Analysis of Alcohol Intoxication Cases: Retrospective Demographic Analysis

Yıl 2023, Cilt: 6 Sayı: 3, 117 - 120, 30.09.2023

Sinan Karacabey , Mehmet Birkan Korgan , Melis Efeoğlu Saçak , Erkman Sanrı , Arzu Denizbaşı

https://doi.org/10.54996/anatolianjem.1256632

Öz

Aim: Underground alcoholic beverage production and consumption is an important problem in Türkiye and rest of the world. All alcohols, including ethanol, are known to have toxic effects. Patients may admit to emergency services with different clinical manifestations and laboratory findings after exposure to different doses. In this study, it was aimed to evaluate the patients with alcohol intoxication who admitted to the Emergency Medicine Department of Marmara University Pendik Training and Research Hospital.

Material and Methods: This study was carried out retrospectively on patients who admitted to the Emergency Department of Marmara University Pendik Training and Research Hospital between January 2016 and January 2021 due to alcohol poisoning. Demographic data of patients with alcohol intoxication, duration of admission to the hospital, time of admission, way of admission, state of consciousness, whether there was a concurrent different substance intake, whether there was concomitant trauma, blood gas results, whether they received renal replacement therapy and their outcomes were recorded.

Results: During the study period, 149 patients presented to the emergency department with the diagnosis of alcohol poisoning, and 0.5% (n=8) were considered exitus during their follow-up. 88.4% of the patients were male and the mean age was 35.5± 12.0 (minimum-maximum, 18-70)/year. A significant age difference was found between the patients who died after alcohol poisoning 49.5 (34.8-63.0) and the patients who survived 33.0 (26-41) in terms of age (p<0.05).

Conclusion: As a result, it was determined that alcohol intoxication is more common in middle-aged men, and it may be mortal in patients with low pH, HCO3, and increased base deficit and lactate values.

Anahtar Kelimeler

Ethanol, methanol, renal replacement therapy, alcoholic intoxication

Alkol Zehirlenmeleri Olgularının İncelenmesi: Retrospektif Demografik Analiz

Öz

Amaç: Türkiye de ve dünyada kayıt dışı alkollü içecek üretimi ve tüketimi önemli bir sorundur. Etanol de dâhil olmak üzere bütün alkollerin toksik etkileri olduğu bilinmektedir. Farklı dozlarda alım sonrası farklı klinik ve laboratuvar bulgularıyla hastalar acil servislere başvurabilmektedir. Bu çalışmada, Marmara Üniversitesi Pendik Eğitim ve Araştırma Hastanesi Acil Tıp Kliniği ne başvuran alkol zehirlenmesi olan hastaların değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntemler: Bu çalışma, Marmara Üniversitesi Pendik Eğitim ve Araştırma Hastanesi Acil Servisi’ne Ocak 2016-Ocak 2021 tarihleri arasında alkol zehirlenmesi nedeniyle başvuran hastalar üzerinde retrospektif olarak yapılmıştır. Alkol zehirlenmesi olan hastaların demografik verileri, hastaneye başvuru süresi, başvuru zamanı, başvuru şekli, şuur durumu, farklı madde alımı olup olmadığı, travma olup olmadığı, kan gazı sonuçları, renal deplasman tedavisi alıp almadıkları ve sonlanımları kaydedildi.

Bulgular: ÇÇalışşma döönemi içinde 149 hasta acil servise alkol zehirlenmesi tanısı ile başvurmuş olup, bunların %0,5 (n= i takipleri sırasında eksitus kabul edildi. Hastaların % 88,4’ü erkek cinsiyette ve yaş ortalaması 35,5 12,0 (minimum-maksimum, 18-70)/yıl idi. Alkol zehirlenmesi sonrası eksitus olan hastalarla 49,5 (34,8-63,0), hayatta kalan hastalar arasında 33,0 (26-41) yaş
bakımından anlamlı fark saptandı (p<0,05).

Sonuç: Sonuç olarak alkol zehirlenmelerinin erkeklerde orta yaş grubunda daha sık göörüüldü ğ üü, dü ş üük pH, HCO3 ve artmış baz defisiti ve laktat değğerlerine sahip hastalarda ölümcül olabileceğği belirlendi.

Anahtar Kelimeler

Etanol, metanol, renal replasman tedavisi, alkol intoksikasyonu

Kaynakça

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