scholarly journals Epidemiological and Clinical Features of Acute Poisoning in Children in a Referral Teaching Hospital in Iran, 2015 - 2018

2020 ◽  
Vol 11 (4) ◽  
Author(s):  
Navid Mohammadi ◽  
Nafiseh Rastgoo ◽  
Sohrab Esmaeil Zadeh
Keyword(s):  
Teaching Hospital ◽  
Average Length ◽  
Signs And Symptoms ◽  
Petroleum Products ◽  
Acute Poisoning ◽  
Average Length Of Stay ◽  
Common Category ◽  
Medical Emergencies ◽  
Poisoning In Children ◽  
Time Of Admission

Background: Poisoning is one of the most common medical emergencies in young children. Substantial differences in socioeconomic and cultural situations cause various epidemiological patterns of acute poisoning with different poisonous agents. Objectives: We aimed to determine the extent of pediatric poisoning in a referral teaching hospital in the center of Iran. Methods: The electronic database of Qods Children Hospital in Qazvin, Iran, was searched for children younger than 12 years old and referred for acute poisoning from 2015 to 2018. The cases (n = 184) were classified according to their age, gender, symptoms at the time of admission, the toxins, and their types. Results: The frequency of poisoning in boys was more than girls (M/F = 1.49). The mean age of the patients was 3.4 years, and the average length of stay in hospital was 1.3 days. Children poisoned with petroleum products had the highest average stay (3.10 days). Although more than 65 agents were identified as the poisoning agents, narcotics were the most common category (n = 62, 33.7%), and methadone was the most common agent in our study (n = 46, 25%). Central nervous system symptoms were recorded more than other signs and symptoms on admission or during the stay. Only two patients (1.1%) had been discharged with complications. Conclusions: With predominance for boys, most of the children had toxicity with medications. Methadone, other narcotics, and psychotropic medications were the most common agents that indicate a need for more severe control and education for prevention from poisoning in children.

scholarly journals Clinical Profile of Acute Poisoning in Children at a Teaching Hospital in Lalitpur

2014 ◽  
Vol 34 (2) ◽  
pp. 100-103 ◽  
Author(s):  
Ajaya Kumar Dhakal ◽  
D Shrestha ◽  
A Shakya ◽  
SC Shah ◽  
H Shakya
Keyword(s):  
Teaching Hospital ◽  
Hospital Admissions ◽  
Acute Poisoning ◽  
Childhood Mortality ◽  
Age Group ◽  
Common Cause ◽  
Mortality And Morbidity ◽  
History Of ◽  
The Common ◽  
Poisoning In Children

Introduction: Acute poisonings are one of the common cause of emergency visits and hospital admissions and is potentially preventable cause of childhood mortality and morbidity. The objectives of this study were to identify the common type of poisoning in children, to determine types of poisoning according to age and to find out the common age group in which the incidence of poisoning was high.Materials and Methods: It was a descriptive observational study done in a teaching hospital in Lalitpur, Nepal in patients aged 1 month to 18 years who visited the emergency department and were admitted to hospital with history of alleged poisoning from 2009 July to 2014 January.Results: Fifty patients were included. Drugs, kerosene and organophosphorus were most common cause of poisoning. Drugs and kerosene below 10 years of age and organophosphorus and drugs above 10 years of age were common types of poisoning. Maximum numbers (50%) of children with poisoning cases were below five year of age. Mean duration of hospital stay was 2.1days and mean age of poisoning was 7.8 years with a male(54%) predominance. Majority of poisoning occurred at home (84%) and 68% of patients were symptomatic at presentation to hospital with 84% of patients presenting to hospital within six hours.Conclusion: This study showed that drugs, kerosene and organophosphorus were most common forms of poisoning. Young children were most vulnerable for acute poisoning.DOI: http://dx.doi.org/10.3126/jnps.v34i2.10139J Nepal Paediatr Soc 2014;34(2):100-103 

566 Single-Center Experience with Mass Paraquat Exposure

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S133-S133
Author(s):  
Felicia N Williams ◽  
Brian McKinzie ◽  
Brandon Powell ◽  
Jamie Hollowell ◽  
Eli Maxwell ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Average Length ◽  
Signs And Symptoms ◽  
Pulse Therapy ◽  
Pulmonary Complications ◽  
Skin Substitute ◽  
Total Hospital Cost ◽  
Cutaneous Injury ◽  
Average Length Of Stay ◽  
Single Center Experience

Abstract Introduction Paraquat dichloride is a widely used, highly toxic chemical herbicide and a leading cause of fatal poisonings. Toxicity is thought to be related to lipid peroxidation. Hours after exposure, patients may experience signs and symptoms ranging from nausea to multi-system organ failure. To prevent pulmonary complications and death, it is recommended to give patients repeated pulse therapy with cyclophosphamide and methylprednisolone administered over a 72-hour period. Our objective is to report our center’s experience treating patients who had been exposed to paraquat over a two-day period. Methods Patients were identified using Institutional Burn Center registry, and linked to the clinical and administrative data. Demographics, length of stay, costs and mortality were evaluated. Results There were nine patients admitted from the exposure. All were male. All survived. Eight were undocumented migrant farmer workers. The average age was 36 years (range 25–59 years). The average length of stay was 3.3 days (range 2–5 days). Fifty-six percent had cutaneous injury, but only one required debridement and placement of a skin substitute. Thirty-three percent complained of continued shortness of breath after discharge. Average total hospital cost was $28,131 ($9,500–51,000). Conclusions Paraquat is a highly toxic herbicide and exposure can be fatal if not treated promptly. Immediate decontamination and repeated pulse therapy with cyclophosphamide and methylprednisolone may be lifesaving.

Discharge destination of patients from a psychogeriatric unit

2011 ◽  
Vol 26 (S2) ◽  
pp. 845-845
Author(s):  
M. Ochuko-Emore
Keyword(s):  
Mental Illness ◽  
Length Of Stay ◽  
Average Length ◽  
Discharge Destination ◽  
Average Length Of Stay ◽  
The Mean ◽  
Time Of Admission ◽  
At Home

ObjectivesTo determine the discharge destination of patients admitted to a psychogeriatric unit.MethodsRecords of all patients discharged from an in-patient psychogeriatric unit between 1st July 2009 and 30th June 2010 were examined. The diagnosis, residence at admission, length of stay and discharge destination were recorded.ResultsThere were ninety-four discharges over the study period. Four of the patients were admitted and discharged twice. The mean age was 76.7 years (range 65–95 years). 52.1% (n = 49) were diagnosed with dementia and 47.9% (n = 45) with functional mental illness. The average length of stay was 67.4 days for dementia compare to 74.2 days for functional mental illness. 17.1% (n = 6/32) of patients with dementia and 84.2% (n = 32/38) of patients with functional mental illness resident at home at the time of admission were discharged home.ConclusionThis finding suggests that patients with functional mental illness are more likely to be discharge back to their homes compared with patients with dementia.

Characterizing the inpatient care of young adults experiencing early psychosis

2017 ◽  
Vol 41 (S1) ◽  
pp. S380-S380
Author(s):  
R. Kamieniecki ◽  
B. Vaughn ◽  
J. Danielson ◽  
K. Bonnie ◽  
M. Carter ◽  
...  
Keyword(s):  
Inpatient Care ◽  
Service Use ◽  
Average Length ◽  
Psychiatric Inpatient ◽  
Early Psychosis ◽  
Psychotic Symptoms ◽  
City Hospital ◽  
Average Length Of Stay ◽  
Competing Interest ◽  
Time Of Admission

Introduction/objectivesThe available literature suggests that treatments and health services for psychosis are considered to be poorly organized and highly variable. Little is known, however, about how inpatient care is provided to individuals experiencing early psychosis. To facilitate quality improvement activities, we characterized the care this patient group receives in an inner city hospital.MethodsWe performed chart reviews of individuals admitted to psychiatric inpatient units at St. Paul's Hospital, Vancouver, British Columbia between 01/04/2014 and 31/03/2016. Those who were 17–25 years of age and hospitalized for psychotic symptoms at the time of admission were included. Demographic and health service use were summarized using descriptive characteristics.ResultsWe identified 73 inpatients (mean age = 22; males = 78%; Caucasian = 41%) that met study inclusion criteria, having a combined total of 102 care episodes and an average length of stay of 30.7 days (median = 18; min = 3; max = 268). Half of the care episodes were repeat admissions, with up to 30% of the patients readmitted within 28 days of discharge. Physical and mental status examinations (MSE) were performed in virtually all care episodes, although frequency is low (31.4% had daily physical examinations and 18.6% had MSE every nursing shift). In 49% and 50% of care episodes, patients were given oral antipsychotics and discharged on depot medications. Even when indicated, not all care episodes had follow-up appointments (60%) or referrals to income assistance (35%), community mental health teams (61%), and housing support (38%).ConclusionsSpecific programs are needed to address current gaps in inpatient care for patients with early psychosis.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Single-Center Experience with Mass Paraquat Exposure in Nine Patients

2021 ◽  
Author(s):  
Brian P McKinzie ◽  
Brandon Powell ◽  
Sanja Sljivic ◽  
Lori Chrisco ◽  
Jamie Hollowell ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Average Length ◽  
Signs And Symptoms ◽  
Pulse Therapy ◽  
Skin Substitute ◽  
Total Hospital Cost ◽  
Cutaneous Injury ◽  
Average Length Of Stay ◽  
Single Center Experience ◽  
Migrant Farmers

Abstract Paraquat dichloride is a widely used, highly toxic chemical herbicide and a significant cause of fatal poisonings. Toxicity is thought to be secondary to generation of reactive oxygen species. Hours after exposure, patients may experience signs and symptoms ranging from nausea to multi-system organ failure. To mitigate complications and death, immunosuppression with cyclophosphamide and corticosteroid-based therapies have shown to be an effective option in limited studies. Our objective is to report our center’s experience treating patients that had been exposed to paraquat over a two-day period. Patients were identified using our Institutional Burn Center registry, and linked to the clinical and administrative data. Demographics, length of stay, costs and mortality were evaluated. There were nine patients admitted from the exposure. All were male. All survived. Eight were undocumented migrant farmers. The average age was 36 years (25-59 years). The average length of stay was 3.3 days (2-5 days). Seventy-eight percent had cutaneous injury, but only one required debridement and placement of a skin substitute. Thirty-three percent complained of continued shortness of breath after discharge. Average total hospital cost was $28,131 ($9,500-$51,000). Paraquat is a highly toxic herbicide and exposure can be fatal if not treated promptly. Immediate decontamination and repeated pulse therapy with cyclophosphamide and methylprednisolone may be life-saving.

scholarly journals DRUG UTILIZATION PATTERN IN AN INTENSIVE CARE UNIT AT A TERTIARY CARE TEACHING HOSPITAL IN OMAN

2017 ◽  
Vol 10 (2) ◽  
pp. 194
Author(s):  
Ibrahim Al-zakwani ◽  
Marwa Al-thuhli ◽  
Abdulhakeem Al-hashim ◽  
Khalid A Al Balushi
Keyword(s):  
Teaching Hospital ◽  
Average Length ◽  
Tertiary Care ◽  
University Hospital ◽  
Drug Prescribing ◽  
Sultan Qaboos University ◽  
Average Length Of Stay ◽  
Disease Patterns ◽  
Prescribing Trends ◽  
Duration Of Hospitalization

Objectives: To evaluate the drug prescribing trends in the ICU department and correlate them with the disease patterns and patients’ outcomes.Methods: The case records of patients admitted to the ICU at Sultan Qaboos University Hospital (SQUH), a teaching hospital in Oman, during a 5-month period between June 1st to October 31st 2013 were analyzed. The variables collected included demographic and clinical characteristics as well as duration of hospitalization, indications and utilization of different drugs.Results: A total of 138 patients were evaluated with an average of age ‎46±19‎ years. The average length of stay at ICU‎ was ‎4.5±3.5 days. The‎ average number of drugs per prescription was ‎8.0±4.6‎. The most common route used was the parenteral route (66%) followed by the enteral route (25%). Anti-infective drugs were the most commonly prescribed class of drugs (25%) followed by gastrointestinal drugs (20%). Antibiotics accounted for 12% of the total drugs prescribed. Trauma was the most common indication for the admission to the ICU (22%).Conclusion: Drugs prescription patterns in the ICU appeared to be similar to those reported in previous studies. However, prescription protocols need to be addressed to guide appropriate use of drugs in the ICU setting. 

A Pattern of Acute Poisoning in Children in Urban Zimbabwe: Ten Years Experience

1992 ◽  
Vol 11 (5) ◽  
pp. 335-340 ◽  
Author(s):  
Ossy M.J. Kasilo ◽  
Charles' F.B. Nhachi
Keyword(s):  
Age Groups ◽  
Signs And Symptoms ◽  
Acute Poisoning ◽  
Therapeutic Agents ◽  
Age Group ◽  
Traditional Medicines ◽  
Direct Benefits ◽  
Household Products ◽  
Snake Bites ◽  
Poisoning In Children

1 A retrospective analysis was performed to evaluate the epidemiology of poisoning in children based on admissions to six of Zimbabwe's main urban hospitals over a 10-year period from 1980 to 1989 inclusive. 2 A total of 2873 cases were children aged between 0-15 years. This constituted 47.8% of poisoning cases from all age groups (6018) recorded during the study period. 3 All of the children (0-15 years) had signs and symptoms of poisoning on admission and, depending on their severity, were admitted to a ward or to an intensive care unit. A total of 4.9% (141) died. Most of those who died were suicide cases among the 11-15 year age group and accidental poisonings among the 0-15 year old group. 4 The under 0-5 age group constituted the majority of cases (75.4%) in the 0-15 age group, and most were between 1 and 3 years old. The 6-10 and 11-15 age groups formed 12.6% and 12% of the cases, respectively. The sex distribution showed that 53.1% were male. 5 Most incidences were accidental (93.2%). Suicides and parasuicides accounted for 1.9% and there were only two homicides. 6 The commonest toxic agents were: household products (27.2%), traditional medicines (23.%), venoms from snake bites and insect stings (16%) and therapeutic agents (12.4%). Of the therapeutic agents the most frequently implicated were antipsychotics 18.9%, analgesics 16.8%, anti-infectives 11.7%, anticonvulsants (8.2%) and benzodiazepines (7.7%). 7 The incidence of poisoning could be significantly reduced by health education directed at parents with emphasis on the safe storage of paraffin, drugs and household chemicals. An improvement in living conditions would also offer direct benefits.

Study of acute poisoning cases at tertiary care teaching hospital

2020 ◽  
Vol 13 (2) ◽  
pp. 18-21
Author(s):  
Mohammed Liyaqat Shareef ◽  
◽  
Mohammed Taqiuddin Khan ◽  
Keyword(s):  
Teaching Hospital ◽  
Tertiary Care ◽  
Acute Poisoning ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching
Sign in / Sign up

Export Citation Format

Share Document