Epidemiological profile of poisoning patients in the emergency department of a tertiary care teaching hospital in South India
Journal Title: International Journal of Medical Research and Review - Year 2017, Vol 5, Issue 3
Abstract
Background: Poisoning is a global public health issue and one of the common causes for visiting an emergency department (ED). A high index of suspicion based on etiology and clinical features is required to diagnose different types of poisons and their compounds. Aims: To define the epidemiological profile of patients registered in the ED with complaints of ingestion of poison, and to identify different types of poisons consumed, the duration of hospital stay and mortality due to these poisons. Methods: A retrospective analysis of patients presenting to the ED with complaints of poisoning. All patients registered in the ED with complaints of consumption of poison were included in the investigation. Patient charts with snake bites or scorpion stings were excluded. The medical charts with a discharge diagnosis of Poisoning during the study period were identified using the ICD-10-CM diagnosis codes categories T36-T65. Data was collected in a preformatted questionnaire. Results: In this study, 317 patients were enrolled, with a female predominance of 54.8%. Thirty-one percent of the patients are 15 to 24 years old, and 11.35% are below five years. Thirty percent were students, 18.3% housewives and 6.62% were farmers, with 59.3% having access to poisons at their homes, 19.87% from the pharmacy and 14.9% from a neighborhood store. The intent of poisoning in 85.8% of the patients was suicidal. 34.7% patients ingested pesticides, 30.28% patients, presented with tablet overdose, 14.82% patients consumed rodenticides and insecticides, and 3.47% patients presented with oleander seed poisoning. About 32.17% of the patients were admitted to ICU. Nearly 53.94% patients were discharged within three days of hospitalization. The mortality rate due to poisoning was 4.1%. Conclusion: This research article defines the epidemiological profile of poisoning patients registered in the emergency department, along with the common poisons used, duration of hospital stay and mortality due to poisoning.
Authors and Affiliations
Cattamanchi Srihari, Trichur V. Ramakrishnan, Maddali Aditya
Keywords
Related Articles
- EP ID EP270780
- DOI 10.17511/ijmrr. 2017.i03.01.
- Views 117
- Downloads 0
Oxidative stress during spontaneous vaginal delivery: comparison between maternal and neonatal oxidative status
Introduction: Spontaneous vaginal delivery inflicts a change in the redox status of the mother and the neonate. Hypoxia followed by reperfusion during powerful labour contractions causes increased generation of free radi...
Neovascularization in Advanced Atherosclerosis - A Histomorphometric Study
Introduction: Neovascularization is an important component of advanced atherosclerosis which leads to plaque vulnerability and rupture. This is an endarterectomy study where neovascularization is quantified in 50 advance...
Role of yoga in study of pulmonary function test in young healthy adults
Introduction: Yoga has been reported to improve pulmonary function tests in healthy and respiratory illness. Aim: This study was done to find out the effects of yoga practice on pulmonary function tests. Materials and me...
Assessment of teaching curriculum in anaesthesiology for undergraduate medical students- A questionnaire based cross sectional study
Background of the study:The life- saving skills like airway management,artificial ventilation, establishing an intravenous access along with fluid management and oxygen therapy devices are clearly taught by fellow Anesth...
Self subcutaneous injection of profenophos with delayed systemic toxicity: a case report
Suicidal poisoning by ingestion of organophosphate (OP) insecticide is a common mode of poisoning in our region. However, attempted suicide via the parenteral route has rarely been reported. We report a case of self subc...