Medications used in overdose and how they are acquired – an investigation of cases attending an inner Melbourne emergency department

Buykx, Penny; Loxley, Wendy; Dietze, Paul; Ritter, Alison

doi:10.1111/j.1753-6405.2010.00573.x

Cited by 25 publications

(22 citation statements)

References 11 publications

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“…Overdoses in the present study mainly consisted of benzodiazepines (50.8%), followed by antidepressants (23.2%), antipsychotics (16.4%) and NSAIDs (10.0%). This finding is consistent with the results of several previously reported studies in developed countries 6 9 12 19. Paracetamol overdose was relatively uncommon in the present study, comprising only 9.6% of cases.…”

Section: Discussionsupporting

confidence: 94%

See 1 more Smart Citation

Deliberate self-poisoning: characteristics of patients and impact on the emergency department of a large university hospital

Hendrix¹,

Verelst²,

Desruelles³

et al. 2012

Emerg Med J

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Section: Discussionsupporting

confidence: 94%

“…Alcohol was co-ingested by 36% of our patients. This varied between 15% and 55% in other centres 1 9 10 12 13 21. In the current study, alcohol as a c co-ingestant was particularly used by men in the 41–50 year age group.…”

Section: Discussionmentioning

confidence: 51%

Deliberate self-poisoning: characteristics of patients and impact on the emergency department of a large university hospital

Hendrix¹,

Verelst²,

Desruelles³

et al. 2012

Emerg Med J

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“…Drug overdoses are among the most important issues in emergency medicine and comprise a diversity of problems, including epidemiological poisoning deaths, poisoning by a specific drug, issues concerning suicide, and preventive strategies for drug overdoses . However, the effect of drug overdoses on emergency medical services (EMS) system has not been examined in detail.…”

Section: Introductionmentioning

confidence: 99%

Characteristics and trends of emergency patients with drug overdose in Osaka

Kubota¹,

Hasegawa

Taguchi³

et al. 2015

Acute Medicine & Surgery

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Aim: Drug overdose is an important issue in emergency medicine. However, studies covering overdose patients transported by ambulance have not been sufficiently carried out. We attempted to clarify problems of suspected drug overdose patients transported by ambulance.Methods: This is a prospective population-based cohort study. Data were collected by emergency medical service crews in Osaka City, Japan, between January 1998 and December 2010.Results: Drug overdose cases increased annually from 1,136 in 1998 to 1,822 in 2010 (P < 0.0001 for trend). In these cases, the dominant age range was between 16 and 40 years and the age distribution did not change over time. The age of non-overdose cases increased (P < 0.0001 for trend), with patients aged ≥66 years becoming most common in recent years, reflecting the aging of society. Males comprised most non-overdose patients, but the percentage of females increased annually (P < 0.0001 in trend). Females comprised approximately 70% in overdose cases annually throughout the study period. The duration from the emergency call to the arrival at the hospital for overdose patients has increased markedly in recent years. It also takes more time to obtain acceptance from hospitals to care for patients of suspected overdose. Conclusion:The characteristics of drug overdose patients are clearly different from those of non-overdose patients. Recent trends of drug overdose patients indicate the accelerated burden on emergency medical services system.

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“…In general, these previous studies describe more recent DSP characteristics in Queensland and New South Wales. There also have been some recent studies in Victoria examining how medications that are used to self-poison are acquired [11] and reporting on specific drugs like antidepressants [12]. However, detailed reports on DSP from Victoria are more dated and are as much as 15 to 25 years old.…”

Section: Introductionmentioning

confidence: 99%

Deliberate Self-Poisoning Presenting to an Emergency Medicine Network in South-East Melbourne: A Descriptive Study

Rahman

Martin

Graudins

et al. 2014

Emergency Medicine International

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Background. Deliberate self-poisoning (DSP) comprises a small but significant proportion of presentations to the emergency department (ED). However, the prevalence and patient characteristics of self-poisoning attendances to EDs in Victoria have not been recently characterised. Aim. To identify and compare the characteristics of adult patients presenting to the three EDs of Monash Health following DSP. Methods. Retrospective clinical audit of adult DSP attendances between 1st July 2009 and 30th June 2012. Results. A total of 3558 cases over three years were identified fulfilling the search criteria. The mean age of patients was 36.3 years with the largest numbers aged between 18 and 30 (38%). About 30% of patients were born overseas. Forty-eight percent were discharged home, 15% were admitted to ED short stay units, and 5% required ICU admission. The median ED length of stay was 359 minutes (IQR 231–607). The most frequently reported substances in DSP were benzodiazepines (36.6%), paracetamol (22.2%), and antipsychotics (12.1%). Exposure to more than one substance for the episode of DSP was common (47%). Conclusion. This information may help identify the trends in poisoning substances used for DSP in Victoria, which in turn may provide clinicians with information to provide more focused and targeted interventions.

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Medications used in overdose and how they are acquired – an investigation of cases attending an inner Melbourne emergency department

Cited by 25 publications

References 11 publications

Deliberate self-poisoning: characteristics of patients and impact on the emergency department of a large university hospital

Deliberate self-poisoning: characteristics of patients and impact on the emergency department of a large university hospital

Characteristics and trends of emergency patients with drug overdose in Osaka

Deliberate Self-Poisoning Presenting to an Emergency Medicine Network in South-East Melbourne: A Descriptive Study

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