Predictive Factors of Hospitalization and Dialysis Requirement in Alcohol Poisoning; a Cross-Sectional Study
Iranian Journal of Emergency Medicine,
Vol. 2 No. 1 (2015),
28 February 2015
,
Page 11-19
https://doi.org/10.22037/ijem.v2i1.6901
Abstract
Introduction: Alcohol abuse is one of the health problems that all societies have involved with. Although in Iran the percent of alcohol consuming due to social and cultural preventions is lesser that other countries, its outcome and predictive factors are not accessible. Thus, this study was designed with the aim of determining the consequences of alcohol consuming and finding its effective factors in Tabriz. Method: This cross-sectional study has been done through September 2013 to July 2014 in Sina Hospital, Tabriz, Iran. All individuals with alcohol poisoning referred to the emergency department were included in the study. Demographic and clinical factors of patients, laboratory tests, dialysis and hospitalization in hospital wards were evaluated. Finally, independent effective factors for dialysis and hospitalization were assessed by using multivariate logistic regression.Results: At the end, 81(91.4% male) patients with the mean age of 27.9±10.4 years were entered to the study. Ten (12.3%) patients needed dialysis and 34 (42.0%) were hospitalized. Increasing the serum creatinine level (OR-1.6; 95% Cl: 1.004-2.4; p-0.048) and time interval between consumption until referring to the emergency (OR-1.1; 95% Cl: 1.03-1.15; p-0.004) were the independent predictive factors of dialysis. Also, predictive agents of hospitalization included smoking (OR-3.4; 95% Cl: 1.6-5.5; p-0.01) and need to do dialysis (OR-7.9; 95% Cl: 5.4-10.5; p<0.001). Conclusion: In the present project 12.3% of patients needed dialysis. Increasing the serum creatinine and time interval between alcohol consuming until referring to the emergency were the most important predictive factors. In addition, the probability of hospitalization for smoking and dialyzed poisoned persons in hospital wards was more than other patients.How to Cite
References
Yoon Y-H, Chen CM, Yi H-Y. Unintentional alcohol and drug poisoning in association with substance use disorders and mood and anxiety disorders: results from the 2010 Nationwide Inpatient Sample. Inj Prev. 2014;20(1):21-8.
World Health Organization. Alcohol epidemiology, monitoring, and information system. Genova: 2014.
Rehm J, Kailasapillai S, Larsen E, et al. A systematic review of the epidemiology of unrecorded alcohol consumption and the chemical composition of unrecorded alcohol. Addiction. 2014;109(6):880-93.
Organization WH. Global status report on alcohol and health-2014: World Health Organization; 2014.
Poznyak V, Fleischmann A, Rekve D, Rylett M, Rehm J, Gmel G. the World Health organization’s Global Monitoring System on Alcohol and Health. Alcohol res. 2014;35(2):244-7.
Mostafazadeh B, Eghbali H. An Epidemiologic Study on Methyl Alcohol Poisoning in Tehran, Iran. Asia Pac J Med Toxicol. 2014;3:8-11.
Mirlashari J, Demirkol A, Salsali M, Rafiey H, Jahanbani J. Early Childhood experiences, Parenting and the process of drug dependency among young people in Tehran, Iran. Drug alcohol rev. 2012;31(4):461-8.
Shadnia S, Rahimi M, Soltaninejad K, Nilli A. Role of clinical and paraclinical manifestations of methanol poisoning in outcome prediction. J Res Med Sci. 2013;18(10):865-70.
Single E, Robson L, Rehm J, Xie X, Xi X. Morbidity and mortality attributable to alcohol, tobacco, and illicit drug use in Canada. Am J Public Health. 1999;89(3):385-90.
Lembke A, Bradley K, Henderson P, Moos R, Harris AS. Alcohol Screening Scores and the Risk of New-Onset Gastrointestinal Illness or Related Hospitalization. J Gen Intern Med. 2011;26(7):777-82.
Moghadamnia A, Abdoilahi M. An epidemiological study of poisoning in northern lslamic. East Mediterr Health J. 2002;8(1):88-94.
Kivistö JE, Mattila VM, Arvola T, Paavola M, Parkkari J. Secular Trends in Poisonings Leading to Hospital Admission among Finnish Children and Adolescents between 1971 and 2005. J Pediatr. 2008;153(6):820-4.e1.
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):37-43.
Shah S, Pandey V, Thakore N, Mehta I. Study of 63 cases of methyl alcohol poisoning: hooch tragedy in Ahmedabad. J Assoc Physicians India. 2012;60:34-6.
Sharma R, Marasini S, Sharma AK, Shrestha JK, Nepal BP. Methanol poisoning: ocular and neurological manifestations. Optom Vis Sci. 2012;89(2):178-82.
Desai T, Sudhalkar A, Vyas U, Khamar B. Methanol poisoning: predictors of visual outcomes. JAMA ophthalmol. 2013;131(3):358-64.
Lim CS, Bryant SM. Forgoing the Folate?-Contemporary Recommendations for Methanol Poisoning and Evidence Review. Am J Ther. 2014.
Minns AB, McIlvoy A, Clark A, Clark RF, Cantrell FL. Examining the risk of methanol poisoning from methyl acetate–containing products. Am J Emerg Med. 2013;31(6):964-6.
Zakharov S, Pelclova D, Navratil T, et al. Intermittent hemodialysis is superior to continuous veno-venous hemodialysis/hemodiafiltration to eliminate methanol and formate during treatment for methanol poisoning. Kidney Int. 2014;86(1):199-207.
Min HHLHH. Efficiency of early blood perfusion combined with dialysis on Methanol Poisoning. J Clin Emerg Call. 2011;6:12-9.
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