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Amaç: Retrospektif çalışmamızda, hastanemiz yoğun bakımlarında takip edilen akut zehirlenme olgularının beş yıllık süredeki verilerini incelemeyi amaçladık.Gereç ve Yöntemler: Etik kurul onayı alındıktan sonra, Antalya Eğitim ve Araştırma Hastanesi yoğun bakım ünitelerine 1 Ocak 2011 – 31 Aralık 2016 tarihleri arasında kabul edilen, yetişkin, akut zehirlenme olguları, hastane bilgi sistemi kullanılarak, ICD-10 kodlama sistemi aracılığı ile tespit edildi. Olguların demografik verileri, zehirlenmelerin oluş şekli, maruz kalınan maddeler, yoğun bakımda kalış süreleri ve hasta sonuçları kayıt edildi.Bulgular: Beş yıllık sürede yoğun bakımlara kabul edilen 4236 hastanın 486 % 11,4 tanesi akut zehirlenme idi ve olguların yaş ortalaması 32,53 ± 12,21 bulunur iken, en sık 18-35 yaş grubunu % 67,1 etkilemiştir. Zehirlenmelerin oluş şekli en fazla intihar amacıyla % 82,7 idi. Bu amaçla olgular en çok ilaç alımını % 74,3 tercih etmişlerdir. Yoğun bakım takiplerinde 43 % 8,8 olgunun mekanik ventilasyon ihtiyacı olmuştur. Olguların % 90,1’i ilk üç günde taburcu olurken, tüm olguların yoğun bakım yatış gün ortalaması 2,13’tür. Bu dönemde 5 % 1 olgu kaybedilmiştir.Sonuç: Çoğunlukla genç-erişkin nüfusu etkileyen akut zehirlenme olgularının yoğun bakım takipleri kısa ve mortalite oranları düşüktür. Yine de aşırı doz durumlarında klinisyenler dikkatli olmalıdır
Purpose: In our retrospective study, we aimed at examining the five-year data of acute poisoning events followed in our hospital’s intensive care.The purpose and methods: After the approval of the Ethics Board, the adult, acute poisoning events, accepted between 1 January 2011 and 31 December 2016, were identified through the ICD-10 coding system, using the hospital information system. The demographic data of the incidents, the form of poisoning, exposed substances, duration of stay in intensive care and patient results were recorded. Results: 486 percent of the 4236 patients admitted to intensive care over a period of five years were acute poisoning and the average age of the incidents was 32,53 ± 12,21, the most frequently affected the age group 18-35 was 67,1 percent. The form of poisoning was 82.7 percent with the most suicidal purpose. For this purpose, the incidents preferred the most drug use of 74.3%. In intensive maintenance tracking, 43% of 8.8 incidents needed mechanical ventilation. 90,1% of the cases are dismissed in the first three days, while the average day of intensive care in all cases is 2.13. During this period, 5% of the phenomenon has been lost.The result: The intensive care tracking of acute poisoning phenomena that mostly affect the young-adult population is short and mortality rates are low. However, in cases of overdose, clinics should be cautious.
Objective: In our retrospective study, we aimed to investigate the five-year data of the acute poisoning cases that were monitored at the intensive care units of our hospital. Material and Methods: After ethics committee approval, adult acute poisoning cases that were accepted to the intensive care units of Antalya Training Research Hospital between 1st January 2011 and 31st December 2016 were determined by using the hospital information system and the ICD-10 coding system. The demographic data of the cases, the route of poisoning, the relevant material, the follow-up period at the intensive care unit, and the patient results were recorded. Results: In the five-year period, 486 11.4% of 4236 patients accepted to the intensive care units had acute poisoning and the mean age of the cases was 32.53 ± 12.21 years. Mostly the 18-35 age group was affected. The poisoning was mostly due to suicide 82.7% . Most of the cases had ingested drugs 74.3% . During intensive care follow-up, 43 8.8% cases required mechanical ventilation. 90.1% of the cases were discharged in the first three days, while the average stay in the intensive care unit was 2.13 days. In this period, 5 1% cases were lost. Conclusion: Intensive care follow-up and mortality rates are low in acute poisoning cases that mostly affect the young adult population. However, clinicians should be cautious in case of overdose.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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