Incidence of intoxication events and patient outcomes in Taiwan: A nationwide population-based observational study

Abstract

Background Intoxicated patients were frequently managed in the emergency departments (ED) with few studies at national level. The study aimed to reveal the incidence, outcomes of intoxications and trend in Taiwan. Methods Adults admitted to an ED due to an intoxication event between 2006 and 2013 were identified using the Taiwan National Health Insurance Research Database. The rate of intoxication and severe intoxication events, mortality rate, hospital length of stay (LOS), and daily medical costs of these patients were analyzed. Changes over time were analyzed using Joinpoint models. Multivariable generalized regressions with GEE were used to assess the effect of sex, age, and presence of prior psychiatric illness. Results A total of 20,371 ED admissions due to intoxication events were identified during the study period, and the incidence decreased with annual percentage change of 4.7% from 2006 to 2013. The mortality rate, hospital LOS, and daily medical costs were not decreased over time. Males and geriatric patients had more severe intoxication events, greater mortality rates, and greater daily medical costs. Patients with psychiatric illnesses had higher mortality rates and a longer hospital LOS, but lower daily medical expenses. Conclusion From 2006 to 2013, there was a decline in the incidence of ED admission for intoxication events in Taiwan. Males, geriatric patients, and those with psychiatric illnesses had greater risks for severe intoxication and mortality.

Cardiac Manifestations after Ingestion of a Commercial Desiccant: A Case Report

“…According to the World Health Organization mortality database, over 700,000 people die by committing suicide each year, which makes it the fourth leading cause of death among people under the age of 30 years [3]. A nationwide population study in East Asia revealed that suicide attempts in patients with psychiatric illness occurred more frequently and exhibited a more serious pattern [4]. European data indicated significant gender differences in suicide methods and lethality, with men often choosing more violent and intentional methods [5].…”