Nermin Kelebek GİRGİN, Hikmet TEKÇE, Fatma ÖZDEMİR, Ferda KAHVECİ, Gürayten ÖZYURT, Zülfi ENGİNDENİZ, Murat KIYICI, Celalettin DEMİRCAN, İlker ERCAN

Analysis of acute adult poisoning cases among patients admitted to the emergency department in bursa,Turkey

Amaç: Bu çalısmada Uludağ Üniversitesi Tıp Fakültesi Hastanesi acilservisine basvuran erişkin akut zehirlenmeli hastalardaki yaş, cinsiyetözellikleri, toksik madde türleri, intihar girişimi ve mortalite oranları hakkında epidemiyolojik bilgilerin edinilmesi amaçlandı. Gereç ve Yöntem: 1.6.2002 ile 31.5.2003 tarihleri arasındaki 1 yıllık sürede acil servise basvuran akut zehirlenmeli hastaların dosyaları retrospektif olarak incelendi. Veriler ülkemizdeki ve dünyadaki benzer çalışmaların sonuçları ile karsılaştırıldı. Bulgular: Bu süre içinde acil servise başvuran 21934 hastanın 430’unda(%1,96) akut zehirlenme vardı. Bu hastaların 259’u (%60,2) kadın, 171’i(%39,8) erkek ve ortalama yaş:29,9, maruz kalınan toksik maddeler veoranları; ilaçlar:%47,4, pestisidler:%10,7, toksik gazlar:%10,0, korozivmadde: %6,5, alkol:%3,5, gıda:%15,8, hayvansal kaynaklı:%3,0 ve diğerleri:%3,0 idi. Hastaların %29,8’i yatırılmış, %22,3’ü başka hastanelere sevkedilmiş, %47,9’u ise acil servisten taburcu edilmiş ve mortaliteoranı %1,2 idi. Zehirlenmelerin %54,9’u intihar amaçlı olup bu hastalardakadın/erkek oranı: 2,2, en sık alınan toksik madde türü ilaçlardı (%85,2). Sonuç: Akut zehirlenmelerin kadınlarda ve genç yaşlarda daha sık görülmesi, ilaçların en sık neden olan toksik madde türü olması, zehirlenmelerin çoğunun intihar amaçlı olması ve mortalite oranının düşüklüğü ülkemizdeki diğer çalışmaların sonuçları ile benzer bulunmustur. Diğer hastanelere sevk oranımız daha yüksek olup bu durum hastanemizde bu hastaların kısa süreli izlemi için uygun organizasyonun yapılmasını gerektirir

Acil servise başvuran erişkin akut zehirlenme olgularının analizi

Purpose: The aim of this study was to define the epidemiological featuressuch as age, sex, toxic substance, suicide, and mortality rates of the adultpoisoning cases among patients admitted to the Emergency Department(ED) of Uludağ University Medical Faculty Hospital. Materials and Methods: Records of acute adult poisoning cases at theED within a one-year period (June 1, 2002 - May 31, 2003) were evaluated retrospectively. Data were compared to those of similar studies fromTurkey and around the world. Results: In total 430 (1.96%) of 21,934 patients admitted to the ED duringthe study period suffered acute poisoning. Of these patients 259 (60.2%)were women and 171 (39.8%) were men and the mean age of the patients was 29.9. Patients were exposed to different types of toxic substances: drugs (47.4%), pesticides (10.7%), toxic gases (10%), corrosives(6.5%), alcohol (3.5%), food (15.8%), toxic substances of animal origin(3.0%), and others (3.0%). In all, 29.8% of the patients were admitted tohospital, 22.3% were transferred to other hospitals, and 47.9% were discharged from the ED, and the overall mortality rate was 1.2%. In addition, 54.9% of the poisonings were suicide attempts and within this group the women to men ratio was 2.2 and the most common toxic substance was a drug (85.2%). Conclusion: Our results were similar to those of previous studies fromthis country as acute poisonings are more common in women and younger ages, most of them were suicide attempts, and the mortality rate waslow. Our transfer rate was high and this may necessitate the organizationof short-term observation of these patients.

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