Investigation of Poisoning Prevalence and its Related Factors in Patients Referred to Farsan’s Hospital During 2018-2019, Iran

Majid Kabiri, S. Hosseini, F. Veisi, S. Mortezaei, A. Ahmadi, Zeinab Agashteh, Setare Fazel
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Abstract

Background and aims: Poisoning is one of the main medical emergencies that is divided into intentional and unintentional types. According to previous records on poisoning attributed to Farsan’s hospital, Iran, the current study focused on investigating its prevalence, type, and poisonous agent. Methods: In the descriptive-analytical cross-sectional study, the registered data of 557 poisoned patients during 2018-2019 were used by a consensus method. Age, gender, residence, type, and agent of poisoning and hospitalization were employed as explanatory variables. Data were extracted from medical records and entered into the standard checklist. Descriptive statistics such as frequency, percentage, mean, and standard deviation were applied for data analysis. Finally, the chi-square test and independent t test were used to analyze variables in SPSS 22.0. Results: Among a total of 557 poisoning cases, 70% were intentional, 52.1% were related to males, 66% lived in cities, 38.2% were in the age group of 16-30 years, and 58% were associated with drug and opioid use. In addition, 31.4% occurred in spring and about 85% of them were discharged in 2 days. The poisonous agent was different between genders (P≤0.001). Intentional poisoning was more prevalent in youth compared to the elderly and children. Further, poisonous agents demonstrated a significant difference according to the poisoning type, as in intentional poisoning opioids, drugs, and toxins had been used more than the other agents (P≤0.001). Conclusion: In this study, most poisoning cases were intentional, related to males and young individuals, and those residing in cities, and occurred via opioids and drugs. Therefore, it is suggested that more comprehensive studies should be conducted about the cultural and socioeconomic status of vulnerable groups and provide them with appropriate training and attention.
2018-2019年伊朗法尔桑医院转诊患者中毒患病率及其相关因素调查
背景与目的:中毒是主要的医疗突发事件之一,分为有意和无意两种类型。根据以前关于伊朗Farsan医院中毒的记录,目前的研究重点是调查其流行程度、类型和有毒物质。方法:采用描述性分析横断面研究,采用共识法对2018-2019年557例中毒患者的登记资料进行分析。以年龄、性别、居住地、中毒类型、中毒剂及住院情况为解释变量。从医疗记录中提取数据并输入标准核对表。采用频率、百分比、均值、标准差等描述性统计进行数据分析。最后,在SPSS 22.0中使用卡方检验和独立t检验对变量进行分析。结果:557例中毒病例中,故意中毒占70%,男性占52.1%,城市居民占66%,年龄在16 ~ 30岁的占38.2%,与药物和阿片类药物使用有关的占58%。其中,31.4%发生在春季,约85%在2 d内出院。毒性因子在性别间存在差异(P≤0.001)。与老人和儿童相比,故意中毒在年轻人中更为普遍。此外,根据中毒类型,有毒药物表现出显著差异,在故意中毒中,阿片类药物、药物和毒素的使用比其他药物更多(P≤0.001)。结论:在本研究中,大多数中毒病例是故意的,涉及男性和年轻人,以及居住在城市的人,并通过阿片类药物和药物发生。因此,建议对弱势群体的文化和社会经济状况进行更全面的研究,并对他们进行适当的培训和关注。
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