Görüntüleme
6
İndirme
2
Giriş: Pediatrik zehirlenme, acil servise başvuruların yaygın bir nedenidir. Pediatrik zehirlenmelerin epidemiyolojisi farklı ülkelerde, hatta aynı ülkenin farklı bölgelerinde bile değişebilir. Morbidite ve mortaliteyi azaltmak için bölgesel faktörlerin belirlenmesi önemlidir. Bu çalışmada çocukluk çağı zehirlenmelerinin epidemiyolojik özellikleri, klinik bulguları ve risk faktörlerinin değerlendirilmesi amaçlanmıştır. Yöntemler: Bu retrospektif tanımlayıcı çalışma, üçüncü basamak bir hastanenin pediatrik acil servisinde gerçekleştirildi ve Ocak 2016 ile Aralık 2020 arasındaki tıbbi kayıtlar geriye dönük olarak incelendi. Demografik özellikler, laboratuvar sonuçları ve tedaviler kaydedildi. Bulgular: Çalışmaya 450 kadın (% 53.9) olmak üzere 4 ay-18 yaş arası 835 hasta dahil edildi. Zehirlenmeler en sık yazın (n = 280,% 33,5) ve gündüz (n = 490,% 58,7) mevsiminde görüldü. Ortalama intihar zehirlenmesi yaşı, kaza sonucu zehirlenmelere göre anlamlı derecede yüksekti (p <0.001). İntihar girişimi nedeniyle zehirlenen hastalarda ilaç ajanları istatistiksel olarak anlamlı derecede yüksekti (p <0,001). Öte yandan kaza ve intihar zehirlenmeleri arasında klinik prezentasyon, hastanede kalış süresi ve YBÜ gereksinimi açısından istatistiksel olarak anlamlı fark yoktu (p> 0,05). Sonuçlar: Çocukluk çağı zehirlenmesi, dikkat edilmesi gereken önemli acil durumlardan biridir. Pediatrik acil hekimleri, tıbbi öykü olmasa bile zehirlenme olasılığını her zaman akılda tutmalıdır. Yaş grubuna göre alınabilecek olası etkenler tahmin edilebilir ve bu, hekimlerin bu hastaların tedavisinde gecikmelerden kaçınmasını sağlar.
Introduction: Pediatric poisoning is a common cause of emergency applications. The epidemicology of pediatric poisoning can vary in different countries, even in different regions of the same country. It is important to identify regional factors to reduce morbidity and mortality. This study aims to evaluate the epidemic characteristics of childhood poisoning, clinical findings and risk factors. Methods: This retrospective identifying study was carried out at the pediatric emergency service of a third stage hospital and medical records between January 2016 and December 2020 were reviewed backward. Demographic characteristics, laboratory results and treatments were recorded. The study included 835 patients between 4 months and 18 years of age, including 450 women (53.9 percent). Poisoning was most frequently observed in the summer (n = 280, 33,5%) and in the day (n = 490, 58,7%) season. The average age of suicide poisoning was significantly higher than the resulting poisoning (p <0.001). In patients who were poisoned due to suicide attempt, the drug agents were statistically significantly high (p <0,001). On the other hand, there was no statistically meaningful difference between accident and suicide poisoning in terms of clinical presentation, duration of hospital stay and the need for BSA (p> 0.05). Results: Childhood poisoning is one of the important emergencies to be taken into consideration. Pediatric emergency doctors should always keep in mind the possibility of poisoning, even if there is no medical history. Possible factors that can be taken according to the age group can be predicted, and this helps the doctors avoid delays in the treatment of these patients.
Introduction: Pediatric poisoning is a common cause of emergency department admissions. The epidemiology of pediatric poisonings can vary in different countries, even different regions of the same country. It is important to determine the regional factors to decrease morbidity and mortality. This study was aimed to evaluate the epidemiological features, clinical signs, and risk factors of pediatric poisonings. Methods: This retrospective descriptive study was carried out in the pediatric emergency department of a tertiary hospital and medical records between January 2016 and December 2020 were retrospectively reviewed. Demographic characteristics, laboratory results and treatments were recorded. Results: 835 patients aged 4 months-18 years including 450 females (53.9%) were included in the study. Poisonings were most common in summer (n = 280, 33.5%) and in the daytime (n = 490, 58.7%). The mean age of suicidal poisoning was significantly higher then accidental poisonings (p < 0.001). Pharmaceutical agents were statistically significantly higher in patients poisoned due to suicidal attempts (p < 0.001). On the other hand, there was not a statistically significant difference between accidental and suicidal poisoning in terms of clinical presentation, length of stay in hospital, and, ICU requirement (p > 0.05). Conclusions: Childhood poisoning is one of the important emergencies that need attention. Pediatric emergency physicians should always keep in mind the possibility of poisoning, even with the lack of medical history. It could be estimated the possible ingested agents according to the age group, and this allows physicians to avoid delay in treatment of these patients.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
Makale Detay 
Benzer Makaleler
PDF Görüntüle
Dergi Bilgisi
Eseri Dinleyin
Alıntı Yap
Bu Sayfayı Yazdırın
Paylaş
Mendeley
