AN EVALUATION OF ACUTE INTOXICATIONS IN CHILDHOOD AT THE EMERGENCY DEPARTMENT: A SINGLE CENTER EXPERIENCE
Objective: The aim of this study is to identify epidemiological and clinical characteristics of childhood patients who were brought to our hospital emergency service due to intoxication.
Methods: Cases were evaluated in terms of gender, age, month of application, hours of application, way of arrival to the hospital, cause of intoxication, way of entrance to the body (oral, dermal, inhaler), type of intoxication (suicide, accident), treatments, result (discharge, hospitalization, referral) and length of hospital stay. Chi square test and Mann-Whitney U Test were used for comparison of groups. p<0.05 was considered statistically significant in all analyzes.
Results: 147 pediatric patients admitted to our emergency service with intoxication. Average age of patients was 6.61±5.9. Intoxication was most common among 0-5 age group. Most common type of intoxication was accidental. Most common causes of intoxication were drugs (66%). Most common medication type in drug intoxications were analgesics-antipyretics (29.7%). The most case occurred in winter (32%).
Conclusion: More care should be taken in the care of children between the ages of 0-5 and adolescent girls. We think that it will be beneficial for emergency physicians to have information about the epidemiological and clinical features of intoxications in the region they work.
Süleyman Ersoy1, http://orcid.org/0000-0001-5417-934X
Burak Çelik2, http://orcid.org/0000-0002-6746-4083
Cemil Kavalcı3, http://orcid.org/0000-0003-2529-2946
Hacı Mehmet Çalışkan1, http://orcid.org/0000-0001-7370-420X
Gülsüm Kavalcı4, http://orcid.org/0000-0002-8245-4721
1 Kırşehir Ahi Evran University, Faculty of Medicine Emergency department, Kırşehir, Turkey;
2 Kırşehir Training and Research Hospital, Emergency department, Kırşehir, Turkey;
3 Dışkapı Yıldırım Beyazıt Training and Research Hospital Emergency department, Ankara, Turkey;
1 Kırşehir Ahi Evran University, Faculty of Medicine, Kırşehir, Turkey;
4 Yenimahalle Training and Research Hospital, Anesthesia department, Ankara, Turkey.
1. Arısoy N., Aji D.Y. Poisonings. In: Onat T (ed). Çocuk Sağlığı ve Hastalıkları, Cilt 2. İstanbul: Eksen Yayınlar; 1996.p. 1037-1055.
2. Jepsen F., Ryan M. Poisoning in children. Curr Pediatr 2005; 15: 563-568.
3. Soyucen E., Aktan Y., Saral A., Akgün N., Numanoğlu U. Retrospective analysis of childhood poisoning in Sakarya region. Çocuk Sağlığı ve Hastalıkları Dergisi 2006; 49(4): 301-6.
4. Özcan N., İkincioğulları D. Ulusal Zehir Danışma Merkezi 2008 Yılı Çalışma Raporu. Türk Hij Den Biyol Derg 2009; 66: 29-58.
5. Özayar E., Değerli S., Güleç H., Şahin Ş., Dereli N. Retrospective Analysis of Intoxication Cases in the ICU. Turkish Journal of Intensive Care Medicine 2011; 3: 11-6.
6. Kelebek F., Satar S., Kozacı N., Açıkalın A., Gülen M., Acehan S. Emergency Medicine Admissions of Pediatric Intoxicated Cases. The Journal of Academic Emergency Medicine 2014; 13: 67-70.
7. Guyer B., Gallagher S.S. An Aproachto the Epidemiology of Childhood İnjuries. Pediatr Clin North Am 1985; 32: 5-15.
8. Akbay-Öntürk Y., Uçar B. Retrospective Analysis of Childhood Poisoning in Eskişehir Region. Çocuk Sağlığı ve Hastalıkları Dergisi 2003; 46: 103-113.
9. Liu Y., Wolf L.R., Zhu W. Epidemiology of adult poisoning at China Medical University. J Toxicol Clin Toxicol 1997; 35: 175-80.
10. Thomas S.H., Bevan L., Bhattacharyya S., Bramble M.G., Chew K., et al. Presentation of poisoned patients to accident and emergency departments in the north of England. Hum Exp Toxicol 1996; 15: 466-70.
11. Yorulmaz .A, Akbulut H., Yahya İ., Aktaş R., Emiroğlu H.H., Peru H. Retrospective Evaluation of Patients Admitted to the Pediatric Emergency Department with Intoxication. J Pediatr Emerg Intensive Care Med 2017; 4: 96-103.
12. Karaci M., Yıldız N., Metin O., Özçetin M. A retrospective study of childhood intoxication in the Zonguldak region The Journal of Academic Emergency Medicine 2013; 12: 145-9.
13. Konca Ç., Tekin M., Usman M.K., Genç Y., Turgut M. The Evaluation of Poisoning Cases who Applied to the Adıyaman University Training and Research Hospital Pediatrics Emergency Department. The Journal of Academic Emergency Medicine 2014; 13: 166-71.
14. Bükülmez A., Tahta E.G., Şen T.A., Alpay F. Evaluation of Patients with Intoxication Admitted to the Pediatric Emergency Service. Kocatepe Medical Journal 2013; 14: 11-16.
15. Kondolot M., Akyıldız B., Görözen F., Kurtoğlu S., Patıroğlu T. Evaluation of the poisoning cases who applied to the Pediatrics Emergency Unit. Çocuk Sağlığı ve Hastalıkları Dergisi 2009; 52:68-74.
16. Sümer V., Güler E., Karanfil R., Dalkıran T., Gürsoy H., Garipardıç M., Davutoğlu M. Çocuk Evaluation of the poisoning cases who applied to the pediatrics emergency unit. Turkish Archives of Pediatrics 2011;46: 234-240.
17. Binay Ç., Şahin G.T., Biçer S., Gemici H., Şahin S., Bahar S., et al. Evaluation of Acute Poisonings in Pediatric Emergency Department in 2006. The Journal of Academic Emergency Medicine 2010; 9: 31-40.
18. Watson W.A., Litovitz T.L., Rodgers G.C. Jr., Klein-Schwartz W., Reid N., Youniss J., et al. 2004 Annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System. Am J Emerg Med 2005; 23: 589-666.
19. Güzel I.Ş., Kibar A.E., Vidinlisan S. Evaluation of demographic characteristics in intoxication cases who admitted to emergency room in pediatric unit. Genel Tıp Derg 2011; 21 (3):101-7.
20. Dereci S., Koca T., Gençer A., Serdaroğlu F., Akçam M. Evaluation of childhood poisoning in Isparta region. Dicle Medical Journal 2015; 42 (3): 319-325.
21. Özdemir R., Bayrakcı B., Tekşam O., Yalçın B., Kale G. Thirty-three-year experience on childhood poisoning. Turk J Pediatr 2012; 54: 251-9.
22. Biçer S., Şengül A., Yeşinel S., Yıldırım S., Uzunoğlu N., Aydoğan G. Pediatrik yaş grubu zehirlenmelerinin tanı, tedavi ve takibinde çocuk acil servisinin etkinliği 2003 yılı vakalarının değerlendirilmesi. Toksikoloji Dergisi. 2005; 3: 11-7.
23. Biçer S., Sezer S., Çetindağ F., Kesikminare M., Tombulca N., Aydoğan G., et al. Evaluation of acute intoxications in pediatric emergency clinic in 2005. Marmara Medikal Journal 2007; 20 (1): 12-20.
24. Kendirci H.N.P., Çolakoğlu E.Y., Hızlı Ş., Koçak M., Saylam E., et al. Evaluation of intoxication cases who referred to pediatric emergency room in our hospital. Turkish Journal Pediatric Disease 2011; 5: 29-35.
25. Ertekin V., Altınkayak S., Alp H., Yiğit H. Çocukluk Çağında zehirlenmeler: Son 3 yıldaki vakaların değerlendirilmesi. Journal of Child 2001; 1: 104-9.
26. Yakar B., Ertekin Y.H., Ertekin H. Children with drug poisoning: Demographic characteristics and assessment of familial factors. Anatol J Clin Investig 2015; 9 (4): 189-193
27. Akçay A., Gürses D., Özdemir A., Kılıç İ., Ergin H. Denizli İlindeki Çocukluk Çağı Zehirlenmeleri. Adnan Menderes Tıp Fakültesi Derg 2005; 6: 15-9.
28. Karcıoğlu Ö., Demirel Y., Eser Z., Özer I., Salama M. Acil Serviste İlaç İle Zehirlenmeler: Bir Yıllık Olgu Serisi. Turkish Journal of Emergency Medicine 2002; 2 :26-33.
29. Kaygusuz K., Gürsoy S., Kılıçcıoğlu F., Özdemirkol İ., Mimaroğlu C. Cumhuriyet Üniversitesi Tıp Fakültesi Hastanesi Yoğun Bakım Ünitesinde 1998-2004 Yılları Arasında Akut İlaç Zehirlenmesi Tanısı İle Takip Edilen Olguların Geriye Dönük Analizi. Cumhuriyet Medical Journal 2004; 26: 161-5.
30. Arslan M., Akçan R., Hilal A., Batuk H., Cekin N. Suicide among children and adolescents. Child Psychiatry Hum Dev 2007; 38: 271-7.
Количество просмотров: 689
Категория статей:
Оригинальные исследования
Библиографическая ссылка
Ersoy S., Çelik B., Kavalcı C., Çalışkan H.M., Kavalcı G. An Evaluation of Acute Intoxications in Childhood at The Emergency Department: A Single Center Experience // Nauka i Zdravookhranenie [Science & Healthcare]. 2020, (Vol.22) 6, pp. 43-48. doi 10.34689/SH.2020.22.6.006Похожие публикации:
МЕХАНИКАЛЫҚ САРҒАЮ ОПЕРАЦИЯСЫ КЕЗІНДЕ КОАГУЛОПАТИЯЛЫҚ ҚАН КЕТУДІҢ АЛДЫН АЛУ ӘДІСІ
ОПТИМИЗАЦИЯ РЕЗУЛЬТАТОВ АУТОДЕРМОПЛАСТИКИ ПРИ ЛЕЧЕНИИ ГРАНУЛИРУЮЩИХ ГНОЙНЫХ РАН
BASICS OF REHABILITATION OF CHILDREN AFTER OPERATIONS ON THE COLON AND ANORECTAL AREA
HEALTH INDICATORS OF FIRST-YEAR-OF-LIFE CHILDREN IN THE REPUBLIC OF KAZAKHSTAN FOR 2013-2022
ОЦЕНКА УДОВЛЕТВОРЕННОСТИ ТРУДОВОЙ ДЕЯТЕЛЬНОСТЬЮ ВРАЧЕЙ АНЕСТЕЗИОЛОГОВ-РЕАНИМАТОЛОГОВ ГОРОДА АСТАНА