Retrospective Analysis of the Intoxication Cases Applied to the Emergency Service

Yıl 2021, Cilt: 3 Sayı: 1, 1 - 4, 30.03.2021

Serhat Örün

https://doi.org/10.51262/ejtox.861043

Öz

Objectives: Together with the development of the modern technology, the new chemicals and pharmaceuticals entering our lives expose the humankind more and more to these agents. Our aim to conduct this study was to determine the types and causes of frequent intoxication cases applying to our emergency service, the required treatment and patient care methods by analyzing the patient files and to raise an awareness about intoxications.

Materials and Methods: Our study was a retrospective study prior to which the necessary permissions were obtained from Namık Kemal University Ethical Council of Non-Invasive Clinical Researches. Besides the demographic attributes of the patients, the mode of intoxication (accidentally, suicidal), how the intoxication happened (drugs, pesticides, detergent), consultation information (if any), requirement of antidote for treatment, the patients’ being outpatient or hospitalized were determined and analyzed statistically.

Results: A total of 58 patients were included in our study. The age average of the included patients were 34.05 ± 15.22. Among the patients, 38 (65.5%) were female while 20 (34.5%) were male. 75.9% (44) of the cases were suicidal, and 24.1% (14) happened accidentally. There was previous psychiatric history in 27.6% (16) of the patients while there was no previous psychiatric history in 72.4% (42). Among the patients with previous psychiatric history, 15 (93.7%) of the intoxications were suicide attempt, while 29 (69%) of the patients without previous psychiatric history were suicide attempt. The difference obtained from the comparison of psychiatric history and intoxication type was statistically significant.

Conclusion: Intoxication cases apply to the emergency service with various reasons and frequencies. We presume that supporting and developing the emergency service in terms of knowledge and equipment will contribute to the medical care and prognosis of the toxicology patients

Anahtar Kelimeler

drug intoxication, emergency services, suicide, toxicology

Proje Numarası

46048792-050.01.04-E.

Kaynakça

• ACEP. The role of emergency medicine in toxicology. Ann Emerg Med 1983;12:56
• Fatma Çakmak. Demographic characteristics of patients applied to the emergency service with drug intoxications. Eurasian J Tox. 2020;2(3):68-70
• Kendirci HNP, Çolakoğlu E Y, Hızlı Ş, Koçak M, Saylam E, Olat E, Yılmaz G. Hastanemiz Çocuk Acil Servisine Başvuran Zehirlenme Olgularının Değerlendirilmesi Evaluatıon Of Intoxıcatıon Cases Who Referred To Pedıatrıc Emergency Room In Our Hospıtal. Türkiye Çocuk Hast. Derg. / Turkish J. Pediatr. Dis. 2011; 5(1): 29-35
• Tüfek D, Taşdemir BB, Sıvacı R. Retrospective analysis of intoxication cases followed up in intensive care unit. The journal of The Turkish Society of intensive care Aug (2017); 15(2): 67-71
• Sorge M, Weidhase L, Bernhard M, Gries A, Petros S. Self-poisoning in the acute-care Medicine 2005-2012. Anaesthesist. 2015 Jun;64 (6):456-462
• Akgün FS. Şentürk Ö, Özünal ZG, Sağlam E. Evaluation of the cases hospitalized in intensive care unit. Yoğun bakıma yatırılan zehirlenme olgularının değerlendirilmesi. Mustafa Kemal Üniversitesi Tıp Dergisi 2018;9(35) 109 -113 https://doi.org/10.17944/mkutfd.489778
• Yüksel N. Neurobiology of Suicide. İntiharın Nörobiyolojisi. 3. Biological Psychiatry Congress. 3. Biyolojik Psikiyatri Kongresi, 18-20 Haziran, 2001, Presented in Cappadocia Kapadokya’da sunulmuştur
• Gür STA, Turgut MC. Clinics Following Patients' Suicide Attempt, Consultations Performed, and the Role of the Emergency Departments Eurasian J Tox. 2020; 2 (2):44-46
• Cooper JB, Lawlor MP, Hiroeh U, Kapur N, Appleby L. Factors that influence emergency department doctors’ assessment of suicide risk in deliberate self-harm patients. Eur J Emerg Med 2003; 10: 283-287