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首页> 外文期刊>Journal of toxicology-Clinical toxicology >Pattern of poisoning in the elderly: An experience from Tehran
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Pattern of poisoning in the elderly: An experience from Tehran

机译：老年人中毒的模式：德黑兰的经验

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Introduction. Poisoning is considered a significant health problem in the elderly. This study aimed to portray the pattern of poisoning in the elderly population of Tehran. Methods. This cross-sectional study included all patients aged 60 years and older with acute poisoning who attended the emergency department of the Loghman-Hakim hospital over a six-month period (n=299). Results. Episodes of poisoning were more common in men (70.9%) and the majority of incidents took place in the patient's own home (84.3%). Most episodes were accidental (53.2%) followed by attempted suicide (32.4%). Opioids and opiate products accounted for 54.02% of the non-pharmaceutical substances that were involved in episodes of poisoning. Overdose with opioids and opiate products, was higher in male patients than in female patients. The most frequently involved drug groups were benzodiazepines, antidepressants, and analgesics. The most common cause of accidental poisoning was overdose by drug abusers. The Poisoning Severity Score was minor in 25.4%, moderate in 52.2%, and severe in 17.1% of patients. Asymptomatic patients accounted for 5.4% of the total. Unfortunately, 11.7% of patients died. The main agents involved in the fatal cases were opioids and opiate products. Conclusion. The commonest method of accidental poisoning was overdose in opioid and opiate abusers. Attempted suicide was also very common comprising about one third of all cases. The high mortality observed in this study warrants attention to the risk factors and prognostic factors of poisoning in elderly.
机译：介绍。中毒被认为是老年人的重要健康问题。这项研究旨在描绘德黑兰老年人口中毒的情况。方法。这项横断面研究纳入了所有60岁及以上的急性中毒患者，他们在六个月的时间里（n = 299）到Loghman-Hakim医院急诊室就诊。结果。中毒发作在男性中更为普遍（70.9％），大多数事件发生在患者自己的家中（84.3％）。大多数发作是偶然的（53.2％），其次是自杀未遂（32.4％）。阿片类药物和鸦片类产品占中毒发作的非药物类物质的54.02％。男性患者的阿片类药物和阿片类药物过量发生率高于女性患者。涉及最频繁的药物组是苯二氮卓类，抗抑郁药和止痛药。意外中毒的最常见原因是吸毒者过量服用。中毒严重度评分轻微的患者为25.4％，中度的为52.2％，严重的为17.1％。无症状患者占总数的5.4％。不幸的是，有11.7％的患者死亡。致命病例中涉及的主要因素是阿片类药物和鸦片产品。结论。最常见的意外中毒方法是滥用阿片类药物和阿片类药物。未遂自杀也很普遍，约占所有案件的三分之一。在这项研究中观察到的高死亡率值得关注老年人中毒的危险因素和预后因素。

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