Retrospective Analysis of Poisoning Cases Our Followed in Pediatric Intensive Care Unit

Tekerek, Nazan Ülgen; Dursun, Adem; Akyıldız, Başak Nur

doi:10.4274/cayd.36035

Cited by 5 publications

(10 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In studies, the average length of stay in the PICU for poisoning cases was reported to be between 1.2 and 2.8 days. [21][22][23] In our study, the average length of stay was 1.6 ± 1.3 days, which was comparable to the literature.…”

Section: Discussionsupporting

confidence: 89%

Retrospective Evaluation of Poisoning Cases Followed Up in Pediatric Intensive Care Unit—A 12-Year Experience in a Single Center

Boyraz,

Botan,

Yuce

et al. 2023

Pediatr Emer Care

View full text Add to dashboard Cite

Objectives Poisonings constitute an important part of preventable morbidity and mortality in pediatric intensive care units (PICUs) and hospitalizations. However, information on poisoning requiring intensive care is limited. This study aimed epidemiological evaluation of poisoning cases treated in the PICU in a single center. Methods The records of 504 patients admitted to the PICU due to acute poisoning between 2010 and 2022 were retrospectively reviewed. Data were evaluated using descriptive methods and the χ2 test, and statistical differences with P value <0.05 were considered significant. Results The age range of the patients ranged from 1 month to 216 months (18 years), and the rate of girls was 53.2% (n = 268), whereas the rate of boys was 46.8% (n = 236). The mean age was 4.4 ± 4.3 years for boys, 6.7 ± 5.8 years for girls, and 5.6 ± 5.3 years for all patients. It was determined that 79.6% of the cases were poisoned by accident and 20.4% by suicide. A total of 76.7% of the patients who were poisoned for suicide were girls and 23.3% were boys. The mean age of these patients was 14.3 ± 3.0 years. On the other hand, 47.1% of the children who were accidentally poisoned were girls and 52.9% were boys, and the mean age of these children was 3.4 ± 2.9 years. Although 79.9% of poisonings occurred at home, the causative agent was oral poisoning in 97.4% of the cases. Approximately two thirds (69.2%) of the cases were drug-related, whereas 30.8% were related to nondrug substances. In drug-related poisonings, central nervous system drugs (35.8%) were the most common agent, followed by analgesic/antipyretic (20.9%) agents, whereas among the nonpharmaceutical factors, insecticides (agricultural pesticides, rat poison, pesticides, etc) were the most common, followed by poisonous herbs (beetleweed, widow's weed, cannabis, etc). The mean admission time of the patients to the hospital was 6.3 ± 8.4 hours, and the mean length of stay in the intensive care unit was 1.6 ± 1.3 days. In the 12 years of our study, only 3 patients died due to poisoning, and our mortality rate was 0.5%. Four patients (0.7%) were referred to the Alcohol and Drug Addicts Treatment and Research Center. Conclusions In this study, in which we retrospectively analyzed the profiles of poisoning cases hospitalized in the PICU for 12 years, we determined that poisonous weeds were the major factor in accidental poisonings, and suicidal poisonings were above the expected rates even at the young age group such as 8–12 years old. These results show the importance of determining the poisoning profile of the health care service area.

show abstract

Section: Discussionsupporting

confidence: 89%

Retrospective Evaluation of Poisoning Cases Followed Up in Pediatric Intensive Care Unit—A 12-Year Experience in a Single Center

Boyraz,

Botan,

Yuce

et al. 2023

Pediatr Emer Care

View full text Add to dashboard Cite

show abstract

“…Poisoning cases occur because of accidents between the ages of 0-5, and for suicide in adolescence. Suicidal poisoning rate was reported by Ulu et (16,23,29). In the present study, this rate was 9.5%.…”

Section: Discussionsupporting

confidence: 60%

“…It was determined in the present study that 38.47% were followed in the emergency clinic and ward, and 16.72% in the pediatric health and diseases ward. When evaluated in terms of hospitalization rate of the poisoning cases in the Intensive Care Units, Ozdemir et al reported it as 25.3%; Araz et al 14.7%; Ulu et al 6.1%, and Tekerek et al 5.4% (10,16,18,29,30). In the present study, the rate of hospitalization in the Intensive Care Units was found to be 1.4%.…”

Section: Discussionmentioning

confidence: 99%

Selçuk Üniversitesi Tıp Fakültesi Çocuk Acil Polikliniğine Başvuran Travma Dışı Adli Olguların İncelenmesi

ŞEN

Yorulmaz

2022

Genel Tıp Dergisi

View full text Add to dashboard Cite

Objective:The aim of this study is to reveal the demographic epidemiological characteristics of pediatric forensic cases admitted to the emergency department of a medical school hospital, to determine the reasons for admission, admission times, hospitalization and death rates. Material and Method: 1104 pediatric forensic cases who applied to Selcuk University Medical Faculty Hospital Pediatric Emergency Unit between 2016 and 2019 and patients up to 18 years old were analyzed retrospectively. Data on demographic characteristics, including age and gender, reasons for referral, time of presentation, hospitalization period, need for intensive care and mortality rates were determined. Results: Of the patients, 538 (48.7%) were female and 566 (51.3%) were male. While the mean of boy was 57.86 months, the mean age of the girls was 81.43 months. When the mean age according to gender was analyzed statistically, a significant difference was found (p:0.001). The number of patients in the 0-6 age group (n=731, 66.2%) was higher than the others. Summer was the season in which applications were most frequently observed. The most frequently admittance time zone was between 16:00-23:59. The most common reason for admission was poisoning (n=855, 77.1%), followed by foreign body in the digestive tract (n=112, 10.5%). Conclusion:In our study, the majority of forensic cases are forensic cases caused by accident in the 0-6 age group. It has been observed that these cases can be prevented by taking careful measures. Therefore, medicines and cleaning products should be kept out of reach of children. It was thought that giving importance to security measures at home and providing training on this could reduce the frequency of poisoning.

show abstract

“…Studies are showing that suicidal poisonings are more common in adolescent girls [13,14]. In the study of Tekerek et al [15], suicidal poisonings were frequently seen in girls and accidental poisonings were frequently seen in boys, whereas most of the poisonings were seen to be accidental. In the literature, suicidal poisoning cases increase with age.…”

Section: Resultsmentioning

confidence: 99%

Examination of Demographic Characteristics of Drug and Corrosive Poisonings, Morbidity and Mortality in Children in Terms of Emergency Department and Pediatric Surgery

Coşkun

2020

BJSTR

View full text Add to dashboard Cite

Retrospective Analysis of Poisoning Cases Our Followed in Pediatric Intensive Care Unit

Cited by 5 publications

References 9 publications

Retrospective Evaluation of Poisoning Cases Followed Up in Pediatric Intensive Care Unit—A 12-Year Experience in a Single Center

Retrospective Evaluation of Poisoning Cases Followed Up in Pediatric Intensive Care Unit—A 12-Year Experience in a Single Center

Selçuk Üniversitesi Tıp Fakültesi Çocuk Acil Polikliniğine Başvuran Travma Dışı Adli Olguların İncelenmesi

Examination of Demographic Characteristics of Drug and Corrosive Poisonings, Morbidity and Mortality in Children in Terms of Emergency Department and Pediatric Surgery

Contact Info

Product

Resources

About