Affiliation:
1. St. Petersburg Scientific Research Institute of Emergency Medicine of I. I. Dzhanelidze
2. St. Petersburg Scientific Research Institute of Emergency Medicine of I. I. Dzhanelidze ; Pavlov First Saint Petersburg State Medical University
3. St. Petersburg Scientific Research Institute of Emergency Medicine of I. I. Dzhanelidze ; North-Western State Medical University named after I. I. Mechnikov
Abstract
Introduction. Alcohol poisoning as a global medical problem requires detailed study to find new modern approaches to providing care to patients of this profile. Alcohol remains one of the leading causes of death among the working population of our country. This article examines the medical and statistical characteristics of patients with ethanol poisoning admitted to the St. Petersburg I. I. Dzhanelidze research institute of emergency care for the period 2018–2022. Purpose of the study: To identify the main medical and statistical characteristics of patients diagnosed with «Toxic effects of ethanol» admitted to the St. Petersburg I.I. Dzhanelidze research institute of emergency care from 2018 to 2022. Materials and methods. During the study, we analyzed data from 40,651 patients hospitalized at the St. Petersburg I.I. Dzhanelidze research institute of emergency care (city toxicology center) with a diagnosis of «Acute ethanol poisoning» in 2018–2022. Results and discussion. The annual count of patients was 8130.2±5751.3 people. There was a significant decrease in patients (by 77.6%, 10,257 people, p<0.05). The age range of the patients was from 18 to 90 (42.3±11.8) years. In 2022, the average age of patients is 42.1±8.8 years, mode — 36 years, median — 41 years. When assessing age indicators, it was found that the majority of hospitalized patients (30.7%) were aged from 31 to 40 years, p<0.05. The smallest number (1.8%) were of older patients (70 years or more), p<0.05. The gender distribution of patients is characterized by a 4.8-fold predominance of men (82.9%) compared to women (17.1%). There was no significant difference in the gender distribution of patients by year, p>0.05. Conclusions. A significant decrease in the number of admissions during this period — 4.5 times (77.6%) due to the redistribution of patients between city hospitals, the approval of new routing schemes in order to improve medical care for patients, and optimize the work of emergency hospitals. The average age of the patients was 42.1±8.8 years, with no significant differences in age-related quantitative indicators by year. The gender distribution is characterized by a 4.8-fold predominance of men (82.9%) compared to women (17.1%), without a significant difference in the gender distribution of patients by year.
Publisher
FSBEI HE I.P. Pavlov SPbSMU MOH Russia
Reference10 articles.
1. Alexandrovsky V. N., Ostapenko Yu.N., Goldfarb Yu.S. et al. Acute alcohol poisoning (alcoholic coma). Emergency medical care. Journal named after N. V. Sklifosovsky, 2018, Vol. 7, No. 4, pp. 357–365 (In Russ.). doi: 10.23934/2223-9022-2018-7-4-357-365. EDN VRHWPM.
2. Chistyakov M.S. Alcohol abuse as a provoking factor in the growth of morbidity and mortality. Collection of articles of the XX International Scientific and Practical conference. Penza, January 25–26, 2023 / еdited by G. A. Reznik. Penza: Penza State Agrarian University, 2023, рр. 488–492 (In Russ.). EDN FBRHQT.
3. Starykh E. V., Sokolova L. P. Neurological manifestations of alcoholism. Nervous diseases, 2022, No. 4 (In Russ.). URL: https://cyberleninka.ru/article/n/nevrologicheskie-proyavleniya-alkogolizma.
4. Afanasyev V.V. Acute ethanol intoxication (prehospital stage). Emergency medical care, 2002, Vol. 3, No. 1, рр. 8–18 (In Russ.). EDN: YKWGAX.
5. Afanasyev V. V., Miroshnichenko A.G., Buzanov D. V., Orlov Yu. P. Features of alcohol-induced pathology at the prehospital stage and in the emergency department of a hospital. Part 1. Acute ethanol intoxication. Emergency medical care, 2020, No. 2, рр. 71–81 (In Russ.). doi: 10.24884/2072-6716-2020-21-2-71-81. EDN: ZPKUIQ.