Çocuk acil servisine zehirlenme nedeni ile başvuran olguların geriye dönük olarak değerlendirilmesi
Yükleniyor...
Tarih
2017
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş: Bu çalışmada çocuk acil polikliniğine zehirlenme nedeniyle kabul edilen hastaların demografik ve epidemiyolojik özelliklerini, klinik seyir, laboratuvar sonuçları ve prognozlarını geriye dönük olarak analiz etmeyi amaçladık.Yöntemler: Bu çalışmaya 1 ay-18 yaşları arası zehirlenme nedeni ile başvuran 430 hasta alındı. Hastaların tıbbi verileri geriye dönük olarak dosya bilgilerine göre incelendi. Hastaların yaş, cinsiyet gibi demografik verileri, olayın oluş zamanı, başvuru zamanı, ilacın alınmasından sonra ilk tıbbi müdahaleye kadar geçen süre, zehirlenme nedeni, alınan etken madde, alım şekli, alınan etken madde sayısı, hastaneye başvuru şikayeti incelendi. Bulgular: Çalışma bireyleri tüm çocuk acil servise başvuran hastaların %0,74'ünü oluşturmaktaydı. Hastalarımızın 243'ü (%56,5) kız, 187'si (%43,5) erkek idi. Hastaların yaşları 4 ay ile 220 ay (72,8966,38) arasında değişmekteydi. Hastalarımızın 113'ü (%26,3) yaz, 111'i (%25,8) ilkbahar, 110'u (%25,6) sonbahar ve 96'sı (%22,3) kış ayında başvurdu. 2014 yılında 18, 2015 yılında 193, 2016 yılında 178 ve 2017 yılında 41 zehirlenme hastası acil servisimize başvurdu. Hastalarımızın %12,3'ü 00:00-00:08 saatler, %35,1'i 08:00-16:00 saatler, %52,6'sı 16-24 saatleri arasında hastanemiz acil servisimize başvurdu. Acil servisimize başvuran hastaların 96'sı özkıyım, 334'ü kaza nedeniyle oluşan zehirlenme olduğu belirlendi. Hastalarımızın 142'sinde (%33,02) bulantı, 122'sinde (%28,37) kusma, 102'sinde (%23,72) baş dönmesi şikayetleri mevcuttu. Sonuç: Ülkemiz genelindeki zehirlenmelerin epidemiyolojik özelliklerinin kapsamlı çalışmalar ile belirlenmesinin ve toplumun dikkatinin çekilmesinin çocukluk çağı zehirlenmelerinin önlenmesine önemli katkı sağlayacağı kanısındayız.
Introduction: In this study, we aimed to retrospectively analyze the demographic and epidemiologic features, clinical course, laboratory results and prognoses of the patients admitted to the department of pediatric emergency due to poisoning.Methods: This trial enrolled a total of 430 patients aged 1 month to 18 years. The medical data of the patients were reviewed retrospectively according to patient's medical record. Demographic data such as age, sex, time of occurrence, time of patient presentation to the emergency department, time to first medical intervention after taking the drug, cause of poisoning, received active substances, ways of taking, number of active substances received, and symptoms at admission to the hospital were analyzed. Results: The study population consisted of 0.74% of all patients who were admitted to the department of pediatric emergency. 243 (56.5%) patients were female and 187 (43.5%) were male. The age of the patients ranged from 4 months to 220 months (72.89±66.38). One hundred-thirteen (26.3%) of our patients were referred to our hospital in the summer, 111 (25.8%) in the spring, 110 (25.6%) in the autumn and 96 (22.3%) in the winter. Eighteen patients were admitted to our emergency department with poisoning in 2014, 193 in 2015, 178 in 2016 and 41 in 2017. 12.3% of our patients were referred to our emergency department between hours 00:00 and 08:00, 35.1% between 08:00 and 16:00 and 52.6% between 16:00 and 24:00. Ninety-six of the patients were admitted to our emergency department due to suicidal poisoning and 334 due to accidental poisoning. Nausea was present at the time of presentation in 142 (33.02%) of our patients, vomiting in 122 (28.37%) and dizziness in 102 (23.72%).Conclusion: We believe that determination of the epidemiological features of the poisonings in our country by large scale studies and public consciousness will contribute significantly to the prevention of childhood poisoning.
Introduction: In this study, we aimed to retrospectively analyze the demographic and epidemiologic features, clinical course, laboratory results and prognoses of the patients admitted to the department of pediatric emergency due to poisoning.Methods: This trial enrolled a total of 430 patients aged 1 month to 18 years. The medical data of the patients were reviewed retrospectively according to patient's medical record. Demographic data such as age, sex, time of occurrence, time of patient presentation to the emergency department, time to first medical intervention after taking the drug, cause of poisoning, received active substances, ways of taking, number of active substances received, and symptoms at admission to the hospital were analyzed. Results: The study population consisted of 0.74% of all patients who were admitted to the department of pediatric emergency. 243 (56.5%) patients were female and 187 (43.5%) were male. The age of the patients ranged from 4 months to 220 months (72.89±66.38). One hundred-thirteen (26.3%) of our patients were referred to our hospital in the summer, 111 (25.8%) in the spring, 110 (25.6%) in the autumn and 96 (22.3%) in the winter. Eighteen patients were admitted to our emergency department with poisoning in 2014, 193 in 2015, 178 in 2016 and 41 in 2017. 12.3% of our patients were referred to our emergency department between hours 00:00 and 08:00, 35.1% between 08:00 and 16:00 and 52.6% between 16:00 and 24:00. Ninety-six of the patients were admitted to our emergency department due to suicidal poisoning and 334 due to accidental poisoning. Nausea was present at the time of presentation in 142 (33.02%) of our patients, vomiting in 122 (28.37%) and dizziness in 102 (23.72%).Conclusion: We believe that determination of the epidemiological features of the poisonings in our country by large scale studies and public consciousness will contribute significantly to the prevention of childhood poisoning.
Açıklama
Anahtar Kelimeler
Acil Tıp, Pediatri
Kaynak
Çocuk Acil ve Yoğun Bakım Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
3
Künye
Yorulmaz, A., Akbulut, H., Yahya, İ., Aktaş, R., Emiroğlu, H. H., Peru, H. (2017). Çocuk Acil Servisine Zehirlenme Nedeni ile Başvuran Olguların Geriye Dönük Olarak Değerlendirilmesi. Çocuk Acil ve Yoğun Bakım Dergisi, 4(3), 96-103.
