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Poisoning Cases In Trakya Uiversity Hospital, Turkey

机译:土耳其特拉基亚大学医院中毒案件

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Introduction: Poisonings are important causes of emergency department visits. It is especially very common in youth and women. In this study we aimed to define clinical and demographic features of poisoning cases admitted to our hospital.Material and Methods: Poisoning cases admitted to the emergency department of Trakya University Hospital between the dates of January 2008 and January 2009 were evaluated retrospectively. Demographic features of patients, poisoning agents, aim of intake of poisonous agent, admission times, treatment methods, department treatment and outcomes were recorded. Data were expressed as mean ± standard deviation and percentage.Results: Between these dates, 2.2% of emergency department visits were poisonings. 460 patients were included in the study. Mean age of the patients was 25.6±11.5 years. 40% of the patients were male (n=184) and 60% were female (n=276). Mean admission time to the hospital was 229.6±150.6 minutes. It was detected that 62.4% of the patients were poisoned with a single agent and 95.1% took the agent orally. The most common poisoning agents were tablets (75.7%, n=348), carbon monoxide (CO) (5.4%, n=25) and alcohol (14.8%, n=68). 77.8% of the patients were discharged from the hospital, 21.3% were hospitalized, and 0.2% were sent to another hospital, and 0.7% were terminal.Conclusion: It was seen that poisoning cases were mostly seen in young females, occurring with single agent, and requiring good clinical care. Introduction Intoxication is the disruption of functions of a living organism by any agent 1 . Toxic substances have been used for centuries for suicide and/or homicide purposes. Intoxications have been one of the important public health challenges dating back to ancient times. The annual incidence varies 0.02% to 9.3% in developing countries. A significant portion of emergency department admissions are constituted by intoxication cases and can lead to serious results depending upon the agent and the admission time to hospital 23 . The prevalence is 0.4% according to data of the State Statistics Institute 4 . Intoxication cases exhibit regional differences in terms of demographic characteristics, intoxication fashion and agents to be exposed. Intoxication can occur not only due to the voluntary intake of agent but also accidentally or during a treatment. While intoxication can be accidental in children, it can occur as a result of suicidal intention. The aim of this study is to identify the clinical and demographic characteristics of intoxication cases admitted to the Trakya University Hospital emergency department. Material and Methods Patients admitted to Trakya University Hospital between the dates of January 2008 and January 2009 were evaluated retrospectively. Characteristics such as age and gender of the patients, weather conditions and the time the intoxication occurred, admission time and mode of transport, intoxication agents, routes, of contact with the substance, interventions done at the emergency department, and the results (discharge, forwarding, hospitalization, death etc) were recorded to the prepared form. Data were assessed with the SPSS 15.0 software package and expressed. Chi-squared (χ 2 ), Mann-Whitney U and Student t-test were used in statistical analysis and p<0.05 was accepted significant. Results During the study period, a total of 20,715 patients were admitted to emergency service and, 2. 2% of them were admitted due to intoxication. While 39.6% (n=182) of the intoxication patients came directly to the emergency department, the other 60.4 % of them (n=278) were forwarded to the emergency department. 40% of the patients (n=184) were male, 60% (n=276) of them were female, giving a female/male ratio of 1.5. Mean admission time to the hospital after intoxication was 231.8±169.1 minutes. 229.6±150.6 minutes in males and 233.4±180.6 in females respectively. Statistically no significant difference was found between the admission times in terms of gender (X
机译:简介:中毒是急诊就诊的重要原因。这在青年和妇女中尤为常见。在本研究中,我们旨在确定入院的中毒病例的临床和人口统计学特征。材料与方法:回顾性评估在2008年1月至2009年1月之间进入特拉基亚大学医院急诊室的中毒病例。记录患者的人口统计学特征,中毒剂,中毒剂的摄入目的,入院时间,治疗方法,科室治疗和结果。数据表示为平均值±标准差和百分比。结果:在这些日期之间,急诊就诊的2.2%为中毒。 460名患者被纳入研究。患者的平均年龄为25.6±11.5岁。 40%的患者是男性(n = 184),而60%是女性(n = 276)。平均入院时间为229.6±150.6分钟。经检测,有62.4%的患者被单一药物中毒,而95.1%的患者口服该药物。最常见的中毒剂是片剂(75.7%,n = 348),一氧化碳(CO)(5.4%,n = 25)和酒精(14.8%,n = 68)。 77.8%的患者出院,21.3%的患者入院,0.2%的患者被送往另一家医院,0.7%的患者是末期患者。结论:中毒病例多见于年轻女性,单药一次,并且需要良好的临床护理。引言中毒是任何生物体1对生物机体功能的破坏。数个世纪以来,有毒物质已被用于自杀和/或杀人目的。自古以来,中毒一直是重要的公共卫生挑战之一。发展中国家的年发病率在0.02%至9.3%之间。急诊科的入院很大一部分是由中毒病例引起的,并可能导致严重后果,具体取决于代理商和入院时间23。根据国家统计局的数据,患病率为0.4%4。中毒病例在人口统计学特征,中毒方式和暴露媒介方面表现出地区差异。中毒不仅可能由于药物的自愿摄入而发生,而且可能是偶然发生或在治疗过程中发生。尽管儿童中毒可能是偶然的,但它有自杀意味。这项研究的目的是确定进入特拉基亚大学医院急诊科的中毒病例的临床和人口统计学特征。材料与方法对2008年1月至2009年1月之间进入特拉基亚大学医院的患者进行回顾性评估。特征,例如患者的年龄和性别,天气状况和中毒发生的时间,入院时间和运输方式,中毒剂,接触该物质的路线,在急诊室进行的干预以及结果(出院,出院,转寄,住院,死亡等)记录到准备好的表格中。使用SPSS 15.0软件包评估数据并表达。卡方检验(χ2),Mann-Whitney U检验和St​​udent t检验用于统计学分析,p <0.05被认为是显着的。结果在研究期间,共有20,715名患者接受了急诊服务,其中2. 2%因中毒而入院。 39.6%(n = 182)的中毒患者直接进入急诊室,而其他60.4%(n = 278)被转送到急诊室。 40%的患者(n = 184)为男性,其中60%(n = 276)为女性,男女之比为1.5。中毒后入院的平均时间为231.8±169.1分钟。男性229.6±150.6分钟,女性233.4±180.6分钟。从统计上看,录取时间之间的性别差异无统计学意义(X

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