Yoğun bakım ihtiyacı olan pediatrik zehirlenme hastalarının değerlendirilmesi

Author:

ÖZCAN Serhan1,AKAY Seçil1,BOZKURT İrem1,UYAR Emel1,PERK Oktay1,AKCA ÇAĞLAR Ayla1

Affiliation:

1. SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ

Abstract

Purpose: Our study was planned to reach out intoxication patient’s clinical characteristics, treatment modalities and outcomes of those patients followed up in pediatric intensive care unit. Materials and method: We examined patients admitted to our hospital or transferred from another medical center to our PICU, diagnosed with intoxication from 01 January 2019 to 31 December 2021, retrospectively. We collected patient’s demographic data. Glasgow Coma Scale score at admission, medical treatments applied to patients’ mechanical ventilation requirement, hemodialysis and plasmapheresis applied was recorded. Outcomes evaluated by survival, days in PICU and days in hospital. We divided study group as adolescent group (>120-month-old) and non-adolescent group (<120-month-old). All collected variables were compared between two groups. Results: During study period 114 patients included into the study. Most of the patients were in adolescent age group (52.6%). If we examined intoxication causes, in adolescent patient’s suicide was major cause of intoxication. In patients below <120-month-old unintentional intoxication was the main reason. Antipsychotics, antidepressants and analgesics were the most common medication causes of intoxication respectively. Mechanical ventilation applied to 4 patients. 5 patients were hemodialyzed. Plasmapheresis performed to 5 patients. All patients were survived. Median days in PICU was 1 day. Median days in hospital was 3 days. Conclusion: In our study, 2.8% of all PICU admissions were intoxications. Antipsychotics, antidepressants and analgesics were the most common medication causes of intoxications. Antidepressants intake were seen in higher rates in adolescent age group. Antidepressant prescription and drug control should be more carefully in adolescent age group.

Publisher

Pediatric Practice and Research Journal

Subject

Applied Mathematics,General Mathematics

Reference17 articles.

1. Rererans1 Özkale M, Özkale Y.Çocuk yoğun bakım ünitesinde takip edilen zehirlenme olgularının demografik, epidemiyolojik ve klinik özellikleri. Cukurova Med J 2020;45(3):1191-1201.

2. Referans2 Republic of Turkey Ministry of Health General Directorate of Public Health. National Intoxication Counselling Center Reports 2014-2020. Ankara. 2021:128-390.

3. Referans3 Ödek Ç, Erol M, Demir R et all. Çocuk Yoğun Bakım Ünitesinde Takip Edilen Zehirlenme Olgularının Demografik, Epidemiyolojik ve Klinik Özelliklerinin Geriye Dönük Değerlendirilmesi. J Pediatr Emerg Intensive Care Med 2019;6(2).

4. Referans4 Ongun EA, Şimşek CEÇ.Çocukluk Çağı Zehirlenmelerinde Yoğun Bakım Yatış Gereksiniminin Değerlendirilmesi.J Pediatr Emerg Intensive Care Med 2020;7:55-61.

5. Referasns5 Akın Y, Ağzıkuru T, Cömert S, Atılkan P, Erdağ GÇ, Telatar B.Hospitalizations for pediatric intoxication: a study from İstanbul.The Turkish Journal of Pediatrics 2011; 53: 369-374.

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