Özet:

OBJECTIVE: The aim of this study was to investigate the demographic and clinical characteristics of adult drug intoxication cases admitted to emergency department over four-year period. MATERIAL AND METHODS: The characteristics of patients aged 18 years and over who applied to Afyonkarahisar Health Sciences University Hospital Emergency Service with drug intoxication between 2018 and 2021 were analyzed retrospectively through the information management system and patient files. Information of the demographic characteristics of the patients (gender and age), date and time of admission, blood level of the poisoning agent (toxic/nontoxic), type of poisoning (suicide/accidental), poisoning factors (drug class, amount, single or multiple drug intake), prognosis (discharged, hospitalization, referral, treatment refusal) was collected. RESULTS: 62.6% (n=97) of the study group (n=155) were women and the mean age was 34.08±13.51 (min-max:19-89). 56.1% of the cases were applied to the service at 16.00-23.59. 4 patients were poisoned by accident and 151 patients were poisoned due to suicidal. 26.5% (n=41) of the cases were discharged from the service within 24 h, the follow-up of 49 patients lasted longer than 24 h. 34.8% (n=54) of the patients refused treatment and 4 patient left the service without permission. 59 people (38.1%) applied to the service with single and 96 people (61.9%) with multiple drug intake. The most common causes of poisoning were nervous system drugs, musculoskeletal system drugs and respiratory system drugs. Paracetamol, chlorpheniramine, sertraline, amoxicillin, escitalopram and naproxen were found to be the leading drugs among the identified drugs. CONCLUSIONS: The demographic characteristics determined in our study are consistent with the results reported from various health institutions in our country. With the prospective study design, it will allow the collection of information at the bedside and better planning of health services.

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