Pattern of Acute Poisoning in Shahrekord (Western Iran)

Akhlaghi, Mahmood; Arbabi, Zahra.; Khadivi, Reza

doi:10.3923/aje.2009.9.12

Cited by 13 publications

(13 citation statements)

References 12 publications

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“…Despite that, the conveyed length of stay was less than reported elsewhere. 21,22,61,62,65 This may be attributed to the predominance of mild conscious cases in the current study (93.0%).…”

Section: Discussionmentioning

confidence: 61%

Impact of Lockdown due to COVID-19 on the Modalities of Intoxicated Patients Presenting to the Emergency Room

Fayed

Sharif

2021

Prehosp. Disaster med.

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Introduction: Coronavirus disease 2019 (COVID-19) pandemic influences health care facilities world-wide. The flow rate, type, and severity of cases presented to emergency departments varied during the pandemic in comparison to the past years. However, this change has not been well-described among the cases of hospital admission due to toxic exposure. Study Objective: Recognition of the pattern of toxic exposure among the cases refereed to Tanta Poison Control Center (TPCC; Tanta, Egypt) during the past five years, and furthermore, exploration of the impact of lockdown due to the COVID-19 pandemic on the pattern of presented cases. Methods: The current study is a five-year retrospective, comparative cross-sectional study carried out among acutely intoxicated patients admitted to TPCC during the spring months (March through May) of 2016-2020. A total of 1,916 patients with complete medical records were recruited. The type and manner of toxic exposure, demographic, clinical data, and outcomes were analyzed. Results: The current study noted that there were delays in time from toxic exposure to emergency services during the lockdown period. This was reflected in significant lower recovery rates (884.8/1,000 population; z = −3.0) and higher death rates (49.4/1,000 population; z = 2.1) despite the marked decrease in the total number of hospital admissions in comparison to the past four years. The lockdown period showed significantly higher phosphides (z = 3.5; χ2 = 34.295; P <.001) and antipsychotics exposure (z = 3.6; χ2 = 21.494; P <.001) than the previous years. However, predominance of female exposure and intentional self-poisoning was maintained over the past five years, including the lockdown. Conclusion: COVID-19-associated lockdown greatly reformed the usual intoxication pattern of the cases admitted to emergency room. Also, it played a role in delaying time of hospital arrival, which was reflected as lower recovery rates and higher death rates.

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“…Despite that, the conveyed length of stay was less than reported elsewhere. 21,22,61,62,65 This may be attributed to the predominance of mild conscious cases in the current study (93.0%).…”

Section: Discussionmentioning

confidence: 61%

Impact of Lockdown due to COVID-19 on the Modalities of Intoxicated Patients Presenting to the Emergency Room

Fayed

Sharif

2021

Prehosp. Disaster med.

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“…3,4,12,32 The highest incidence was recorded in young adults (21-30 years of age), situation also reported by investigators from Iran and developing countries. 3,5,8,17,33,34 A slight predominance in women was observed, the male-to-female ratio 1:1.9. Comparable findings have also been reported in several studies conducted in Iran, Taiwan, Turkey and Hong Kong 3,5,6,12,15,16,18,33 but differs from epidemiological studies from the western part of Iran and India, where the poisonings are more frequent in men, possibly due to the religious characteristics in these regions, reasons actually mentioned by the authors.…”

Section: Discussionmentioning

confidence: 97%

“…Poisoning with pharmaceutical products is ubiquitous, as we can see in the reports originating from very different countries. [1][2][3][4][5][6][7][8][9][10][11] In 2008, acute drug poisonings were found to be the first cause of acute poisoning in USA. In top 25 substance categories associated with the largest number of fatalities, the first five positions were occupied by drugs poisonings.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of acute drug poisoning in a tertiary center from Iasi County, Romania

et al. 2011

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The aim of this retrospective epidemiological study was to investigate the demographical, etiological and clinical characteristics of acute drug poisonings in Iasi County, Romania. All patients were referred and admitted in the Toxicology Clinic of “Sf. Ioan” Emergency Clinic Hospital Iasi, Romania. Between 2003 and 2009, 811 cases of acute drug poisonings were recorded, counting for 28.43% from the total number of poisonings. The majority of these poisonings resulted in mild (51.94%) and medium (28.35%) clinical forms, while 19.71% were coma situations. In all, 63.51% of patients originated from urban areas, 39.94% were unemployed and the patients were predominantly women (66.46%). A high percentage (97.27%) were suicide attempts, using only one type of drug (65.88%) and the 21–30 years group (29.8%) records the highest incidence, for both women and men. The most frequently involved drugs were benzodiazepines 13.69%, anticonvulsive drugs 8.63%, barbiturates 8.51% and cardiovascular drugs 5.92%. Drugs combinations were recorded in 32.92% of cases and 1.2% were combinations between drugs and other substances. Mortality was the outcome in 0.3% of the total registered number of acute drug poisonings. This study underlines that in order to provide a proper management of these situations, a Regional Poison Information Center is absolutely necessary.

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“…It has been reported to be the cause of death in as many as 593000 people in the developing world annually (intentional and unintentional) [1]. It is one of the most common causes of mortality and morbidity in countries such as Bangladesh and India.…”

Section: Introductionmentioning

confidence: 99%

A tale of two systems: poisoning management in Iran and the United States

et al. 2013

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Poisoning morbidity and mortality is high in the developing world. Systems for care of poisoned patients differ markedly between countries. In this paper a comparison of two very different systems for the care of poisoned patients, is presented. Specifically, the role of poison centers and poison treatment centers in the US and Iran are contrasted. A systematic literature search was undertaken utilizing the PubMed, Scopus, and Google Scholar and the keywords “poison centers”, “treatment” “Iran” “United States of America” and 100 publications were identified. From these, relevant data were found in 23 publications. The information was double-checked and data were summarized herein.We find that the system of the care of poisoned patients relies heavily on certified poison centers in the US and that only a few hospitals have well developed medical toxicology services. In contrast, in Iran, the poison center system is somehow less developed and the care of poisoned patients is provided in centralized high volume hospital poison units.Although both the US and Iran have highly developed systems for the care of poisoned patients they are distinctly different. Comparative studies based on these systems could provide important data for developing countries with more rudimentary poison control and treatment facilities.

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Pattern of Acute Poisoning in Shahrekord (Western Iran)

Cited by 13 publications

References 12 publications

Impact of Lockdown due to COVID-19 on the Modalities of Intoxicated Patients Presenting to the Emergency Room

Impact of Lockdown due to COVID-19 on the Modalities of Intoxicated Patients Presenting to the Emergency Room

Epidemiology of acute drug poisoning in a tertiary center from Iasi County, Romania

A tale of two systems: poisoning management in Iran and the United States

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