Acute Poisoning among Patients Presenting to the Emergency Department of a Tertiary Care Center: A Descriptive Cross-sectional Study

Thapa, Sanjeev; Dawadi, Bishwa Raj; Upreti, Anup Raj

doi:10.31729/jnma.4997

Cited by 8 publications

(10 citation statements)

References 12 publications

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“…For instance, child-resistant packaging and storing all medications and household products away from children to prevent accidents. 24 The current study found that only 6.7% of adult sample were admitted to the ICU, similar to studies done in Sweden (6%) and the Turkey study (4%). 27,28 In the present study, the ICU admission outcomes were uneventful as the patients were discharged, consistent with the two studies.…”

Section: Discussionsupporting

confidence: 89%

“…However, in two studies done in Nepal and Egypt, the most frequent poisoning agent was an organophosphate in both adults and children. 23 , 24 This could be attributed to the fact that Nepal and Egypt have a significant portion of their workforce in agriculture. In comparison, the population in the current study was urban.…”

Section: Discussionmentioning

confidence: 99%

“…For instance, child-resistant packaging and storing all medications and household products away from children to prevent accidents. 24 …”

Section: Discussionmentioning

confidence: 99%

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Poisoning-related emergency department visits: the experience of a Saudi high-volume toxicology center

et al. 2022

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BACKGROUND: Acute poisoning is a major contributing factor to mortality and morbidity. There is a lack of research on the epidemiology of acute poisoning risk factors in Saudi Arabia. OBJECTIVES: Descriptive overview of poisoning cases at a tertiary care center. DESIGN: Descriptive, medical record review. SETTINGS: Tertiary care center in Riyadh. PATIENTS AND METHODS: From the electronic medical record system, we collected demographic information, medical history, and the poisoning history on all emergency department visits diagnosed as acute poisoning from January 2016 to January 2021. Patients were classed as children (<18 years old) or adults, and further classified by body mass index. MAIN OUTCOME MEASURES: Intensive care unit (ICU) admission, organ transplantation, and mortality were classified as poor outcomes. SAMPLE SIZE: 492 adults and 1013 children (<18 years old) were identified. RESULTS: The most frequent agent in poisoning for both groups was acetaminophen (n=52, 10.57% and n=100, 9.87%, respectively). The ICU admission rate was 6.7% and 4.8%, and the mortality rate 0.8% and 0.3%, respectively. The accidental poisoning rate was 57.7% among adults (n=284) and 67.6% among children (n=658). The suicide intention rate was 11.2% (n=55) and 7.4% (n=75) among adults and children, respectively. The management for both populations was nonspecific, involving observation, supportive measures, and symptomatic treatment. CONCLUSION: Although the ICU admission rates were consistent with reported data, the mortality rate was marginally lower. The pediatric predominance in the population implies a lack of caregiver education in the region regarding the safe storage of drugs and household products, as well as the use of child-resistant packaging. The high rate of accidental poisoning in both age groups should prompt further investment to promote public health education on the rational use and safe storage of toxic agents and self-protection. The high suicide intention rate needs to be investigated to develop multidisciplinary risk prevention strategies. LIMITATIONS: Single center, retrospective, small population size. CONFLICT OF INTEREST: None.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Poisoning-related emergency department visits: the experience of a Saudi high-volume toxicology center

et al. 2022

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“…However, in two studies done in Nepal and Egypt, the most frequent poisoning agent was an organophosphate in both adults and children. 23,24 This could be attributed to the fact that Nepal and Egypt have a significant portion of their workforce in agriculture. In comparison, the population in the current study was urban.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Y-shape reconstructive biliary stenting in Klatskin cholangiocarcinoma through a single left-sided entry

Alshumrani

Al-Khani

2022

Ann Saudi Med

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Percutaneous Y-shape reconstructive biliary stenting in the Klatskin tumor is typically performed through bilateral biliary access. Single access from a right-side biliary entry is the more commonly used side for biliary access in general. We present a successful Y-shaped biliary stent reconstruction through a single left-side biliary approach. Unilateral single access Y-shaped biliary stenting can be technically challenging; when performed through a left biliary approach, an additional technical challenge may arise due to the unusual combination of Y-shaped biliary stent reconstruction and the single left-side biliary approach. We concluded that percutaneous Y-shaped biliary reconstruction through a left-sided unilateral approach is a technically feasible, less invasive interventional approach in managing Klatskin tumor. SIMILAR CASES PUBLISHED: None.

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“… 10 In our study, OP poison ingestion was higher among students (35.96%), while 21.67% were housewives, 14.29% were farmers, 15.27% were service holders, and 12.81% were in other occupations which is consistent with the study conducted in the tertiary care centre of Nepal. 11 …”

Section: Discussionmentioning

confidence: 99%

Organophosphorus Poisoning among Acute Poisoning Cases Presenting to the Emergency Department of a Secondary Care Centre: A Descriptive Cross-sectional Study

Pandey¹,

Shrestha²

2022

J Nepal Med Assoc

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Introduction: Organophosphorus is an easily available compound, especially in agriculture and farming related areas. This study evaluated organophosphorus poisoning among the population in those high-risk areas. The main objective of this study is to find out the prevalence of organophosphorus poisoning among acute poisoning cases presenting to the Emergency Department of a secondary care centre. Methods: A descriptive cross-sectional study was conducted among 427 patients presenting to the Emergency Department in a secondary care centre from 17th July, 2018 to 14th January, 2022. Ethical clearance was taken from the Institutional Review Committee (Reference number: 01/2075-76). All the patients presenting to the Emergency Department were included and the patients without consent, patients with trauma, accident, severe illness and other emergency conditions were excluded. A convenience sampling was done. Data were collected and entered in Microsoft Excel version 2007 and analyzed using Statistical Package for the Social Science version 25.0. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data. Results: Out of 427 patients, 203 (47.54%) (42.80-52.28 at 95% Confidence Interval) had organophosphorus poisoning. It was most commonly seen in the age group 16-30 years among 103 (50.74%). Conclusions: The prevalence of organophosphorus poisoning in our study was similar when compared to other studies conducted in similar settings. Most of the organophosphorus poisoning cases were intentional and suicidal which is similar to other studies.

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Acute Poisoning among Patients Presenting to the Emergency Department of a Tertiary Care Center: A Descriptive Cross-sectional Study

Cited by 8 publications

References 12 publications

Poisoning-related emergency department visits: the experience of a Saudi high-volume toxicology center

Poisoning-related emergency department visits: the experience of a Saudi high-volume toxicology center

Percutaneous Y-shape reconstructive biliary stenting in Klatskin cholangiocarcinoma through a single left-sided entry

Organophosphorus Poisoning among Acute Poisoning Cases Presenting to the Emergency Department of a Secondary Care Centre: A Descriptive Cross-sectional Study

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