Sönmez, Ertan Bezmialem Üniversitesi - Tıp Fak Acil Servisi, Türkiye , Karakuş, Ali Mustafa Kemal Üniversitesi - Tıp Fakültesi - Acil Tıp Anabilim Dalı, Türkiye , Çavuş, Umut Yücel Fatih Üniversitesi - Tıp Fakültesi Acil Servisi, Türkiye , Civelek, Cemil Mardin Devlet Hastanesi Kardiyoloji Servisi, Türkiye , İpek, Göktürk Mustafa Kemal Üniversitesi - Tıp Fakültesi - Adli Tıp Ana Bilim Dalı, Türkiye , Zeren, Cem Mustafa Kemal Üniversitesi - Tıp Fakültesi - Adli Tıp Ana Bilim Dalı, Türkiye

Evaluation of intoxication cases admitted to Emergency Department of a University Hospital

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Objectives: This study is aimed at the evaluation of the demographic properties of the patients from Sivas and surrounding cities, presenting to the emergency department by poisoning. Materials and methods: Our study was carried out on 567 patients admitted to Cumhuriyet University Faculty of Medicine’s Emergency Department in four years because of poisoning. Patients were divided into groups such as suicides, accidentals, or being exposed. All the patients were defined about their ages, sex, participation of the seasons, consciousness, prognosis, exposure to the type of poison and what had been done before arriving to us. Mushroom poisonings were distinguished into two groups as early or later symptomatic. Results: Suicide patients were 363 (64.10%), accidentals were 120 (21.28 %), exposed patients were 83 (14.62 %). Patients’ ages were minimum 15 and maximum 81. The mean of all ages was 27.82±11.56. While the mean of women’s ages was 26.89±2.072, men’s was 29.97±5.122 (p 0.05). Of all the patients 30.3 % were men and 69.7 % were women. The rate of conscious patients was 88.2 %, subconscious patients was 7.6 %. The rate of the unconscious when they arrived at the hospital was 4.1%. Only one was exitus (0.2%). Most of the patients were exposed to drugs (72.7%), followed by mushrooms (12.2%) and pesticides (9%). The number of patients who died from pesticides was 2, 3 from methanol, 3 from medicines, one from mushroom and one from gas. The kinds of drug poisonings were evaluated and in conclusion, mostly multiple drug poisonings were seen (27%). The mushroom poisonings were assessed for the beginnings of the symptoms. The early symptoms (0-6 h.) were seen the most (88.5%), later symptoms (6- 24 h.) were seen less (11.5%). Most poisonings were seen in winter (30%). The evaluation of the first management was done before the patients arrived, 52.4% of these patients nothing had been done in other clinics. Conclusion: In our country, there are a lot of statistical data of patients who resorted to health clinics with pre-diagnosis of poisoning however our study shows important information about poisonings in Sivas region.

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Poisonings , emergency department , suicide.

Dicle Medical Journal

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