One-year retrospective analysis of poisoning cases admitted to our Intensive Care Unit and evaluation of mortality related factors

Köse, Işıl; Zincircioğlu, Çiler; Nimet, Senoglu; Yılmaz, Çetin; Atceken, Gamze; Erbay, Riza Hakan

doi:10.5222/terh.2015.028

Cited by 5 publications

(9 citation statements)

References 17 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%

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%

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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“…5,6 Türkiye'de birçok merkezde özkıyım nedeni ile gelişen zehirlenme vakalarının daha ön planda olduğu ve bu çalışmada da zehirlenmelerin çoğu-nun özkıyım amacıyla ortaya çıktığı (%91,75), gös-terilmiştir. 7,8 Bununla birlikte, Deniz ve ark.nın pediatrik hastaları da dâhil ettikleri çalışmalarında tüm zehirlenmelerin %76,7'sinin kazara alım sonrası geliştiği, 11 yaş üzeri ilaç alımlarının %87'sinin ise özkıyım amaçlı olduğu gösterilmiştir. Bu verilerden yola çıkarak, erişkin yoğun bakım-larında zehirlenmelerin sıklıkla özkıyım amaçlı olduğu, çocuk populasyonda ise zehirlenmelerin daha çok kaza ile geliştiği söylenebilir.…”

Section: Discussionunclassified

“…Bu sonuç birçok çalışma ile korelasyon göstermekte-dir. 7,[17][18][19][20][21] Bu yüksek oranların anti-depresanların ülkemizde reçetesiz de alınabiliyor olabilmesi ve hastaların çoğunun tıbbi geçmişinde psikiyatrik hastalık öyküsü bulunması (%63,3) ile ilişkili olduğu düşünülmektedir. Çalışmamızda ikinci sıradaki en sık intoksikasyon sebebi ajan ise ucuz olup reçetesiz alınabilen, yaygın kullanılan nonsteroid antiinflamatuar ilaçlar (%15,6) ve parasetamol (%15,6)'dür.…”

Section: Discussionunclassified

“…'nın çalışmasında ,intoksikasyonlarda RRT gereksiniminin mortaliteyi artırdığı gösterilmiştir. 7 Ayrıca bu çalışmamızda, bir vakada, yüksek doz demir alımı nedeni ile akut karaciğer hasarı gelişmiş, hasta erken dönemde karaciğer nakli yapılan bir merkeze yönlendirilmiştir. Diğer hastalar (%98,16) kliniğimizden taburcu olarak ayrılmışlardır.…”

Section: Discussionunclassified

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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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“…Ayrıca çalışmada zehirlenmeye neden olan ilaç etken grupları incelenmiş, analjezik ve paresetemol grubu ilaç zehirlenmeleri ile psikiatrik ilaçların daha fazla olduğu görülmüştür. Literatürde benzer sonuçları gösteren çalışmalar vardır 24,25 . Bizim bulgularımızdaki bu farklılığın NSAİİ ve paresetamol sonbaharda ise 17 hastanın (%34,7) hastanemiz acil servisine giriş yaptığı tespit edilmiştir.…”

Section: Bulgularunclassified

Retrospective Analysis of Poisoning Cases Admitted to Emergency Service: An Example of Kars Province

Dolanbay¹,

Gül²,

Aras³

et al. 2019

Kafkas J Med Sci

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Aim: The aim of this study was to investigate the demographic data of poisoning cases who were admitted to the emergency department retrospectively. Material and Method: The demographic data of all patients older than 18 years of age who applied to Kafkas University Research and Application Hospital Emergency Department with poisoning complaint between 23.05.2019 and 01.01.2018 were analyzed retrospectively. To compare the data of the patients were used SPSS-20 packet program. Results: The total number of patients admitted to the emergency department with poisoning complaints was 49. One patient had accidentally taken the drug and the rest consisted of suicidal medications. While 67.3% (33 patients) of the total number of patients were female and 32.7% (16 patients) were male, the mean age of the patients was 25.63 ± 7.56. When the marital status of the patients was examined, it was found that 55.1% were single, 40.8% were married and 4.1% were separated from their spouses. In addition, 57.1% of the patients who came to the emergency department with poisoning complaints were detected in the city center, 28.6% in the district center and 14.3% were detected to reside in the village. When the drug groups causing poisoning among the patients were examined, it was found that the most frequent poisonings due to the use of the drug group consisting of NSAID, influenza drugs and paracetamol combinations and psychiatric drugs. On the other hand, the number of hospitalizations and mortality rates due to poisoning after psychiatric drug group intake were found to be significantly higher than the other drug group intake. Conclusion: We think that the majority of poisoning cases were suicidal and therefore psychiatric consultation should be requested. Furthermore, we believe that avoiding over-the-counter medication will significantly reduce the incidence of poisoning in our country.

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One-year retrospective analysis of poisoning cases admitted to our Intensive Care Unit and evaluation of mortality related factors

Cited by 5 publications

References 17 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

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

Retrospective Analysis of Poisoning Cases Admitted to Emergency Service: An Example of Kars Province

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