Acute adult poisoning cases admitted to a university hospital in Tabriz, Iran

Islambulchilar, Mina; Islambulchilar, Ziba; Kargar-Maher, MH

doi:10.1177/0960327108099679

Cited by 59 publications

(98 citation statements)

References 31 publications

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“…But, most of these reports have been showed an association between spring months and suicide attempts [9]. The results of our study showed that 11% of the suicide poisonings occurred in March; it was similar with recent published reports and it may be due to long-lasting negative effect of eastern winter season on human behavior in our region.…”

Section: Discussionsupporting

confidence: 90%

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Analyses of Etiologic and Sociodemografic Properties of the Intoxicated Cases in Van City and its Environs

Gönüllü¹

2012

J Clin Toxicol

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The purpose of this retrospective hospital-based study was to evaluate clinical and epidemiologic characteristics of acute poisoning cases. All poisonings cases admitted to the emergency department of the Yuzuncu Yil University Training Hospital, Van, Turkey, between June 1999 and May 2005, were evaluated in the study. Etiologic and sociodemografic properties of the intoxicated cases were investigated.There were males 32.6 % and females 67.3 % in the study. 74.6 % of the cases were suicidal and 25.4 % of them accidental. The highest suicidal attempts were seen in the age group 16-25 years and were mostly occurred during spring. The vast majority of the suicide attempters were also young females. Central nervous system drugs (21.8%), carbamates (17.1%), analgesics (10.3%) and organophosphorus components (10%) were most used agents among intoxicated patients. Half of the patients was treated and released from emergency department without hospitalization. Only 6.4% of the cases admitted to critical care. The percentage of the cases that need intensive care unit was highest in central nervous system drugs. Mortality rate was 1.6% and was mostly due to opioid and organophosphorus-related poisonings.Based on the study it was suggested that there was a greater incidence of suicide attempts in younger females. Organophosphorus and carbamate containing chemicals are major causative agents for intoxications particularly in females.

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Section: Discussionsupporting

confidence: 90%

“…This rate has been reported as high as 27% in Western world [9]. In our country, the rate of patients who need intensive care was reported as 13 .3%.…”

Section: Discussionmentioning

confidence: 54%

Analyses of Etiologic and Sociodemografic Properties of the Intoxicated Cases in Van City and its Environs

Gönüllü¹

2012

J Clin Toxicol

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“…One to five percent of public hospital admissions worldwide are caused by unintentional or deliberate poisoning [1][2][3][4][5]. Early diagnosis and rapid initiation of appropriate therapy in ED and ICU are critical for lowering hospital morbidity and mortality in poisoned patients.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and Treatment of Severe Poisoning in the Intensive Care Unit: Lessons from a One-Year Prospective Observational Study

Mehrpour¹

2012

J Clinic Toxicol

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“…Although similar results have been reported in some studies from Western and Eastern countries, alcohol and narcotic intoxications are stand in the forefront in some Western countries. 7,12,14,[21][22][23] Pesticide poisonings are more common in developing countries and regions where agriculture is the main activity. 24,25 Intensive care mortality varies from 0.24% to 27% for poisoning in literature.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Mortality in Critically Ill Patients with Poisoning: A Single Center Experience

Coşkun¹,

Gündoğan²,

Atağ³

et al. 2013

Turkiye Klinikleri J Med Sci

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A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Poisoning is among the common health care problems which may be fatal and 3-5% of the acutely poisoned patients need intensive care admission. The aim of this study was to examine the acutely poisoned patients admitted to intensive care unit (ICU) in terms of individual, etiological and demographical characteristics and also to determine the factors affecting mortality. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : This study was retrospectively conducted on the patients admitted to medical ICU of a university hospital due to acute poisoning over a six year period. The patients' age, gender, comorbid disease status, sociocultural characteristics, cause of the poisoning, transfer time to hospital and to the ICU, signs and symptoms, laboratory data, Glasgow coma score, Acute Physiology and Chronic Health Evaluation II (APACHE II) score, Sequential Organ Failure Assessment score, length of stay in ICU, the treatments employed and their results were analyzed. R Re es su ul lt ts s: : The total number of the patients included in the study was 190. The median age of the patients was 28.5 (16-72) years and 97 (51%) patients were females. The mean length of stay in ICU was 4.2±3.6 days. The overall mortality rate was 8.4%. Independent risk factors for mortality were presence of concomitant physical disorders, time to ICU admission, and higher APACHE II scores. C Co on nc cl lu us si io on n: : Individual characteristics, cause of poisoning and type of toxic agent should be clearly determined since they are predictors for mortality. Early intervention is life saving. ICU scoring systems in predicting mortality are very valuable and should be used. K Ke ey y W Wo or rd ds s: : Intensive care; mortality; poisoning Ö ÖZ ZE ET T A Am ma aç ç: : Zehirlenme ölümcül olabilen ve akut zehirlenmiş hastaların %3-5'inin yoğun bakıma yatışını gerekebilen yaygın bir sağlık problemidir. Bu çalışmanın amacı mortaliteyi etkileyen faktörleri belirlemek amacıyla yoğun bakım ünitesine (YBÜ) kabul edilen akut zehirlenmiş hastaların bireysel, etyolojik ve demografik özelliklerini incelemektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu çal-ışma retrospektif olarak altı yıl içinde akut zehirlenme nedeniyle bir üniversite hastanesi medikal yoğun bakımına yatan hastalar üzerinde yapıldı. Hastaların yaş, cinsiyet, eşlik eden hastalık durumu ve sosyokültürel özellikleri, zehirlenme nedeni, hastane ve yoğun bakıma transfer süresi, belirti ve bulguları, laboratuvar verileri, Glasgow koma skoru, Akut Fizyoloji ve Kronik Sağlık Değerlendirmesi II (APACHE II) skoru, Ardışık Organ Yetersizliğinin Değerlendirilmesi skoru, YBÜ yatış süresi, tedavileri ve sonuçları analiz edildi. B Bu ul lg gu ul la ar r: : Çalışmaya dahil edilen hastaların toplam sayısı 190 idi. Hastaların ortanca yaşı 28,5 (16-72) yıldı ve 97 (%51) hasta kadın idi. Yoğun bakımda kalış süresi ortalama 4,2±3,6 gün idi. Mortalite oranı % 8,4 idi. Mortalite için bağımsız risk faktörleri fiziksel alt hastalığı...

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Acute adult poisoning cases admitted to a university hospital in Tabriz, Iran

Cited by 59 publications

References 31 publications

Analyses of Etiologic and Sociodemografic Properties of the Intoxicated Cases in Van City and its Environs

Analyses of Etiologic and Sociodemografic Properties of the Intoxicated Cases in Van City and its Environs

Epidemiology and Treatment of Severe Poisoning in the Intensive Care Unit: Lessons from a One-Year Prospective Observational Study

Predictors of Mortality in Critically Ill Patients with Poisoning: A Single Center Experience

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