An epidemiological evaluation of 1098 acute poisoning cases from Turkey.
This study evaluated the characteristics of orally poisoned patients admitted to our emergency department (ED) between January 1, 1998 and February 28, 2002. This study included 1098 patients. Poisoning cases annualy accounted for 0.5-1.3% of total patient admission during this period. The average age of the patients was 26y old. Poisoning was particulary common in students and housewives. Poisoning cases presented to the ED most commonly between 6 pm and 12 am (38%). More than half of study patients (52%) were admitted to the ED within 2 h of exposure. The incidence of concomitant alcohol intake with another intoxicant was 11%. The ingested drugs were 32% various antidepressants, 23% paracetamol, 20% analgesics (excluding paracetamol and salicylates), 10% antibiotics, 9% benzodiazepines, 7% salicylates and 7% cardiovascular drugs. Most patients received at least 1 of the following treatments: gastric lavage, oral activated charcoal, iv hydration, or diuresis. Thirty-two percent of patients were hospitalized beyond 24 h and 68% of were discharged within 24 h. The mortality rate of the overall cohort was < 1%. Psychiatric consultation was obtained for 55% of patients.
Hacettepe University Faculty of Medicine, Department of Emergency Medicine, Ankara, Turkey.
Meltem
M
Akkas
Figen
F
Coskun
Nadir
N
Ulu
Bulent
B
Sivri
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000700:Analgesics / Q000506:poisoning*; D000928:Antidepressive Agents / Q000506:poisoning*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D008297:Male; D008499:Medical Records; D011041:Poisoning / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D012189:Retrospective Studies; D014421:Turkey / Q000453:epidemiology
D000700:Analgesics; D000928:Antidepressive Agents