Abstract

ZEGARRA PIEROLA, Jaime Wilfredo; HERNANDEZ DIAZ, Herminio; LOZA MUNARRIZ, César  and  MENDOZA DE LOS SANTOS, Ofelia. Clinical and epidemiological characteristics of patients with self and non-self intentional poisoning admitted at the emergency room (ER) at the general hospital 2006. Rev Med Hered [online]. 2009, vol.20, n.4, pp.181-182. ISSN 1018-130X.

Objectives: To determine clinical and epidemiological characteristics of patients with self and non-self intentional poisoning admitted at the emergency room (ER) of general hospital. Material and methods: Prospective evaluation of patients with self and non-self intentional poisoning in 2006, demographic and clinical data were assessed; patient interviewed, Hamilton’ scale and urine toxic screen were performed. Results: Forty five patients with non-self intentional poisoning (NSP) and 382 patients with self intentional poisoning (SP), were evaluated from March to December of 2006; One hundred four of 382 clinical charts from patients with SP were fully available only, NSP patients were older than SP patients (mean age: 31.62 ± 9.38 years and 26.85 ± 12.18 years; p=0.011); most of patients with NSP were males (p=0.001) and females (p=0.001) in the group of SP; high educational level (p=0.04), employer (p=0.01) and high income (p=0.01) were more frequent in NSP than in SP patients. SP patients were students (34.62%), housewife (19.23%) and had low income (p=0.02); most of NSP patients were admitted on Sunday (p=0.001), and transferred by the police (p=0.001); SP patients were transferred by their mother (p=0.001). NSP was related with drinking alcohol (p=0.001), meeting with friends (33.33%), been in a taxi (28.89%) and meeting unknown people during the episode. Admitted in stupo mental status (p=0.001), Glasgow coma scale > 8 and < 13 (p=0.03), and normal Hamilton’ scale (p=0.001) were more frequent in NSP than in SP patients; urine toxic screen for benzodiazepines was positive in 11.11% of NSP patients; at admission, cholinergic signs and symptoms (p=0.001), Glasgow coma scale > 13 (p=0.001) and mayor depression (p=0.001) were more frequent in SP than in NSP patients. Conclusions: Patients with NSP were males with high education level, employers, had high income, most of them were admitted on Sundays, transferred by the police to the ER and were admitted in stupor mental status, SP patients were females, students and housewife, mostly transferred by their mother to the ER and at admission had cholinergic signs and symptoms and mayor depression.(Rev Med Hered 2009;20:183-189).

Keywords : Non- self poisoning; self poisoning; emergency room; toxic screen.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )