Epidemiología y calidad asistencial de las intoxicaciones agudas en el adulto mayor de 65 años en Alicante, España

IF 2.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Revista clinica espanola Pub Date : 2023-12-01 DOI:10.1016/j.rce.2023.10.001

Á. Lirón-García , J.M. Ramos-Rincón , B. Valero-Novella , J. Marín-Aparicio , R. Sánchez-Martínez , P. Llorens

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Abstract

Introduction

The objective of this study was to examine the epidemiology of acute poisonings in the emergency department (ED) of a tertiary center and to analyze the compliance level with quality indicators (QIs) in patients 65 years and older compared rest of adults.

Materials and methods

This was an observational and retrospective study that included diagnosed cases of acute poisoning in patients over 14 years old treated in the ED of a tertiary hospital. Demographic variables, type of toxic substances, and cause of poisoning were collected, along with 19 QIs and patient outcomes, with the main outcome variable being the degree of compliance with the QIs.

Results

A total of 1144 cases were recorded, with 10.4% (n = 119) being patients 65 years and older. Patients 65 years and older were more likely to be female (72.8% vs. 60.9%; p = 0.015), experience more accidental poisonings (37.6% vs. 25.7%; p = 0.006), and fewer intentional poisonings (35.0% vs. 49.6%; p = 0.003). There were fewer cases of alcohol poisoning (5% vs. 17.8%; p < 0.001), and no cases of illegal drug poisoning (p < 0.001) in this age group. Most QIs showed a high degree of compliance (>85%) in both patients 65 years and older and rest of adults. However, there were differences in the indication of oxygen therapy in cases of carbon monoxide poisoning (64.2% vs. 40.9%; p = 0.005).

Conclusions

The epidemiological profile of poisoning in patients 65 years and older differs from that of adult patients, with a similar degree of compliance with QIs. Based on the results obtained, there does not appear to be significant differences in the management of poisoned patients based on their age.

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西班牙阿利坎特65岁以上成人急性中毒的流行病学和护理质量

本研究的目的是检查三级中心急诊科(ED)急性中毒的流行病学，并分析65岁及以上患者与其他成人相比对质量指标(QIs)的依从性水平。材料和方法本研究是一项观察性和回顾性研究，纳入了在某三级医院急诊科治疗的14岁以上急性中毒确诊病例。收集了人口统计变量、有毒物质类型和中毒原因，以及19个质量指标和患者结局，主要结局变量是对质量指标的遵守程度。结果共记录1144例，其中65岁及以上患者119例(10.4%)。65岁及以上的患者更可能是女性(72.8% vs. 60.9%;P = 0.015)，意外中毒较多(37.6% vs. 25.7%;P = 0.006)，故意中毒较少(35.0% vs 49.6%;p = 0.003)。酒精中毒病例较少(5% vs. 17.8%;p & lt;0.001)，无非法药物中毒病例(p <0.001)。在65岁及以上的患者和其他成人中，大多数QIs显示出高度的依从性(85%)。然而，在一氧化碳中毒病例中，氧疗的指征存在差异(64.2% vs. 40.9%;p = 0.005)。结论65岁及以上患者的中毒流行病学特征与成年患者不同，但对QIs的依从程度相似。根据所获得的结果，中毒患者的管理似乎没有明显的年龄差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista clinica espanola 医学-医学：内科

CiteScore

4.40

自引率

6.90%

发文量

审稿时长

28 days

期刊介绍： Revista Clínica Española published its first issue in 1940 and is the body of expression of the Spanish Society of Internal Medicine (SEMI). The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Revista Clínica Española is subject to a thorough double blind review of the received articles written in Spanish or English. Nine issues are published each year, including mostly originals, reviews and consensus documents.