Intensive care admissions due to poisoning

被引:19
|
作者
Lindqvist, E. [1 ,2 ]
Edman, G. [3 ,4 ]
Hollenberg, J. [5 ]
Nordberg, P. [5 ]
Osby, U. [6 ,7 ]
Forsberg, S. [1 ,2 ,8 ]
机构
[1] Norrtalje Hosp, Dept Anaesthesiol & Intens Care, Norrtalje, Sweden
[2] Karolinska Inst, Sodersjukhuset, Dept Clin Sci & Educ, Stockholm, Sweden
[3] Karolinska Inst, Danderyd Hosp, Dept Clin Sci, Stockholm, Sweden
[4] Norrtalje Hosp, Dept Psychiat, Norrtalje, Sweden
[5] Karolinska Inst, Dept Med, Ctr Resuscitat Sci, Stockholm, Sweden
[6] Karolinska Univ Hosp Solna, Ctr Mol Med, Stockholm, Sweden
[7] Karolinska Inst, Ctr Family Med, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
[8] Swedish Poisons Informat Ctr, Stockholm, Sweden
关键词
HOSPITAL MORTALITY; RISK-FACTORS; SUICIDE; CORONER; DEATHS;
D O I
10.1111/aas.13005
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Background: Poisoning represents a significant part of admissions to intensive care units. The aim of this nationwide study was to describe recent national quality register data of demographics and mortality for these patients. Method: A retrospective national observational study including all patients over 19 years admitted to an ICU in Sweden, between 1 January 2010 and 31 December 2011, with an ICD-10 code for poisoning. The data were collected from three national registers (The Swedish Intensive Care Register, The National Patient Register, and The Cause of Death Register). Results: The incidence of ICU-treated poisonings was 43/100,000. Twenty-one per cent (n = 8155) of all poisoned patients seeking medical care were admitted to the ICU. Their median age was 38 years (q1-q3: 26-51), as many men as women and 46.5% (n = 3790) had a previous registered poisoning. A mix of different substances was the most common type of suspected poisoning (29.7%, n = 2424). The in-hospital mortality was 1.9% and was correlated to invasive mechanical ventilation (OR 6.91 CI 95% 4.59-10.42), age > 40 (OR 4.54 CI 95% 2.86-7.21) and no previous hospitalisation for poisoning (OR 3.23 CI 95% 2.06-5.07). For 78.3% (n = 119) of the deceased patients, the fatal poisoning was their first diagnosed poisoning. The 30-day mortality was 2.7%, a majority died from poisoning (P < 0.01). Conclusion: In Sweden, patients treated in the ICU due to poisoning represent a fifth of all poisoned patients seeking medical care. Older men with no previous poisoning were considered a high-risk group.
引用
收藏
页码:1296 / 1304
页数:9
相关论文
共 50 条
  • [1] Intensive care admissions due to poisoning (vol 61, pg 1296, 2017)
    Lindqvist, E.
    Edman, E.
    Hollenberg, J.
    Nordberg, P.
    Osby, U.
    Forsberg, S.
    ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2020, 64 (01) : 139 - 139
  • [2] Intensive care admissions due to severe maternal morbidity
    Hasbun H, Jorge
    Sepulveda-Martinez, Alvaro
    Cornejo R, Rodrigo
    Romero P, Carlos
    REVISTA MEDICA DE CHILE, 2013, 141 (12) : 1512 - 1519
  • [3] Admissions to pediatric intensive care unit due to preventable injuries
    Arslankoylu, Ali Ertug
    Komur, Mustafa
    Uysal, Sercan
    Erdogan, Semra
    TURK PEDIATRI ARSIVI-TURKISH ARCHIVES OF PEDIATRICS, 2012, 47 (01): : 43 - 46
  • [4] Admissions to Intensive Care Unit Following Poisoning: A Ten-Year Study
    Zoppellari, R.
    Fabbri, E.
    Ferri, E.
    Lupi, C.
    Marchi, M.
    Petrini, S.
    Bolognesi, E.
    Bianchi, S.
    Brunaldi, V
    Avato, F. M.
    CLINICAL TOXICOLOGY, 2012, 50 (04) : 299 - 299
  • [5] A Review of Self-Poisoning Admissions in a Five-Bed Intensive Care Unit in Scotland
    G Warnock
    L Young
    Intensive Care Medicine Experimental, 3 (Suppl 1)
  • [6] Six-year review of self-poisoning admissions to Scottish intensive care units
    Staber, M
    MacKirdy, F
    Williamson, S
    Binning, A
    INTENSIVE CARE MEDICINE, 2002, 28 : S133 - S133
  • [7] Intensive care expenditure on overdose admissions
    MA Staber
    JL Plenderleith
    ES Wilson
    AR Binning
    Critical Care, 7 (Suppl 2):
  • [8] Obstetric admissions to the intensive care unit
    Anwari, JS
    Butt, AA
    Al-Dar, MA
    SAUDI MEDICAL JOURNAL, 2004, 25 (10) : 1394 - 1399
  • [9] Research into intensive-care admissions
    McAllister, C
    Fee, JPH
    LANCET, 1997, 350 (9070): : 2 - 2
  • [10] Optimizing Admissions to an Intensive Care Unit
    Amir Shmueli
    Charles L. Sprung
    Edward H. Kaplan
    Health Care Management Science, 2003, 6 (3) : 131 - 136