Patients Admitted to Three Spanish Intensive Care Units for Poisoning: Type of Poisoning, Mortality, and Functioning of Prognostic Scores Commonly Used
Joint Authors
Quesada-García, Guillermo
Banderas-Bravo, María Esther
Arias-Verdú, Maria Dolores
Macías-Guarasa, Ines
Aguilar-Alonso, Eduardo
Castillo-Lorente, Encarnación
Pérez-Costillas, Lucia
Gutierrez-Rodriguez, Raquel
Rivera-Fernández, Ricardo
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-03-28
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Objectives.
To evaluate the gravity and mortality of those patients admitted to the intensive care unit for poisoning.
Also, the applicability and predicted capacity of prognostic scales most frequently used in ICU must be evaluated.
Methods.
Multicentre study between 2008 and 2013 on all patients admitted for poisoning.
Results.
The results are from 119 patients.
The causes of poisoning were medication, 92 patients (77.3%), caustics, 11 (9.2%), and alcohol, 20 (16,8%).
78.3% attempted suicides.
Mean age was 44.42 ± 13.85 years.
72.5% had a Glasgow Coma Scale (GCS) ≤8 points.
The ICU mortality was 5.9% and the hospital mortality was 6.7%.
The mortality from caustic poisoning was 54.5%, and it was 1.9% for noncaustic poisoning (p<0.001).
After adjusting for SAPS-3 (OR: 1.19 (1.02–1.39)) the mortality of patients who had ingested caustics was far higher than the rest (OR: 560.34 (11.64–26973.83)).
There was considerable discrepancy between mortality predicted by SAPS-3 (26.8%) and observed (6.7%) (Hosmer-Lemeshow test: H=35.10; p<0.001).
The APACHE-II (7,57%) and APACHE-III (8,15%) were no discrepancies.
Conclusions.
Admission to ICU for poisoning is rare in our country.
Medication is the most frequent cause, but mortality of caustic poisoning is higher.
APACHE-II and APACHE-III provide adequate predictions about mortality, while SAPS-3 tends to overestimate.
American Psychological Association (APA)
Banderas-Bravo, María Esther& Arias-Verdú, Maria Dolores& Macías-Guarasa, Ines& Aguilar-Alonso, Eduardo& Castillo-Lorente, Encarnación& Pérez-Costillas, Lucia…[et al.]. 2017. Patients Admitted to Three Spanish Intensive Care Units for Poisoning: Type of Poisoning, Mortality, and Functioning of Prognostic Scores Commonly Used. BioMed Research International،Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1137512
Modern Language Association (MLA)
Banderas-Bravo, María Esther…[et al.]. Patients Admitted to Three Spanish Intensive Care Units for Poisoning: Type of Poisoning, Mortality, and Functioning of Prognostic Scores Commonly Used. BioMed Research International No. 2017 (2017), pp.1-9.
https://search.emarefa.net/detail/BIM-1137512
American Medical Association (AMA)
Banderas-Bravo, María Esther& Arias-Verdú, Maria Dolores& Macías-Guarasa, Ines& Aguilar-Alonso, Eduardo& Castillo-Lorente, Encarnación& Pérez-Costillas, Lucia…[et al.]. Patients Admitted to Three Spanish Intensive Care Units for Poisoning: Type of Poisoning, Mortality, and Functioning of Prognostic Scores Commonly Used. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1137512
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1137512