Mantar Zehirlenmesiyle Acil Servise Başvuran Hastaların Karakteristik Özellikleri ve Laboratuvar Parametrelerinin Prognoz Tayininde Rolü

Abstract

Aim: In this study it is aimed to investigate the general characteristics of the patients of mushroom poisoning in the emergency department and to determine the possible prognostic factors. Material and Methods: This study was conducted by retrospectively examining the records of patients who applied to the emergency department of a university hospital in Samsun, Turkey, with mushroom poisoning in 6 years. Patients were grouped using models that predict mortality and the severity of poisoning. Model for end stage liver diseases (MELD) scoring and poisoning severity score (PSS) were used for this purpose. All data obtained from this study were analyzed using the Statistical Package for Social Sciences (SPSS) for Windows 15.0 package program. Results: Liver failure developed in 16 of 471 patients who applied with mushroom poisoning. The median symptom onset time was 2 hours in 455 patients who did not develop liver failure, and the median symptom onset time was 9.5 hours in 16 patients who developed liver failure. When the patients were classified according to PSS, 91.1% of patients applied with PSS 1, while 2.1% of them applied with severe symptoms. 93.6% of the patients were with a mild MELD score. Conclusion: The most common clinical finding is nausea and vomiting. The appearance of symptoms within 2 hours is an indicator of a good prognosis. According to the MELD score, the severity of the disease increases as the BUN value increases. At the same time, high BUN and amylase levels mean a life-threatening poisoning according to PSS.