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Evaluation of intoxication cases admitted to Emergency Department of a University Hospital

Year 2012, Volume: 39 Issue: 1, 21 - 26, 01.03.2012
https://doi.org/10.5798/diclemedj.0921.2012.01.0088

Abstract

Objectives: This study is aimed at the evaluation of the demographic properties of the patients from Sivas and sur-rounding cities, presenting to the emergency department by poisoning. Materials and methods: Our study was carried out on 567 patients admitted to Cumhuriyet University Faculty of Medicine\'s Emergency Department in four years because of poisoning. Patients were divided into groups such as su-icides, accidentals, or being exposed. All the patients were defined about their ages, sex, participation of the sea-sons, consciousness, prognosis, exposure to the type of poison and what had been done before arriving to us. Mush-room poisonings were distinguished into two groups as early or later symptomatic. Results: Suicide patients were 363 (64.10%), accidentals were 120 (21.28 %), exposed patients were 83 (14.62 %). Patients\' ages were minimum 15 and maximum 81. The mean of all ages was 27.82±11.56. While the mean of wom-en\'s ages was 26.89±2.072, men\'s was 29.97±5.122 (p

References

  • Dökmeci İ. Toksikoloji. Zehirlenmelerde tanı ve tedavi. 3. Baskı, Nobel, İstanbul, 2001;3-149.
  • Neal E, Benzer F, Benzer T. Prehospital and interhospital principles. Goldfrank’s Toxicologic Emergencies. (Ed. Goldfrank L.) 5th. ed. Appleton and Lange, USA 1995; 1335-9.
  • Allen MH, Serper MR, Elfenbein C. Psyhiatric Principles. Goldfrank’s Toxicologic Emergencies, (Eds Goldfrank L.) 5th. ed. Appleton and Lange, USA, 1995; 1353-61.
  • Afshari R, Majdzadeh R, Balali- Mood M. Pattern of acute poisonings in Mashhad, Iran 1993-2000. Clinic Toxicol 2004;42(7):965-75.
  • Mohanty MK, Kumar V, Bastia BK, Arun M. An anlaysis of poisoning deaths in Manipal, India. Vet Hum Toxicol 2004;46(4):208-9.
  • Koçak R. Tanrıverdi Z, Seyrek E, Alparslan N. Akut zehir- lenmeler. Ç.Ü. Tıp Fakültesi Dergisi 1987; 12:(4): 381-7.
  • Hawton K, Fagg J. Trends in deliberate self poison- ing and self injury in Oxford, 1976-1990. Br Med J 1992;304(6839):1409-11.
  • Schwarz UI,Ruder S, Krappweis J, Israel M, Kirch W. Epide- miology of attempted suicide using drugs. An ınquiry from the Dresden University Clinic. Dtsch Med Wochenschr 2004;129(31-32):1669-73.
  • Bille-Brahe U, Kerkhoff A, De Leo D, Schmidtke A, Crepet P. A repetition-prediction study of European parasuicide populations: a summary of the first report from part II of the WHO/EURO Multicentre Study on Parasuicide in co- operation with the EC concerted action on attempted sui- cide. Acta Psychiatr Scand 1997;95(2):81-6.
  • Voros V, Osvath P, Fekete S. Gender differences in suicidal behavior. Neuropsychopharmacol Hung 2004;6(2):65-71.
  • Retamal P, Humphreys D. Occurence of suicide and sea- sonal variation. Rey Saude Publica 1998; 32(5): 408-12.
  • Hakko H, Rasanen P, Tiihonen J. Seasonal variation in suicide occurence in Finland. Acta Psychiatr Scand 1998; 98(2): 92-7.
  • Kekec Z, Gunay N, Sozuer EM,Guven M, Sungur M. An analysis of 682 adult poisonings in Central Anatolia of Tur- key. Vet Hum Toxicol 2004;46(6):335-6.
  • Akkose S, Bulut M, Armagan E, Cebicci H, Fedakar R. Acute poisoning in adults in the years 1996-2001 treated in the Uludag University Hospital, Marmara Region, Turkey. Clinic Toxicol (Phila) 2005;43(2):105-9.
  • Jacobsen D, Frederichsen PS, Knutsen KM, Sorum Y, Tals- eth T, Odegaard OR. A prospective study of 1212 cases of acute poisoning: general epidemiology. Hum Toxicol 1984;3(2):93-106.
  • Viertel A, Weidmann E, Brodt HR. Cases of acute poison- ing admitted to a medical intensive care unit. Deutsch Med Wochenschr 2001 Oct 19; 126(42):1159-63.
  • Erichson TB. Diagnosis and managment of the patient with an unknown ingestion. ACEP Scientific Assembly, San Di- ego USA, 1998;October 12-17.

Evaluation of intoxication cases admitted to Emergency Department of a University Hospital

Year 2012, Volume: 39 Issue: 1, 21 - 26, 01.03.2012
https://doi.org/10.5798/diclemedj.0921.2012.01.0088

Abstract

Amaç: Bu çalışmada, Sivas ve çevre illerden acil servise zehirlenme nedeniyle başvuran hastaların demografik özel-liklerinin değerlendirilmesi amaçlanmıştır. Gereç ve yöntem: Çalışmamıza Cumhuriyet Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalında dört yıl içerisinde zehirlenme nedeniyle tedavi edilen 567 hasta alındı. Hastalar zehirlenme sebeplerine göre intihar, kaza, maruz kalma şeklinde guruplara ayrıldı. Zehirlenmeler genel ve guruplara ayrılmış olarak yaş, cinsiyet, bilinç durumu, başvurdukları mevsim, zehirlenme şekli, prognozları, ne ile zehirlendikleri ve önceki kliniklerde yapılan müdahaleler açısından ince-lendiler. Mantar zehirlenmesi erken ve geç bulgu verenler olarak sınıflandırıldı. Bulgular: Hastaların 363\'ü (%64,10) intihar, 120\'si (%21,28) kaza, 83\'ü (%14,62) maruz kalmaydı. Yaş sınırları 15-81, yaş ortalaması 27,82±11,56 bulundu. Bütün zehirlenme vakaların 172\'si (%30,3) erkek ve yaş ortalamaları 29,97±5,122 iken 395\'i (%69,7) kadın ve yaş ortalamaları 26,89±2,072 olarak bulundu. Hastaların geldiklerinde bilinç-leri; %88,2\'sinde açık, %7,6\'sinde konfüze, %4,1\'inde kapalıydı. Biri ise (%0,2) ölü idi. En fazla ilaç zehirlenmesi (%72,7) sonra mantar (%12,2) ve tarım ilaçları (%9) ile zehirlenmeler görüldü. Zehirlenmelerin tamamı içinde 2 hasta organofosfat, 3 hasta metanol, 3 hasta ilaç zehirlenmesi, bir hasta mantar ve bir hasta tüp gazı zehirlenmesiyle öldü. Zehirleyen maddeye göre dağılım incelendiğinde ise en fazla çoklu ilaç (%27) görüldü. Mantar zehirlenmelerinde sık-lıkla semptomların erken (0-6 saat) başladığı tespit edilmiş iken (%88,5), geç (6-24 saat) semptom görülenler daha az olarak bulundu (% 11,5). En fazla zehirlenme kış (%30) mevsiminde görüldü. Önceki kliniklerde yapılan müdahaleler incelendiğinde ise, hiçbir müdahale yapılmayanlar (%52,4) en fazla görüldü. Sonuç: Ülkemizde zehirlenme ön tanısıyla sağlık kuruluşlarına başvuran hastalar hakkında önemli sayıda istatistiki veriler bulunmakla birlikte bizim çalışmamız Sivas yöresindeki zehirlenmeler konusunda değerli bilgiler vermektedir.

References

  • Dökmeci İ. Toksikoloji. Zehirlenmelerde tanı ve tedavi. 3. Baskı, Nobel, İstanbul, 2001;3-149.
  • Neal E, Benzer F, Benzer T. Prehospital and interhospital principles. Goldfrank’s Toxicologic Emergencies. (Ed. Goldfrank L.) 5th. ed. Appleton and Lange, USA 1995; 1335-9.
  • Allen MH, Serper MR, Elfenbein C. Psyhiatric Principles. Goldfrank’s Toxicologic Emergencies, (Eds Goldfrank L.) 5th. ed. Appleton and Lange, USA, 1995; 1353-61.
  • Afshari R, Majdzadeh R, Balali- Mood M. Pattern of acute poisonings in Mashhad, Iran 1993-2000. Clinic Toxicol 2004;42(7):965-75.
  • Mohanty MK, Kumar V, Bastia BK, Arun M. An anlaysis of poisoning deaths in Manipal, India. Vet Hum Toxicol 2004;46(4):208-9.
  • Koçak R. Tanrıverdi Z, Seyrek E, Alparslan N. Akut zehir- lenmeler. Ç.Ü. Tıp Fakültesi Dergisi 1987; 12:(4): 381-7.
  • Hawton K, Fagg J. Trends in deliberate self poison- ing and self injury in Oxford, 1976-1990. Br Med J 1992;304(6839):1409-11.
  • Schwarz UI,Ruder S, Krappweis J, Israel M, Kirch W. Epide- miology of attempted suicide using drugs. An ınquiry from the Dresden University Clinic. Dtsch Med Wochenschr 2004;129(31-32):1669-73.
  • Bille-Brahe U, Kerkhoff A, De Leo D, Schmidtke A, Crepet P. A repetition-prediction study of European parasuicide populations: a summary of the first report from part II of the WHO/EURO Multicentre Study on Parasuicide in co- operation with the EC concerted action on attempted sui- cide. Acta Psychiatr Scand 1997;95(2):81-6.
  • Voros V, Osvath P, Fekete S. Gender differences in suicidal behavior. Neuropsychopharmacol Hung 2004;6(2):65-71.
  • Retamal P, Humphreys D. Occurence of suicide and sea- sonal variation. Rey Saude Publica 1998; 32(5): 408-12.
  • Hakko H, Rasanen P, Tiihonen J. Seasonal variation in suicide occurence in Finland. Acta Psychiatr Scand 1998; 98(2): 92-7.
  • Kekec Z, Gunay N, Sozuer EM,Guven M, Sungur M. An analysis of 682 adult poisonings in Central Anatolia of Tur- key. Vet Hum Toxicol 2004;46(6):335-6.
  • Akkose S, Bulut M, Armagan E, Cebicci H, Fedakar R. Acute poisoning in adults in the years 1996-2001 treated in the Uludag University Hospital, Marmara Region, Turkey. Clinic Toxicol (Phila) 2005;43(2):105-9.
  • Jacobsen D, Frederichsen PS, Knutsen KM, Sorum Y, Tals- eth T, Odegaard OR. A prospective study of 1212 cases of acute poisoning: general epidemiology. Hum Toxicol 1984;3(2):93-106.
  • Viertel A, Weidmann E, Brodt HR. Cases of acute poison- ing admitted to a medical intensive care unit. Deutsch Med Wochenschr 2001 Oct 19; 126(42):1159-63.
  • Erichson TB. Diagnosis and managment of the patient with an unknown ingestion. ACEP Scientific Assembly, San Di- ego USA, 1998;October 12-17.
There are 17 citations in total.

Details

Primary Language Turkish
Journal Section Research Articles
Authors

Ertan Sönmez This is me

Ali Karakuş This is me

Umut Yücel Çavuş This is me

Cemil Civelek This is me

Göktürk İpek This is me

Cem Zeren This is me

Publication Date March 1, 2012
Submission Date March 2, 2015
Published in Issue Year 2012 Volume: 39 Issue: 1

Cite

APA Sönmez, E., Karakuş, A., Çavuş, U. Y., Civelek, C., et al. (2012). Evaluation of intoxication cases admitted to Emergency Department of a University Hospital. Dicle Tıp Dergisi, 39(1), 21-26. https://doi.org/10.5798/diclemedj.0921.2012.01.0088
AMA Sönmez E, Karakuş A, Çavuş UY, Civelek C, İpek G, Zeren C. Evaluation of intoxication cases admitted to Emergency Department of a University Hospital. diclemedj. March 2012;39(1):21-26. doi:10.5798/diclemedj.0921.2012.01.0088
Chicago Sönmez, Ertan, Ali Karakuş, Umut Yücel Çavuş, Cemil Civelek, Göktürk İpek, and Cem Zeren. “Evaluation of Intoxication Cases Admitted to Emergency Department of a University Hospital”. Dicle Tıp Dergisi 39, no. 1 (March 2012): 21-26. https://doi.org/10.5798/diclemedj.0921.2012.01.0088.
EndNote Sönmez E, Karakuş A, Çavuş UY, Civelek C, İpek G, Zeren C (March 1, 2012) Evaluation of intoxication cases admitted to Emergency Department of a University Hospital. Dicle Tıp Dergisi 39 1 21–26.
IEEE E. Sönmez, A. Karakuş, U. Y. Çavuş, C. Civelek, G. İpek, and C. Zeren, “Evaluation of intoxication cases admitted to Emergency Department of a University Hospital”, diclemedj, vol. 39, no. 1, pp. 21–26, 2012, doi: 10.5798/diclemedj.0921.2012.01.0088.
ISNAD Sönmez, Ertan et al. “Evaluation of Intoxication Cases Admitted to Emergency Department of a University Hospital”. Dicle Tıp Dergisi 39/1 (March 2012), 21-26. https://doi.org/10.5798/diclemedj.0921.2012.01.0088.
JAMA Sönmez E, Karakuş A, Çavuş UY, Civelek C, İpek G, Zeren C. Evaluation of intoxication cases admitted to Emergency Department of a University Hospital. diclemedj. 2012;39:21–26.
MLA Sönmez, Ertan et al. “Evaluation of Intoxication Cases Admitted to Emergency Department of a University Hospital”. Dicle Tıp Dergisi, vol. 39, no. 1, 2012, pp. 21-26, doi:10.5798/diclemedj.0921.2012.01.0088.
Vancouver Sönmez E, Karakuş A, Çavuş UY, Civelek C, İpek G, Zeren C. Evaluation of intoxication cases admitted to Emergency Department of a University Hospital. diclemedj. 2012;39(1):21-6.