The analysis of adult intoxication cases seen in Adıyaman Region and treated in intensive care unit

Yıl 2016, Cilt: 3 Sayı: 2, 71 - 5, 15.02.2016

Mehmet Duran Oznur Uludag Nureddin Yuzkat

Öz

Objective: We determined the patient profile and aim to look into the distribution of age and sex, intoxication route, the duration of the stay in ICU and prognosis of the cases we accepted to our ICU presenting with intoxication.

Material and Methods: Before the research, approval was granted by the Ethical Committee. 259 intoxication patients, accepted and treated in the ICU of Adıyaman University Hospital between the dates of 2012-2014, were included in the research.

Results: Total of 259 as 83 male, 176 female patients were examined. 75.7% of the cases were below age of 30. 92% of the cases received in ICU were suicidal and 8% of them were accidental intoxication cases. When the causes were observed, 85.7% of the cases were intoxicated by drug intake. Most frequently used drugs were antidepressants (43.6%). The mean number of the days in intensive care unit was 2.02 days.

Conclusion: As a result, most of the intoxication cases in intensive care unit were made up by young age cases who received antidepressants with suicidal intentions. Acute drug intoxications have better response to intensive care treatments and shorter duration of stays while non-pharmacological intoxications have longer duration of stays.

Anahtar Kelimeler

Adıyaman Region; adult; Intensive Care Unit; acute poisoning; suicide

Analysis of adult intoxication cases treated in ICU: A sample from Adıyaman Region of Turkey

Öz

Kaynakça

• Yagan O, Akan B, Erdem D, Albayrak D, Bilal B, Göğüş N. The retrospective analysis of the acute poisoning cases applying to the emergency unit in one year. The Medical Bultein of Şişli Etfal Hospital. 2009; 43: 60-64.
• Abdollahi M, Jalali N, Sabzevari O, Hoseini R, Ghanea T. A retrospective study of poisoning in Tehran. J Toxicol Clin Toxicol 1997; 35: 387-393.
• Goktas U, Isık Y, Cegin MB, Soyoral L, Kati I. A Retrospectıve analysis of the poisoning cases who were followed in our intensive care unit. Journal of Anesthesia 2011; 19: 114-116.
• Richard S. Irwin, James M. Rippe. Farmakoloji, Doz Aşımı ve Zehirlenmeler. In: Irwin ve Rippe’nin Yoğun Bakım Tıbbı (6rd ed) 2014, (Çeviri Ed: Tulunay M, Cuhruk H). Güneş Tıp Kitapevleri: Ankara; 2014 pp. 1433.
• Cegin MB, Soyoral L, Yuzkat N, Isık Y, Dumanlıdag S, Andıc O, Goktas U. The intoxication cases in our intensive care units: The data of last 3 years. Mitteilungen Klosterneuburg 2015; 65: 341-346.
• Henderson A, Wright M, Pond SM. Experience with acute overdose patients admitted to an intensive unit over six years. Med J Aust, 1993; 158: 28-30.
• Ozdemir R, Bayrakcı B, Zehirlenmeler ve Hacettepe Deneyimi. Katkı Ped Derg 2009;31: 47-87.
• Ergun B, Cevik AA, Ilgın S, Atlı O, Saracoglu A, Acar N, Uzuncakara D. Acute Drug Poisonings in Eskisehir, Turkey: A retrospective study. Turk J Pharm Sci 2013; 10: 303-312.
• Demirel İ. A Retrospective Analysis of intoxication cases in intensive care unit of elaziğ education and research hospital. Fırat Tıp Dergisi 2010; 15: 184-187.
• Islambulchilar M, Islambulchilar Z, Kargar-Maher MH. Acute adult poisoning cases admitted to a university hospital in Tabriz, Iran. Human & Experimental Toxicology, 2009; 28: 185-190.
• T.C. Sağlık Bakanlığı Birinci Basamağa Yönelik Zehirlenmeler Tanı ve Tedavi Rehberleri 2007. Ed: Tunçok Y, Kalyoncu Nİ. Akut zehirlenmelere genel yaklaşım pp.1-22.
• - Ayan M, Başol N, Karaman T, Taş U, Esen M. Retrospective Evaluation of Emergency Service Patients with Poisoning: a 20 Month Study. JAEM 2012; 11: 146-50.
• Deniz T, Kandiş H, Saygun M, Büyükkoçak Ü, Ülger H, Karakuş A. Kırıkkale Üniversitesi Tıp Fakültesi Acil Servisine başvuran zehirlenme olgularının analizi. Düzce Tıp Fakültesi Dergisi 2009; 11: 15-20.
• Beskow J. Depression and suicide. Pharmacopsychiatry 1990; 23: 3-8.
• Cheng AT. Mental illness and suicide. A case-control study in East Taiwan. Arch Gen Psychiatry 1995; 52: 594-603.
• -
• - Kurt I, Erpek AG, Kurt MN, et al. Epidemiology of adult poisoning at the Adnan Menderes University. ADU Tıp Fakültesi Dergisi 2004; 5: 37-40.
• Ersoy A, Kara D ve ark. Evaluating Intoxicated Patients In Intensive Care Unit. Ok Meydanı Tıp Dergisi 2013; 29: 72-75.
• Linden CH, Burns MJ. Ilnesses due to poisons, drug overdosage, and envenomation. In: Harrison’s Principles of Internal Medicine. Braunwald E, Fauci AS, Kasper DL (eds). New York: McGraw Hill Company, 2001. pp. 2595–2616.
• Goksu S, Yıldırım C, Koçoğlu H, Tutak A, Öner U. Characteristics of acute adult poisoning in Gaziantep, Turkey. J Toxicol Clin Toxicol 2002; 40: 833–837.