Evaluation of the Patients Admitted to the Emergency Room due to Poisoning in terms of Clinical Characteristics and Costs

Yıl 2019, Cilt: 9 Sayı: 3, 470 - 478, 16.09.2019

Hakan Hakkoymaz , Ali İhsan Kilci , Özlem Güler , Fatih Nazmi Yaman , Ramazan Azim Okyay

https://doi.org/10.31832/smj.542548

Öz

Objective:
In this study, it is aimed to evaluate the demographic, etiologic and clinical
characteristics of the poisoning cases admitted to emergency room along with
their costs to Social Security Institution.

Materials
and Methods: This is a descriptive study. The data
were obtained by retrieving the files of the patients who were registered for
poisoning to XXXXXX University
Faculty of Medicine Training and Research Hospital adult emergency service between October 2015
and October 2017 from the automation system.

Results:
Of the patients, 60.3% were in the 18-24 age group, 30.6% were in the 25-34 age
group and 60.0% were females. Of the admissions, 56.8% were due to suicide
attempt. In the 18-24 age group and in women, poisonings were found more likely
to be a suicide attempt. Of the patients, 50.6%
admitted with drug poisoning. The second common cause of poisoning after drugs
was carbon monoxide (CO) with 20.6%.

Conclusion:
Poisoning is an important public health problem requiring urgent diagnosis and
treatment. Most of the drug poisonings, which have a significant share in all
poisonings, are suicide attempts. For this reason, the presence of psychiatric
symptoms must be investigated in patients with drug poisoning. The second
common cause of poisoning after drugs was found to be CO in our study. This
situation should be taken into account especially for applications in winter
period. Poisoning is also costly in terms of the health economy. It is
important to raise public awareness of poisoning in order to prevent both
health-related and financially adverse consequences.

Anahtar Kelimeler

Emergency room, costs, poisoning

Zehirlenme Nedeniyle Acil Servise Başvuran Hastaların Klinik Özellikler ve Maliyet Açısından Değerlendirilmesi

Öz

Amaç:
Bu çalışmada acil servise başvuran zehirlenme olgularının demografik,
etiyolojik ve klinik özellikleri ile bunların sosyal güvenlik kurumuna olan
maliyetlerinin değerlendirilmesi amaçlanmıştır.

Gereç
ve Yöntemler: Çalışmamız tanımlayıcı tiptedir.
Veriler, Ekim 2015-Ekim 2017 tarihleri arasında XXXXXX Üniversitesi Tıp
Fakültesi Araştırma ve Uygulama Hastanesi yetişkin acil servisine zehirlenme ön tanısıyla kaydı yapılan hastaların
dosyalarının otomasyon sisteminden retrospektif olarak incelenmesi ile elde
edilmiştir.

Bulgular:
Hastaların %60,3’ü 18-24, %30,6’sı 25-34 yaş grubunda olup, %60,0’ı kadındır.
Başvuruların %56,8’inde etkenle maruziyet, intihar amacıyla gerçekleşmiştir.
18-24 yaş grubunda ve kadınlarda zehirlenmelerin daha çok intihar amaçlı olarak
gerçekleştiği bulunmuştur. Hastaların %50,6’sı ilaç nedenli zehirlenme ile
başvurmuştur. İlaç dışı başvuruların en sık nedeni ise %20,6 ile karbonmonoksit
(CO) zehirlenmesi olmuştur.

Sonuçlar:
Zehirlenmeler, acil tanı ve tedaviyi gerektiren önemli bir halk sağlığı
sorunudur. Tüm zehirlenmeler içinde önemli bir paya sahip olan ilaca bağlı
zehirlenmelerin büyük bölümü intihar amaçlı alım sonucu gerçekleşmiştir. Bu
nedenle ilaç zehirlenmesi ile gelen hastalarda psikiyatrik tabloların varlığı
mutlaka araştırılmalıdır. Çalışmamızda ilaç dışı nedenlerle gerçekleşen
zehirlenmelerin en büyük nedeni CO olarak bulunmuştur. Özellikle kış döneminde
gelen başvurularda bu durum dikkate alınmalıdır. Zehirlenmeler, sağlık ekonomisi
açısından da maliyetlidir. Zehirlenmelerin gerek sağlıkla ilgili, gerekse de
mali açıdan yarattığı olumsuzlukların önlenmesi açısından toplumsal
farkındalığın arttırılması önemlidir. 

Anahtar Kelimeler

Acil servis, maliyet, zehirlenme

Kaynakça

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