenting to an Accident and Emergency Department requiring intensive care in a regional hospital of Hong Kong

2019

Hong Kong j. emerg. med.

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Background: Hong Kong Poison Information Centre publishes annual reports on all poisoning cases received by the Centre in that year since 2006. However, there is little data about acute poisoning cases requiring intensive care unit admissions in Hong Kong. Objective: To report and analyze the 10-year poisoning data of acute poisoning patients presenting to an Accident and Emergency Department requiring intensive care in a regional hospital of Hong Kong. Methods: This was a retrospective study on patients presented from January 2007 to December 2016. These cases were retrieved from Clinical Data Analysis and Reporting System of the Hospital Authority, Hong Kong. Clinical data of these cases were then retrieved from patients' electronic records. Results: A total of 270 cases were analyzed during the period. There were 152 (56.3%) male patients and 118 (43.7%) female patients. The middle aged group (age 30-39 and age 40-49) constitutes nearly half (48.6%) of all these admissions. Around 50% of them had history of psychiatric illness. Nearly 40% of them were known substance abusers. Majority of the patients (66.7%) were admitted directly from Accident and Emergency Department. The commonest cause was suspected self-harm (56.3%). When ethanol (13%) was excluded, the five commonest types of poisons were benzodiazepine (26.3%), opioids (20.7%), zopiclone (18.5%), carbon monoxide poisoning (13%), and household products (10.7%). Twenty-seven patients (10%) had decontamination done in Accident and Emergency Department or Emergency Medicine Ward. 112 patients (41.5%) were given one or more antidotes in Accident and Emergency Department and Emergency Medicine Ward. Altered mental status was the most frequently found complications (72.2%) in these patients. 76 patients (28.1%) required endotracheal intubation in Accident and Emergency Department. The length of stay in Intensive Care Unit ranged from 1 to 7 days with an average of 2.1 days. There were 25 deaths (9.3%) and 31 patients with major effects (11.5%). Conclusion: An estimate of 9.4% of acute poisoning patients presenting to Accident and Emergency Department might need Intensive Care Unit care at certain stage of their hospital stay. Benzodiazepine, opioids, zopiclone, carbon monoxide poisoning, and ethanol were the top five poisons in our series from 2007 to 2016. The mortality rate (9.3%) was high in our series given that there were more substance abusers.

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Hong Kong Poison Information Centre: Annual Report 2015

Cited by 6 publications

References 6 publications

A 24/7 hospital toxicology service: Experience of a new start-up

A 24/7 hospital toxicology service: Experience of a new start-up

Hong Kong Poison Information Centre: Annual report 2016

Ten‐year profile of acute poisoning patients presenting to an Accident and Emergency Department requiring intensive care in a regional hospital of Hong Kong

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