ÇOCUK ACİL SERVİSE ZEHİRLENME NEDENİYLE BAŞVURAN HASTALARIN DEĞERLENDİRİLMESİ

Öz

Amaç: Çalışmamızın amacı, hastanemiz acil servisine zehirlenme nedeniyle getirilen çocuk hastaların, demografik ve klinik özelliklerini tespit etmektir. Elde edilecek verilerle alınabilecek önlemlere yardımcı olmak ve ulusal verilerimize katkıda bulunmaktır. Yöntemler: Hastanemizin acil servisinde 2023-2024 yılları arasında zehirlenme nedeniyle başvuran çocuk hastalar geriye dönük incelendi. Hastaların yaş, cinsiyet, başvuru sebepleri, yatış durumu, mortalite oranları gibi özellikleri incelendi. SPSS 26 kullanılarak yapıldı. Sonuçlar kategorik değişkenler için yüzde olarak ifade edildi. Bulgular: Çalışmada 328 hasta incelendi. Hastaların erkek oranı (%51,5) kızlara göre daha fazlaydı. En sık başvuru yaşı 3-6 yaş aralığı (%45.1) olarak görüldü. En sık başvuru mevsimi olarak yaz görüldü (%37,8). En sık başvuru nedenini ilaçlar oluşturmaktadır (%60.4). Bunu sırasıyla gıda, koroziv madde ve karbon monoksit zehirlenmesi takip etmektedir. Hastaneye yatışı yapılan vaka oranı %53.7 iken yoğun bakım yatış oranı %20.7 olarak bulunmuştur. Mortalite oranı ise %2,2 görülmüştür. Sonuç: Çocukluk çağında görülen zehirlenmeler önlenebilir sağlık sorunları arasında yer almaktadır. Bundan dolayı ebeveyn ve çocuklara verilecek koruyucu sağlık eğitimleri vaka oranını azaltmada yardımcı olacaktır.

Anahtar Kelimeler

• Acil servis
• çocuk
• mortalite
• zehirlenme

Evaluation of Patients Admitted to Pediatric Emergency Department due to Poisoning

Öz

Objective: To determine the demographic and clinical characteristics of pediatric patients admitted to our hospital’s emergency department due to poisoning and to provide data that may inform preventive measures and contribute to national records. Methods: We retrospectively analyzed pediatric patients (0–18 years) admitted for poisoning between January 2023 and December 2024. Demographics, exposure characteristics, treatment, disposition, and outcomes were extracted from the hospital information system. Descriptive statistics were reported as frequencies (%) for categorical variables. Results: A total of 328 patients were analyzed. Males accounted for 51.5% of cases. The most common age group at presentation was 3–6 years (45.1%). The most frequent season of presentation was summer (37.8%). The most common cause of poisoning was drugs (60.4%), followed by food, corrosive substances, and carbon monoxide, respectively. The overall hospitalization rate was 53.7%, with 20.7% requiring intensive care unit (ICU) admission. Mortality was 2.2%. Conclusion: Childhood poisonings remain a preventable public health problem. Strengthening family education, safe storage practices, and standardized ED protocols can reduce morbidity and mortality.

Anahtar Kelimeler

• Child
• Emergency department
• mortality
• poisoning

Destekleyen Kurum

Financial Support The authors declared that this study has received no financial support.

Etik Beyan

Compliance of Ethical Statement Written permission and ethics committee approval were obtained from the institution where the study was conducted. The study was conducted in accordance with the Declaration of Helsinki. No biological material or patient data was used in this study. (Mardin Artuklu University GOKAEK, No: 2024/11-25, Date: 05.11.2024)

Teşekkür

Concept-MS; Design-MS, OO; Data Collection and/or Processing-MS, AY, OO; Written-MS; Materials-OO; Analysis and/or Interpretation-OO, AY; Supervision-OO; Critical Review-AY, MS; Other-AY.

Kaynakça

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