The retrospective analysis of the acute poisoning cases applying to the emergency unit in one year

Objective: In this retrospective study we aimed to gather one year data about intoxication cases admitted to emergency service, examine their
demographic and etiologic characteristics and compare these with literature.
Material and Methods: Cases older than 14 years admitted to Ankara Numune Reseach and Training Hospital Emergency Service between 1st
September 2006 and 31th August 2007 because of acute poisoning examined for age and gender distribution, poisoning etiology, prognosis and mortality rates.
Results: 790 (61.3%) of 1288 people who came to the emergency service because of acute poisoning were female. Mean age was 28.5±15.1 years and 31.3±16.3 years in female and in male patients respectively. Most common cause of the poisonings were drugs (58.69%), carbonmonoxide (19.25%), alcohol (8.15%) and mushroom (6.99%). Of all the events 53.1% were attempts to suicide and this rate was 70% in females. While 85.7% of the cases were followed in emergency service, 8% in internal medicine clinic and 6.3% in ICU. For all the patients, mean duration in ICU was 3.77±2.05 days. Mortality rate was found to be 0.31%.
Conclusions: It can be concluded that intoxication is encountered in females more commonly and most common with a drug. The carrying out of urge interventions as possible as early and observation in ICU is of great importance. That is why we are in opinion that the usage of the medicines such as analgesics and antidepressant drugs which are easy to reach should be taken under control.

Bir yýllýk dönemde acil servise baþvuran akut zehirlenme olgularýnýn retrospektif analizi

Amaç: Biz retrospektif olarak yaptýðýmýz bu çalýþmada; bir yýllýk dönemde acil servise baþvuran zehirlenme olgularý ile ilgili verileri toplamayý, demografik ve etyolojik özellikleri ile prognozlarýný araþtýrarak, literatür ile karþýlaþtýrmayý amaçladýk.
Gereç ve Yöntemler: Ankara Numune Eðitim ve Araþtýrma Hastanesi (ANEAH) Acil Servisi’ne 01.09.2006 ile 31.08.2007 tarihleri arasýndaki bir yýllýk süreçte akut zehirlenme nedeniyle baþvuran 14 yaþ üstü tüm olgular; yaþ ve cinsiyet daðýlýmlarý, zehirlenme nedenleri, prognoz ve mortalite oranlarý açýsýndan araþtýrýldý.
Bulgular: Akut zehirlenme nedeniyle acil servise gelen 1288 olgunun 790’ý (%61.3) kadýndý. Yaþ ortalamasý kadýnlarda 28.5±15.1 yýl, erkeklerde 31.3±16.3 yýl idi. En sýk karþýlaþýlan zehirlenme nedenleri; ilaçlar (%58.69), karbon monoksit (%19.25), alkol (%8.15) ve mantar (%6.99) idi. Tüm olgularýn %53.1’i intihar amaçlý zehirlenmelerdi ve kadýnlarda bu oran daha yüksekti (%70). Olgularýn %85.7’si acil serviste, %8’i dahiliye kliniklerinde, %6.3’ü ise yoðun bakým ünitelerinde izlendi. Yoðun bakýmda kalýþ süreleri ortalama 3.77±2.05 gündü. Mortalite oraný %0.31 olarak bulundu.
Sonuç: Sonuç olarak; zehirlenme olgularý sýklýkla, genç kadýnlarda ve ilaç alýmý þeklinde görülmektedir. Olgulara acil müdahalenin olabildiðince erken yapýlmasý ve gerektiðinde yoðun bakýmlarda izlenmesi, mortalitenin azaltýlmasý yönünde büyük öneme sahiptir. Ama daha da önemlisi yaygýn olarak kullanýlan ve ulaþýlmasý kolay olan analjezik ve antidepresan gibi ilaçlarýn kontrollü kullandýrýlmasý gerektiði kanýsýndayýz.