Características clínicas y epidemiológicas de los pacientes con intoxicación inducida e intencional atendidos en un hospital general, año 2006 / 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. méd. hered
; 20(4): 183-189, oct.-dic. 2009. graf, tab
Article
em Es
| LILACS, LIPECS
| ID: lil-564650
Biblioteca responsável:
PE1.1
RESUMEN
Objetivo:
Determinar las características clínicas y epidemiológicas de los pacientes con intoxicación inducida e intencional, atendidos en un hospital general. Material ymétodos:
Se incluyeron pacientes con intoxicación inducida e intencional; de ambos sexos, mayores de 14 años. La información se obtuvo de la historia clínica de ingreso, entrevista personal, test de Hamilton y evaluación toxicológica en orina en los intoxicados inducidos.Resultados:
De marzo a diciembre del 2006 hubo 45 pacientes con intoxicación inducida y 382 pacientes con intoxicación intencional, de estos últimos se tuvo información completa en 104. Los pacientes con intoxicación inducida en comparación a los intoxicados intencionales fueron varones (p=0,001); de mayor edad (31,62 +/- 9,38 vs 26,85 +/- 12,18 años) (p=0,011), mayor nivel de instrucción (p=0,04), empleados (p=0,01) y mayor nivel socioeconómico (p=0.01); los intencionales fueron mayormente estudiantes (34,62%), amas de casa (19,23%) y pobres no extremos (p=0,02). Los pacientes con intoxicación inducida a diferencia de los intencionales ingresaron a Emergencia los días domingos (p=0,001), trasladados por la Policía Nacional (p=0,001); los intencionales ingresaron trasladados por la madre (p=0,001). Los pacientes inducidos a diferencia de los intencionales estuvieron expuestos al alcohol (p=0,001), relacionados con amigos (33,33%), taxistas (28,89%) ó desconocidos (33,33%), ingresaron en estado de estupor (p=0,001), con Glasgow > 8 < 13 (p=0,03), Hamilton normal (p=0,001) y toxicológico positivo a benzodiacepinas en el 11,11%; mientras los intencionales ingresaron con síntomas y signos colinérgicos (p=0,001), con Glasgow > 13 (0,001), y con depresión mayor (p=0,001).Conclusión:
Los pacientes con intoxicación inducida a diferencia de los intencionales fueron varones, con nivel de instrucción superior, empleados, no pobres, ...ABSTRACT
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 andmethods:
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 < 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 major that 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, ...
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
/
LIPECS
Assunto principal:
Intoxicação
/
Toxicologia
/
Intenção
/
Emergências
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
Idioma:
Es
Revista:
Rev. méd. hered
Assunto da revista:
MEDICINA
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Peru
País de publicação:
Peru