Epidemiological Assessment of acute poisoning Death–One year Survey
International Journal of Medical Toxicology and Forensic Medicine,
Vol. 2 No. 3(Summer) (2012),
12 January 2013
,
Page 103-109
https://doi.org/10.22037/ijmtfm.v2i3(Summer).3864
Abstract
Background: Acute poisoning by drugs and chemical agents is a medical emergency and carries a high morbidity and mortality rate. The epidemiology of acute poisoning varies between countries and different regions.
Method: In this one year retrospective study, we reviewed the epidemiology of patients with acute poisoning (intentionally or unintentionally) who died during hospitalization at Loghman Hakim hospital, Tehran, Iran.
Results: Of the 280 cases of completed suicide by self-poisoning 69 (24.6%) cases were female and 211(75.4%) cases were male, between 15-78 years old with mean±SD of 39±17.5. Most of them were conscious (69.6%) on admission to Emergency Department (ED). Past history of any self- harm were positive in 82 (29.3) cases of subjects. Multiple drug toxicity and opioid poisoning were the most common causes of acute poisoning death in 27.5% and 27.1% respectively.
Conclusion: Differences based on age category, sex, the types of toxic agents involved and the outcomes of the poisoning death incidents were noted. Future interventions should take these differences into account.
- Fatal Poisoning
- Acute Poisoning
- Drug/Chemical Poisoning
- Overdose
- Epidemiology
How to Cite
References
Manini AF, Nelson LS, Olsen D, Vlahov D, Hoffman RS. Medical examiner and medical toxicologist agreement on cause of death. Forensic Science International. 2011; Volume: 206.
Fathelrahman AI, Rahman AFA, Zain ZM. Self-poisoning by drugs and chemicals: variations in demographics, associated factors and final outcomes. Gen Hosp Psychiatry. 2008;30:467-70.
Schwake L, Wollenschlager I, Stremmel W, Encke J. Adverse drug reactions and deliberate self-poisoning as cause of admission to the intensive care unit: a 1-year prospective observational cohort study. Intensive Care Med. 2009;35:266-74.
Lalith S, Shaluka F, Patrick J, Nick A, Michael J, Andrew H Dawson. Changing epidemiologic patterns of deliberate self-poisoning in a rural district of Sri Lanka. BMC Public Health. 2012;12:593-98.
Clark D, Murray DB, Ray D. Epidemiology and outcomes of patients admitted to critical care after self-poisoning. The Intensive Care Society; 2011.
Camidge DR, Wood RJ, Bateman DN. The epidemiology of self-poisoning in the UK. Br J Clin Pharmacol. 2003;56(6):613–619.
Bertolote JM. Deaths from pesticide poisoning: a global response. British Journal of Psychiatry. 2006;189:201–203.
Hendin H, Ret M.Suicide and Suicide Prevention in Asia, World Health Organization. 2008.
Lakshmi V, Pirkis J, Thanh T, Yip P, Rohini D. Socio-economic, Cultural and Religious Factors Affecting Suicide Prevention in Asia.
David B. Goldston, Sh, Molock L, Whitbeck L. Cultural Considerations in Adolescent Suicide Prevention and Psychosocial Treatment.Am Psychol. 2008;63(1):14–31.
Ying-Yeh Ch, Kevin Ch, SamanY, Paul SF. Suicide in Asia: Opportunities and Challenges. Epidemiol Rev. 2011:
Sanjeev Kumar, AkhileshPathak, H. M. Mangal, Trends of Fatal Poisoning In Saurashtra Region of Gujarat,J Indian Acad Forensic Med. July-September 2011, Vol. 33, No. 3 ISSN 0971-0973
Josef G, Stober J, Pronczuk J. Acute pesticide poisoning: a proposed classification tool Bulletin of the World Health Organization. 2008;86(3):161-240
Owens D, Wood ch, Hughes T, Dennis M. Mortality and suicide after non-fatal self-poisoning:16-year outcome study; British J Psychiatry. 2005.
Sut N, Memis D. Intensive care costs of acute poisoning cases. ClinToxicol 2008;46:457-60.
Kristinsson J, Palsson R, Gudjonsdottir GA. Acute poisonings in Iceland: a prospective nationwide study. ClinToxicol. 2008;46:126-32.
Lam S, Lau AC, Yau WW. Over 8 years’experience on severe acute poisoning requiring intensive care in Hong Kong, China. Hum ExpToxicol. 2010;29:757-65.
Cook R, Allcock R, Johnston M. Self-poisoning: current trends and practice in a UK teaching hospital. Clin Med. 2008;8:37-40.
Henderson A, Wright M, Pond SM. Experience with 732 acute overdose patients admitted to an intensive care unit over six years. Med J Aust. 1993;158:28-30.
Gunnell D, Ho D, Murray V. Medical management of deliberate drug overdose: A neglected area for suicide prevention? Emerg Med J. 2004;21:35–8.
Gupta BD, Vaghela PC. Profile of fatal poisoning in & around Jamnagar, JIAFM. 2005;27(3):145-48.
Das RK: Epidemiology of insecticide poisoning at AIIMS emergency services and role of its Detection by Gas liquid chromatography in diagnosis. 2007;7(2):7-12.
Shingh VP, Sharma BR, Dasari H, Krishan V. A ten year study of poisoning cases in a tertiary care hospital, Ind Internet J of For Med &Toxicolo, 2004;1(2).
Julien H. Undetermined Manner Drug Poisoning Deaths, Oklahoma, Injury update, A report from Oklahoma Injury Surveillance Participants, February 6. 2009.
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