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Amaç: Bu çalışmada iki yıllık süre içinde hastanemiz yoğun bakımımıza kabul edilen zehirlenme olgularının demografik özelliklerini, zehirlenme nedenlerini, yoğun bakımdaki prognozlarını ve kalış sürelerini, mekanik ventilatör ve ekstrakorporeal destek tedavisi gereksinimlerini değerlendirmeyi amaçladık. Gereç ve Yöntemler: Yoğun bakım ünitemize 1 Ocak 2017- 31 Aralık 2018 tarihleri arasında kabul edilen 138 hastanın yaş ve cinsiyet dağılımları, zehirlenme nedenleri, acil servise başvuru süreleri ve acil servisten yoğun bakıma alınma süreleri, yoğun bakımda ve hastanede kalış süreleri geriye dönük araştırıldı. Bulgular: Zehirlenme nedeni ile yoğun bakıma kabul edilen 138 hastanın 74'ü (%53,6) kız, 64'ü (46,4) erkekti. Yaş ortalaması 118,4 (8-218 ay) aydı. Olguların %34,8', kaza, %50,8'i özkıyım amaçlı ve %14,4'ü keyif verici madde sonucu zehirlenmeydi. Hastaların 106‘i (%76,8) ilaçlarla, 32’si (%23,2) ilaç dışı maddeler ile zehirlenmişti. İlaç ilişkili zehirlenmelerde santral sinir sistemi ilaçları en sık rastlanan ajan iken, ilaç dışı etkenlerden en sık sentetik kanabinoidler gözlendi.Antidepresan ilaçlar en sık neden olarak saptandı. Yoğun bakımda ortalama kalış süresi 2,2 gün (1-24 gün)'dü. Mortalite oranı %2,1'di. Tartışma: Çocukluk çağı zehirlenmeleri hastaneye başvuruların en sık nedenlerinden biridir.. Zehirlenmenin erken farkedilmesi ve uygun tedavi yaklaşımları hayat kurtarıcıdır. Aile eğitimi, ilaçların çocukların ulaşamayacağı yerlerde saklanması, reçetesiz ilaç satılmaması gibi koruyucu önlemler önemlidir. Çalışmamızda keyif verici maddeler ile zehirlenme oranı yüksek bulunmuştur. Bu artışın azaltılması için çevre bilinci ve devlet denetimlerin arttırılması gerekmektedir.
Purpose: In this study, within two years, we aimed at assessing the demographic characteristics of the detoxification occurrences accepted in our hospital intensive care, the causes of the detoxification, the prognosis in intensive care and the duration of stay, the mechanical ventilator and the need for extracorporal support treatment. Tools and Methods: The age and gender distribution of 138 patients accepted in our intensive care unit between 1 January 2017 and 31 December 2018, the causes of poisoning, the periods of application for emergency care and the periods of intensive care from emergency care, intensive care and the periods of hospital stay were reviewed backward. Results: 74 of 138 patients who were considered to be intensely treated with the cause of poisoning (53.6%) were girls and 64 (46.4) men. The average age was 118.4 (8-218 months) months. 34.8 percent of the incidents, accidents, 50.8 percent were self-sufficient and 14.4 percent were untouched as a result of pleasant substances. 106 patients (76.8 percent) were poisoned with drugs, 32 percent (23.2 percent) with non-medicinal substances. In drug-related poisoning, the central nervous system medications were often found as an agent, while non-medicinal factors were observed by synthetic cannabinoids.Antidepressant drugs were often identified as the cause. The average stay time in intensive care was 2.2 days (1-24 days). The mortality rate was 2.1%. Discussions: Childhood poisoning is one of the causes of frequent hospitalization.. Early detection of poisoning and appropriate treatment approaches are life-saving. Protecting measures such as family education, storing drugs where children cannot reach, and not selling prescription drugs are important. In our study, the rate of poisoning with pleasant substances was high. This increase requires increased environmental awareness and government controls.
Objective: In this study; we aimed to analyze the demographic characteristics of patients, causative agent, length of intensive care unit stay, need for mechanical ventilation and extracorporeal support therapy over a two-year period in our pediatric intensive care unit. Material and Methods: The records of 138 patients accepted to the pediatric intensive care unit (PICU) with poisoning from 1 January 2017- 31 December 2018 were retrospectively evaluated according to their demographic characteristics, etiology, admission time to emergency service and length of stay in the PICU and the hospital. Results: Seventy-four (53,6%) of 138 patients who were admitted to the PICU with poisoning were female and 64 (46,4%) were male. The mean age was 118,4 month. 34,8% of poisoning cases were accidental, 50,8% were suicidal and 14,4% were synthetic cannabinoid, alcohol or drug abuse. 106 (76,8%) of cases were drug-related, while 23,2% were the non-drug-related. Central nervous system drugs were the most common agent in drug-related poisoning, however, synthetic cannabinoids were the most common in nondrug-related poisoning. The mean duration of stay in the PICU was 2,2 days and the mortality rate was 2,1%. Conclusion: Childhood intoxications in one of the most common causes of admission to hospital. The early notice and appropriate therapeutic approach for poisoning seem to be effective and life-saving. Family education, keeping drugs in unreachable places for children, unavailability of drugs without a prescription are important factors to prevent poisoning. In our study, an increase was found in the rate of intoxication with synthetic cannabinoid, alcohol or drug abuse. In order to reduce this increment, public awareness and state supervision should be increased.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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