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Yıl 2019, Cilt: 1 Sayı: 2, 59 - 64, 03.09.2019

Dilber Üçöz Kocaşaban Volkan Arslan Yahya Kemal Günaydın Mehmet Okumuş

Öz

Kaynakça

  • 1- Persson HE, Sjöberg GK, Haines JA, Pronczuk de Garbino J. Poisoning severity score. Grading of acute poisoning. J Toxicol Clin Toxicol. 1998;36(3):205-13.
  • 2- Van den Oever HLA, Van Dam M, Van 't Riet E, Jansman FGA. Clinical parameters that predict the need for medium or intensive care admission in intentional drug overdose patients: A retrospective cohort study. J Crit Care. 2017 Feb;37:156-161. doi: 10.1016/j.jcrc.2016.09.020. Epub 2016 Sep 28.
  • 3- Banderas-Bravo ME, Arias-Verdú MD, Macías-Guarasa I, Aguilar-Alonso E, Castillo-Lorente E, Pérez-Costillas L, Gutierrez-Rodriguez R, Quesada-García G, Rivera-Fernández R. Patients Admitted to Three Spanish Intensive Care Units for Poisoning: Type of Poisoning, Mortality, and Functioning of Prognostic Scores Commonly Used. Biomed Res Int. 2017;2017:5261264. doi: 10.1155/2017/5261264. Epub 2017 Mar 28.
  • 4- Meulendijks CF, Van den Berg EJ, Fortuyn HD, Verkes RJ, Van der Wilt GJ, Kramers C. Predicting the need for hospital admission in patients with intentional drug overdose. Neth J Med. 2003 May;61(5):164-7.
  • 5- Brett AS, Rothschild N, Gray R, Perry M. Predicting the clinical course in intentional drug overdose. Implications for use of the intensive care unit. Arch Intern Med. 1987 Jan;147(1):133-7.
  • 6- Guidelines for intensive care unit admission, discharge, and triage. Task Force of the American College of Critical Care Medicine, Society of Critical Care Medicine. Crit Care Med. 1999 Mar;27(3):633-8.
  • 7- Alizadeh AM, Hassanian-Moghaddam H, Shadnia S, Zamani N, Mehrpour O. Simplified acute physiology score II/acute physiology and chronic health evaluation II and prediction of the mortality and later development of complications in poisoned patients admitted to intensive care unit. Basic Clin. Pharmacol Toxicol. 2014 Sep;115(3):297-300. doi: 10.1111/bcpt.12210. Epub 2014 Mar 6.
  • 8- Eizadi Mood N, Sabzghabaee AM, Khalili-Dehkordi Z. Applicability of different scoring systems in outcome prediction of patients with mixed drug poisoning-induced coma. Indian J Anaesth. 2011 Nov;55(6):599-604. doi:10.4103/0019-5049.90616.
  • 9- Lam SM, Lau AC, Yan WW. Over 8 years experience on severe acute poisoning requiring intensive care in Hong Kong, China. Hum Exp Toxicol. 2010 Sep;29(9):757-65. doi:10.1177/0960327110361753. Epub 2010 Feb 9.
  • 10- McMahon A, Brohan J, Donnelly M, Fitzpatrick GJ. Characteristics of patients admitted to the intensive care unit following self-poisoning and their impact on resource utilisation. Ir J Med Sci. 2014 Sep;183(3):391-5. doi: 10.1007/s11845-013-1026-7. Epub 2013 Oct 8.
  • 11- Novack V, Jotkowitz A, Delgado J, Novack L, Elbaz G, Shleyfer E, Barski L, Porath A. General characteristics of hospitalized patients after deliberate self-poisoning and risk factors for intensive care admission. Eur J Intern Med. 2006 Nov;17(7):485-9.
  • 12- Casey PB, Dexter EM, Michell J, Vale JA. The prospective value of the IPCS/EC/EAPCCT poisoning severity score in cases of poisoning. J Toxicol Clin Toxicol. 1998;36(3):215-7.

The Intensive Care Unit Admission Criteria For Patients With Poisoning

Yıl 2019, Cilt: 1 Sayı: 2, 59 - 64, 03.09.2019

Dilber Üçöz Kocaşaban Volkan Arslan Yahya Kemal Günaydın Mehmet Okumuş

Öz

Introduction:
Poisoning
is an important health problem in Turkey and 
in all over the world. We believe that the creation of ideal scoring
systems for patients with poisoning is essential for the determination of
intensive care hospitalization necessity, duration of follow-up, mortality and
morbidity.



Materials-Method:
In
our study we included over-18-year-old 292 patients with poisoning who were
urgently hospitalized into the intensive care unit
between 2016-2017. We determined some criteria and called it as "Ankara
Poisoning Criteria" and their characteristics are as follows: 1) GCS must
be <15, 2) hypotension (systolic blood pressure must be <90 mm Hg), 3)
bradycardia (must be <60 beats/min) or tachycardia (must be > 100
beats/min 4) lactate level must be high (> 2.0), 5) the pH value must be
acidotic or alkalotic (<7.35 or >7.45). We anticipated that a patient who
meets at least one of these criteria is in need of intensive care
hospitalization, and that if s/he does not, there is no need for intensive care
hospitalization. The patient's scores of ApacheII, SOFA, QSOFA, MEWS and SIRS,
and length of hospital stay, inotrop, dialysis, mechanical ventilation, special
treatment and antidote needs were recorded and these parameters were compared
with the Ankara Poisoning Criteria.



Results:
When
we evaluated 292 patients included in the study within the scope of the Ankara
Poisoning Criteria, we detected that 45.5% (n = 133) of patients had a zero
point, thereby we concluded that their stay in the intensive care unit was
unnecessary. We statistically revealed that patients with the length of
hospital stay ≥2, and need of inotrop, dialysis, mechanical ventilation,
special treatment and antidote, meet at least one of the Ankara Toxicity
Criteria (p <0.005).    Meanwhile, we
statistically observed correlations between the Apache II, SOFA, QSOFA, MEWS
and SIRS scores and revealed criteria (p <0.005).  



Conclusion: We concluded that the Ankara
Poisoning Criteria, which consist of 5 criteria that can be easily and quickly
obtained in the emergency services, can prevent unnecessary intensive care
hospitalizations and they will be beneficial for the prognosis and
mortality-morbidity of patients.

Anahtar Kelimeler

Poisoning Intensive Care

Kaynakça

  • 1- Persson HE, Sjöberg GK, Haines JA, Pronczuk de Garbino J. Poisoning severity score. Grading of acute poisoning. J Toxicol Clin Toxicol. 1998;36(3):205-13.
  • 2- Van den Oever HLA, Van Dam M, Van 't Riet E, Jansman FGA. Clinical parameters that predict the need for medium or intensive care admission in intentional drug overdose patients: A retrospective cohort study. J Crit Care. 2017 Feb;37:156-161. doi: 10.1016/j.jcrc.2016.09.020. Epub 2016 Sep 28.
  • 3- Banderas-Bravo ME, Arias-Verdú MD, Macías-Guarasa I, Aguilar-Alonso E, Castillo-Lorente E, Pérez-Costillas L, Gutierrez-Rodriguez R, Quesada-García G, Rivera-Fernández R. Patients Admitted to Three Spanish Intensive Care Units for Poisoning: Type of Poisoning, Mortality, and Functioning of Prognostic Scores Commonly Used. Biomed Res Int. 2017;2017:5261264. doi: 10.1155/2017/5261264. Epub 2017 Mar 28.
  • 4- Meulendijks CF, Van den Berg EJ, Fortuyn HD, Verkes RJ, Van der Wilt GJ, Kramers C. Predicting the need for hospital admission in patients with intentional drug overdose. Neth J Med. 2003 May;61(5):164-7.
  • 5- Brett AS, Rothschild N, Gray R, Perry M. Predicting the clinical course in intentional drug overdose. Implications for use of the intensive care unit. Arch Intern Med. 1987 Jan;147(1):133-7.
  • 6- Guidelines for intensive care unit admission, discharge, and triage. Task Force of the American College of Critical Care Medicine, Society of Critical Care Medicine. Crit Care Med. 1999 Mar;27(3):633-8.
  • 7- Alizadeh AM, Hassanian-Moghaddam H, Shadnia S, Zamani N, Mehrpour O. Simplified acute physiology score II/acute physiology and chronic health evaluation II and prediction of the mortality and later development of complications in poisoned patients admitted to intensive care unit. Basic Clin. Pharmacol Toxicol. 2014 Sep;115(3):297-300. doi: 10.1111/bcpt.12210. Epub 2014 Mar 6.
  • 8- Eizadi Mood N, Sabzghabaee AM, Khalili-Dehkordi Z. Applicability of different scoring systems in outcome prediction of patients with mixed drug poisoning-induced coma. Indian J Anaesth. 2011 Nov;55(6):599-604. doi:10.4103/0019-5049.90616.
  • 9- Lam SM, Lau AC, Yan WW. Over 8 years experience on severe acute poisoning requiring intensive care in Hong Kong, China. Hum Exp Toxicol. 2010 Sep;29(9):757-65. doi:10.1177/0960327110361753. Epub 2010 Feb 9.
  • 10- McMahon A, Brohan J, Donnelly M, Fitzpatrick GJ. Characteristics of patients admitted to the intensive care unit following self-poisoning and their impact on resource utilisation. Ir J Med Sci. 2014 Sep;183(3):391-5. doi: 10.1007/s11845-013-1026-7. Epub 2013 Oct 8.
  • 11- Novack V, Jotkowitz A, Delgado J, Novack L, Elbaz G, Shleyfer E, Barski L, Porath A. General characteristics of hospitalized patients after deliberate self-poisoning and risk factors for intensive care admission. Eur J Intern Med. 2006 Nov;17(7):485-9.
  • 12- Casey PB, Dexter EM, Michell J, Vale JA. The prospective value of the IPCS/EC/EAPCCT poisoning severity score in cases of poisoning. J Toxicol Clin Toxicol. 1998;36(3):215-7.
Toplam 12 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Yoğun Bakım
Bölüm Original Articles
Yazarlar

Dilber Üçöz Kocaşaban

Volkan Arslan Bu kişi benim

Yahya Kemal Günaydın Bu kişi benim

Mehmet Okumuş

Yayımlanma Tarihi 3 Eylül 2019
Gönderilme Tarihi 24 Nisan 2019
Kabul Tarihi 24 Temmuz 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 1 Sayı: 2

Kaynak Göster

APA Üçöz Kocaşaban, D., Arslan, V., Günaydın, Y. K., Okumuş, M. (2019). The Intensive Care Unit Admission Criteria For Patients With Poisoning. Eurasian Journal of Critical Care, 1(2), 59-64.
AMA Üçöz Kocaşaban D, Arslan V, Günaydın YK, Okumuş M. The Intensive Care Unit Admission Criteria For Patients With Poisoning. Eurasian j Crit Care. Eylül 2019;1(2):59-64.
Chicago Üçöz Kocaşaban, Dilber, Volkan Arslan, Yahya Kemal Günaydın, ve Mehmet Okumuş. “The Intensive Care Unit Admission Criteria For Patients With Poisoning”. Eurasian Journal of Critical Care 1, sy. 2 (Eylül 2019): 59-64.
EndNote Üçöz Kocaşaban D, Arslan V, Günaydın YK, Okumuş M (01 Eylül 2019) The Intensive Care Unit Admission Criteria For Patients With Poisoning. Eurasian Journal of Critical Care 1 2 59–64.
IEEE D. Üçöz Kocaşaban, V. Arslan, Y. K. Günaydın, ve M. Okumuş, “The Intensive Care Unit Admission Criteria For Patients With Poisoning”, Eurasian j Crit Care, c. 1, sy. 2, ss. 59–64, 2019.
ISNAD Üçöz Kocaşaban, Dilber vd. “The Intensive Care Unit Admission Criteria For Patients With Poisoning”. Eurasian Journal of Critical Care 1/2 (Eylül 2019), 59-64.
JAMA Üçöz Kocaşaban D, Arslan V, Günaydın YK, Okumuş M. The Intensive Care Unit Admission Criteria For Patients With Poisoning. Eurasian j Crit Care. 2019;1:59–64.
MLA Üçöz Kocaşaban, Dilber vd. “The Intensive Care Unit Admission Criteria For Patients With Poisoning”. Eurasian Journal of Critical Care, c. 1, sy. 2, 2019, ss. 59-64.
Vancouver Üçöz Kocaşaban D, Arslan V, Günaydın YK, Okumuş M. The Intensive Care Unit Admission Criteria For Patients With Poisoning. Eurasian j Crit Care. 2019;1(2):59-64.
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