Turkiye Klinikleri Journal of Anesthesiology Reanimation

.: ORIGINAL RESEARCH
Yoğun Bakım Ünitemizdeki Zehirlenme Vakalarının Retrospektif Analizi
A Retrospective Analysis of Intoxicated Patients in Our Intensive Care Unit
Münire BABAYİĞİTa, Selcen KÜTÜKb, Mehtap HONCAa, Merve BAYRAKTAROĞLUc, Mustafa Alparslan BABAYİĞİTd, Eyüp HORASANLIe
aAnesteziyoloji ve Reanimasyon Kliniği, Sağlık Bilimleri Üniversitesi Keçiören Eğitim ve Araştırma Hastanesi, Ankara, TÜRKİYE
bAnesteziyoloji ve Reanimasyon Kliniği, Burdur Devlet Hastanesi, Burdur, TÜRKİYE
cAnesteziyoloji ve Reanimasyon Kliniği, Dünya Göz Hastanesi,
dSerbest Hekim,
eAnesteziyoloji ve Reanimasyon AD, Yıldırım Beyazıt Üniversitesi Tıp Fakültesi, Ankara, TÜRKİYE
Turkiye Klinikleri J Anest Reanim. 2019;17(1):16-21
doi: 10.5336/anesthe.2019-65390
Article Language: TR
Full Text
ÖZET
 Amaç: Yoğun bakım ünitemizde yatan intoksikasyon vakalarının demografik özellikler, neden ve prognoz açısından retrospektif olarak incelenmesidir. Gereç ve Yöntemler: Yoğun bakım ünitesine 2006-2015 yılları arasında intoksikasyon nedeni ile yatan 333 hastanın verileri retrospektif olarak incelendi. Hastaların yaş, cinsiyet, intoksikasyon etkeni, yoğun bakım ünitesine kabul zamanı, kardiyak ve solunumsal destekleri ve mortalite oranları kaydedildi. Bulgular: Hastaların mediyan yaş değeri (min 12, max 88) idi. Hastaların %31,2 (n=104)'ü erkek, %68,8 (n=229)'i kadındı. İntoksikasyon etkenlerinin dağılımına bakıldığında; %86,7!sinin ilaçlar, %4'ünün alkol, %1,9'unun karbonmonoksit, %2,4'ünün besin, %0,9'unun pestisit-organofosfat, %1,4?ünün uyuşturucu madde, %0,7'sinin böcek ısırması ve %0,2'sinin koroziv madde olduğu görüldü. İntoksikasyon vakalarının %91,6 (n=305)'i intihar olgusuydu. İntihar vakalarının %17,1 (n=57)'inin psikiyatrik tedavi aldığı görüldü. Üç yüz on altı hastaya (%94,8) tıbbi destek tedavi, 14 (%4,2)'üne mekanik ventilasyon, 5 (%1,5)'ine hemodiyaliz, 13 (%3,9)'üne kardiyak inotropik ilaç infüzyonu uygulandı. Dokuz yıl süre ile (2006-2015) intoksikasyon tanısıyla yatan hastaların %93,4 (n=311)'ünün şifa ile taburcu olduğu, %1,5 (n=5)'inin ise eksitus olduğu saptandı. Sonuç: Çalışmamızda, genç ve kadın hastaların akut intoksikasyon açısından yüksek risk grubunu oluşturduğu gözlendi. Ayrıca, intihar girişimlerimde en sık olarak ilaçların kullanıldığı saptandı.

Anahtar Kelimeler: Yoğun bakım ünitesi; zehirlenme; intihar
ABSTRACT
 Objective: We aimed to define the demographic characteristics, cause and prognosis of intoxicated patients in intensive care unit retrospectively. Material and Methods: 333 intoxicated patients who were admitted to our intensive care unit between 2006-2015 were analyzed retrospectively. The patients were evaluated for age, gender, drug or substance that causes intoxication, time of aplication to intensive care unit, cardiovascular support and respiratory support, and mortality rates. Results: The median age of patients was 24 (min 12, max 88). 104 (31.2%) of the patients were male, 229 (68.8%) of the cases were female. The distribution of causes of intoxication were drugs 86.7%, alcohol 4%, carbonmonoxide 1,9%, food 2.4%, pesticidesorganophosphates 0.9%, illegal narcotic drugs 1.4%, insect bite 0.7 % and corrosive substance ingestion 0.2%. 305 (91.6%) were suicides. 57 (17.1%) patients were under psychiatric treatment. Medical treatment were administered to 316 (94.8%) patients, 14 (4.2%) patients required mechanical ventilation, 5 (1.5%) patients required hemodialysis, 13 (3.9%) patients required cardiovascular support. 311 (93.4%) of the patients were discharged from the intensive care unit, 5 (1.5%) of the patients died. Conclusion: We found that young and female patients consisted the high risk group for acute intoxication. Also medical pills were found the most cause of the suicide attempts.

Keywords: Intensive care units; poisoning; suicide
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