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学术急诊医学档案

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  3. 卷 3 编号 1 (2015): Winter (February)
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卷 3 编号 1 (2015)

二月 2015

Epidemiology of Alcohol Poisoning and Its Outcome in the North-West of Iran

  • Hamid Reza Morteza Bagi
  • Mohammad Tagizadieh
  • Payman Moharamzadeh
  • Mahboob Pouraghaei
  • Aynaz Kahvareh Barhagi
  • kavous Shahsavari Nia

学术急诊医学档案, 卷 3 编号 1 (2015), 1 二月 2015 , 第 27-32 页
https://doi.org/10.22037/aaem.v3i1.260 已出版: 2018-12-18

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摘要

Introduction: Alcohol poisoning is one of the main preventable causes of death, disability, and injury in many societies. Ethanol and methanol are the most prevalent kinds of alcohol used. There is no any exact reports of alcohol poisoning and its outcome in Iranian society. Therefore, the present study was assessed the status of alcohol poisoning and its outcome in referees to the emergency department. Methods: This is a cross-sectional study which was done from July 2013 to 2014 in Sina Trauma Center, Tabriz, Iran. The studied population included all alcohol poisoning cases referred to this center. Demographic variables, clinical evaluation, laboratory tests, and patient's outcome were evaluated. To assess the relation between evaluated factors and outcome of alcohol poisoning. After univariate analysis a multivariate logistic regression was applied to evaluate independent risk factors for death. P<0.05 was considered as a significant level. Results: Lastly 81 patients with alcohol poisoning were entered to the study (91.4% male) with the mean age of 27.9±10.4 years. Ten (12.3%) subjects were dialyzed and 34 (42%) cases hospitalized that 3 (3.7%) of them died. The multivariate logistic regression test displayed that plasma creatinine level (OR=2.2 95%Cl: 1.8-2.5; p=0.015) and need for dialysis (OR=6.4; 95%Cl: 5.3-7.5; p<0.001) were the only risk factors of death among these patients. Conclusion: The findings of the present study revealed that total mortality rate of referees to the emergency with alcohol poisoning was 3.7% all of whom related to methanol poisoning. Based on this result, the mortality rate of methanol poisoning was estimated 20%. Need for dialysis and increasing the creatinine level were accounted as independent risk factors of death.
关键词:
  • Ethanol
  • methanol
  • alcohol drinking
  • alcoholism
  • poisoning
  • mortality
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Morteza Bagi HR, Tagizadieh M, Moharamzadeh P, Pouraghaei M, Kahvareh Barhagi A, Shahsavari Nia kavous. Epidemiology of Alcohol Poisoning and Its Outcome in the North-West of Iran. Arch Acad Emerg Med [网际网络]. 2018年12月18日 [见引于 2026年7月7日];3(1):27-32. 载于: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/260
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参考

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Mostafazadeh B, Eghbali H. An Epidemiologic Study on Methyl Alcohol Poisoning in Tehran, Iran. Asia Pac J Med Toxicol. 2014;3(1):8-12.

Shadnia S, Rahimi M, Soltaninejad K, Nilli A. Role of clinical and paraclinical manifestations of methanol poisoning in outcome prediction. J ResMed Sci. 2013;18(10):865-9. [Persian].

Moghaddam SAB, Pajoumand A. Prognostic Factors including clinical manifestation and Paraclinic finding in sever methanol toxicity. Life Sci J. 2014;11(2s):11-4.

Sanaei-Zadeh H, Esfeh SK, Zamani N, Jamshidi F, Shadnia S. Hyperglycemia is a strong prognostic factor of lethality in methanol poisoning. J Med Toxicol. 2011;7(3):189-94.

Kute V, Godara S, Shah P, et al. Hemodialysis for methyl alcohol poisoning: A single-center experience. Saudi J Kidney Dis Transpl. 2012;23(1):37-42.

Ghannoum M, Hoffman RS, Mowry JB, Lavergne V. Trends in toxic alcohol exposures in the United States from 2000 to 2013: a focus on the use of antidotes and extracorporeal treatments. Semin Dial. 2014;27(4):395-401.

Ringwalt CL, Paschall MJ, Gitelman AM. Alcohol prevention strategies on college campuses and student alcohol abuse and related problems. J Drug Educ. 2011;41(1):99-118.

Paltzer J, Black P, Moberg DP. Evaluating Community Readiness to Implement Environmental and Policy-Based Alcohol Abuse Prevention Strategies in Wisconsin. J Alcohol Drug Educ. 2013;57(3):27-32.

Puskar K, Gotham HJ, Terhorst L, et al. Effects of Screening, Brief Intervention, and Referral to Treatment (SBIRT) education and training on nursing students’ attitudes toward working with patients who use alcohol and drugs. Subst Abus. 2013;34(2):122-8.

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Chinman M, Burkhart Q, Ebener P, et al. The premises is the premise: understanding off-and on-premises alcohol sales outlets to improve environmental alcohol prevention strategies. Prev sci. 2011;12(2):181-91.

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