Research Article
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Year 2020, Volume: 2 Issue: 3, 68 - 70, 05.12.2020

Abstract

Giriş: Zehirlenme; bir maddenin canlı organizmaya ağız, deri, solunum, dolaşım yoluyla girip zarar vererek işlevini bozmasıdır. 2008 yılı Ulusal Zehir Danışma Merkezi raporuna göre Türkiye’de zehirlenme ile başvurularda ilk sırada medikal ilaçlar yer almaktadır, tarım ilaçları ile oluşan zehirlenmeler ikinci ev kimyasalları ile olan zehirlenmeler ise üçüncü sıradadır.
Gereç ve Yöntem: Erzurum Bölge Eğitim ve Araştırma Hastanesi acil servisine 07.04.2018 - 07.04.2020 tarihleri arasında ilaç intoksikasyonu ile başvuran hastaların tıbbi kayıtları retrospektif olarak tarandı ve analiz edildi.
Bulgular: Araştırma dönemi boyunca acil servise toplam 2943 hasta başvurmuştu. Bu hastalardan 121’nin geliş şikayeti zehirlenmeydi. Bunlardan 96 tanesi ilaç intoksikasyonu ile acil servise başvurmuştur. İntoksikasyon ile başvuran hastalar tüm başvuran hastaların %4,11’idir. Zehirlenme ile başvuran hastaların %79,33 ü ilaç zehirlenmesidir. Bu hastaların yaş ortalaması 29,73 dir. İlaç intoksikasyonu ile gelen 96 hastanın 69 tanesi kadındı ve 65 (%67,7)
Sonuç: Kadınlar erkeklere göre daha yüksek oranda ilaç içerek intoksikasyona uğruyor. Coğrafyamızda kadınların sosyoekonomik düzeyinin daha düşük olması, kadının hayata daha az tutunmasına ve hayatına son vermek istemesine sebep oluyor olabilir. Kadınların sosyoekonomik düzeyinin artırılması ile özkıyım oranı azaltılabilir. Coğrafyamızda kadınların evli olmaları kendi üzerlerine daha fazla psikolojik yük yüklediğinden kadınlarda evli olanlarda ilaç intoksikasyonu daha fazla görülüyor olabilir.

References

  • 1. Pekdemir M, Kavalcı C, Durukan P, Yıldız M. Acil servisimize başvuran zehirlenme olgularının değerlendirilmesi. Acil Tıp Dergisi. 2002;2(2):36-40.
  • 2. Wax PM. History. In: Goldfrank LR, Flomenbaum NE. Toxicologic Emergencies (Ed 6th) New York, McGrawHill 1998:1-14.
  • 3. Özcan N, İkincioğulları D. Ulusal zehir danışma merkezi 2008 yılı çalışma raporu özeti. Türk Hijyen ve Deneysel Biyoloji Dergisi. 2009;66(Supp: ER-3):29-58.
  • 4. Schaper A. Präklinisches Management von Vergiftungen–Bedeutung des Giftnotrufs für den Rettungsdienst. Intensiv-und Notfallbehandlung. 2010;35(4):178-85.
  • 5. Schaper A, Ceschi A, Deters M, Kaiser G. Of pills, plants, and paraquat: The relevance of poison centers in emergency medicine. European journal of internal medicine. 2013;24(2):104-9.
  • 6. Mert E, Bilgin NG. Demographical, aetiological and clinical characteristics of poisonings in Mersin, Turkey. Human & experimental toxicology. 2006;25(4):217-23.
  • 7. Karakaya A, Vural N. Acute poisoning admissions in one of the hospitals in Ankara. Human toxicology. 1985;4(3):323-6.
  • 8. Özayar E, Degerli S, Güleç H, Sahin S, Dereli N. Yogun Bakima Kabul Edilen Zehirlenme Olgularinin Retrospektif Analizi/Retrospective Analysis of Intoxication Cases in the ICU. Dahili ve Cerrahi Bilimler Yogun Bakim Dergisi. 2011;2(3):59.
  • 9. Özköse Z, Ayoĝlu F. Etiological and demographical characteristics of acute adult poisoning in Ankara, Turkey. Human & experimental toxicology. 1999;18(10):614-8.
  • 10. Akköse Ş, Fedakar R, Bulut M, Çebiçci H. Zehirlenme olgularının beş yıllık analizi. Acil Tıp Dergisi. 2003;3(1):8-10.
  • 11. Kekeç Z, Sözüer E, Duymaz H, Ökkan S. Acil servise başvuran çoklu ilaç zehirlenmelerinin yedi yıllık analizi. Türkiye Acil Tıp Dergisi. 2005;5(2):69-72.
  • 12. Tüfek D, Taşdemir BB, Sivaci R. Yoğun Bakım Ünitesinde İzlenen İntoksikasyon Hastalarının Retrospektif İncelemesi. Türk Yogun Bakim Dergisi. 2017;15(2):67.
  • 13. Buckley NA, Dawson A, Whyte I, Hazell P, Meza A, Brie H. An analysis of age and gender influences on the relative risk for suicide and psychotropic drug self‐poisoning. Acta Psychiatrica Scandinavica. 1996;93(3):168-71.
  • 14. ERAY O, TUNÇOK Y. Zehirlenen Hastaya Yaklaşım: Akut Zehirlenmelerde Hastaya Acil Yaklaşımda Yenilikler. Türkiye Klinikleri Farmakoloji-Özel Konular. 2003;1(1):36-40.
  • 15. Avınca Ö, Şen A, Karakoç Y, Damar Ö, Taş M. ZEHİRLENmELER: NEDEN SUİSİT, NEDEN KADINLAR? JNBS. 2019:83.
  • 16. Stenbacka M, Samuelsson M, Nordström P, Jokinen J. Suicide risk in young men and women after substance intoxication. Archives of suicide research. 2018;22(2):254-62.

Demographic Characteristics of Patients Applied to The Emergency Service with Drug Intoxications

Year 2020, Volume: 2 Issue: 3, 68 - 70, 05.12.2020

Abstract

Objectives: The term poisoning is quite old. Poisoning; It is the situation that stops vital functions where a substance enters the living organism through mouth, skin, respiration, circulation, and damages its function. Poisoning has been one of the important health problems throughout human history. The term "poisoning" was first used by the British in 1230. According to the first report of Turkish National Poison Control Center on the application by poisoning in Turkey is located medical drugs (69.74%). Poisoning caused by pesticides is in second place (8.34%) and poisoning with household chemicals is in third place (7.57%).
Matherials and Method: Patients who applied to Erzurum Regional Training and Research Hospital emergency service with drug intoxication between 07.04.2018 and 07.04.2020 were retrospectively screened and analyzed from the medical records.
Aim: It was aimed to examine the demographic characteristics of the patients who applied to Erzurum Regional Training and Research Hospital Emergency Service between 07.04.2018 and 07.04.2020 with drug intoxication in a period of two years.
Results: 96 patients admitted to the emergency departmant with drug intoxication beetween 07.04.2018 and 07.04.2020. Patients presenting with intoxication are 4.1% of all admitted patients. 79.3% of the patients presenting with intoxication are drug intoxication. The average age of these patients is 29,7 years old. 69 (71.8%) of the patients were female 67.7% of patients admitted to the emergency departmalet with drug intoxication are married.
Conclusion: Woman were intoxicated with a higher rate of drug intake than male. The lower socio-economic level of female in our geography may cause female to hold on to life less and want to end their lives. By increasing the socioeconomic status of female, the rate of suicide can be reduced. In our geography, as the marriage of female puts more psychological burden on themselves, drug intoxication may be more common among female who are married. Drug intoxication may be reduced in those who are married in male, perhaps because their lives are regulated. Since our study was conducted retrospectively, it is not certain what the purpose of poisoning was. Working prospectively in larger groups will provide us with more accurate and broader data.

References

  • 1. Pekdemir M, Kavalcı C, Durukan P, Yıldız M. Acil servisimize başvuran zehirlenme olgularının değerlendirilmesi. Acil Tıp Dergisi. 2002;2(2):36-40.
  • 2. Wax PM. History. In: Goldfrank LR, Flomenbaum NE. Toxicologic Emergencies (Ed 6th) New York, McGrawHill 1998:1-14.
  • 3. Özcan N, İkincioğulları D. Ulusal zehir danışma merkezi 2008 yılı çalışma raporu özeti. Türk Hijyen ve Deneysel Biyoloji Dergisi. 2009;66(Supp: ER-3):29-58.
  • 4. Schaper A. Präklinisches Management von Vergiftungen–Bedeutung des Giftnotrufs für den Rettungsdienst. Intensiv-und Notfallbehandlung. 2010;35(4):178-85.
  • 5. Schaper A, Ceschi A, Deters M, Kaiser G. Of pills, plants, and paraquat: The relevance of poison centers in emergency medicine. European journal of internal medicine. 2013;24(2):104-9.
  • 6. Mert E, Bilgin NG. Demographical, aetiological and clinical characteristics of poisonings in Mersin, Turkey. Human & experimental toxicology. 2006;25(4):217-23.
  • 7. Karakaya A, Vural N. Acute poisoning admissions in one of the hospitals in Ankara. Human toxicology. 1985;4(3):323-6.
  • 8. Özayar E, Degerli S, Güleç H, Sahin S, Dereli N. Yogun Bakima Kabul Edilen Zehirlenme Olgularinin Retrospektif Analizi/Retrospective Analysis of Intoxication Cases in the ICU. Dahili ve Cerrahi Bilimler Yogun Bakim Dergisi. 2011;2(3):59.
  • 9. Özköse Z, Ayoĝlu F. Etiological and demographical characteristics of acute adult poisoning in Ankara, Turkey. Human & experimental toxicology. 1999;18(10):614-8.
  • 10. Akköse Ş, Fedakar R, Bulut M, Çebiçci H. Zehirlenme olgularının beş yıllık analizi. Acil Tıp Dergisi. 2003;3(1):8-10.
  • 11. Kekeç Z, Sözüer E, Duymaz H, Ökkan S. Acil servise başvuran çoklu ilaç zehirlenmelerinin yedi yıllık analizi. Türkiye Acil Tıp Dergisi. 2005;5(2):69-72.
  • 12. Tüfek D, Taşdemir BB, Sivaci R. Yoğun Bakım Ünitesinde İzlenen İntoksikasyon Hastalarının Retrospektif İncelemesi. Türk Yogun Bakim Dergisi. 2017;15(2):67.
  • 13. Buckley NA, Dawson A, Whyte I, Hazell P, Meza A, Brie H. An analysis of age and gender influences on the relative risk for suicide and psychotropic drug self‐poisoning. Acta Psychiatrica Scandinavica. 1996;93(3):168-71.
  • 14. ERAY O, TUNÇOK Y. Zehirlenen Hastaya Yaklaşım: Akut Zehirlenmelerde Hastaya Acil Yaklaşımda Yenilikler. Türkiye Klinikleri Farmakoloji-Özel Konular. 2003;1(1):36-40.
  • 15. Avınca Ö, Şen A, Karakoç Y, Damar Ö, Taş M. ZEHİRLENmELER: NEDEN SUİSİT, NEDEN KADINLAR? JNBS. 2019:83.
  • 16. Stenbacka M, Samuelsson M, Nordström P, Jokinen J. Suicide risk in young men and women after substance intoxication. Archives of suicide research. 2018;22(2):254-62.
There are 16 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section Original Articles
Authors

Fatma Çakmak 0000-0002-5770-3554

Publication Date December 5, 2020
Submission Date November 26, 2020
Published in Issue Year 2020 Volume: 2 Issue: 3

Cite

APA Çakmak, F. (2020). Demographic Characteristics of Patients Applied to The Emergency Service with Drug Intoxications. Eurasian Journal of Toxicology, 2(3), 68-70.
AMA Çakmak F. Demographic Characteristics of Patients Applied to The Emergency Service with Drug Intoxications. Eurasian J Tox. December 2020;2(3):68-70.
Chicago Çakmak, Fatma. “Demographic Characteristics of Patients Applied to The Emergency Service With Drug Intoxications”. Eurasian Journal of Toxicology 2, no. 3 (December 2020): 68-70.
EndNote Çakmak F (December 1, 2020) Demographic Characteristics of Patients Applied to The Emergency Service with Drug Intoxications. Eurasian Journal of Toxicology 2 3 68–70.
IEEE F. Çakmak, “Demographic Characteristics of Patients Applied to The Emergency Service with Drug Intoxications”, Eurasian J Tox, vol. 2, no. 3, pp. 68–70, 2020.
ISNAD Çakmak, Fatma. “Demographic Characteristics of Patients Applied to The Emergency Service With Drug Intoxications”. Eurasian Journal of Toxicology 2/3 (December 2020), 68-70.
JAMA Çakmak F. Demographic Characteristics of Patients Applied to The Emergency Service with Drug Intoxications. Eurasian J Tox. 2020;2:68–70.
MLA Çakmak, Fatma. “Demographic Characteristics of Patients Applied to The Emergency Service With Drug Intoxications”. Eurasian Journal of Toxicology, vol. 2, no. 3, 2020, pp. 68-70.
Vancouver Çakmak F. Demographic Characteristics of Patients Applied to The Emergency Service with Drug Intoxications. Eurasian J Tox. 2020;2(3):68-70.

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