喀拉拉邦一家教学医院急诊科中毒患者的临床特征和患病率:新冠肺炎大流行前后的回顾性比较研究

M. Linus, Manojan Kk, A. KannanMuthuraman, Sivam Roopasree, M. P. George
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引用次数: 0

摘要

背景:急诊医生必须了解2019冠状病毒病大流行期间中毒模式的变化。关于2019冠状病毒病大流行期间印度急诊科中毒患者的发病率和特征,现有数据有限。因此,我们旨在探讨2019冠状病毒病大流行对急诊科中毒病例的影响。方法:这项横断面回顾性研究对大流行期间(2020年4月1日至10月30日(第2期))和大流行前的匹配期(2019年9月1日到2020年3月31日(第1期))急诊科中毒患者进行。使用适当的统计检验对第1期和第2期的患病率和临床特征进行比较。结果:共分析了111例(第1期=57例,第2期=54例)病例。与疫情期间(48.6%)相比,疫情前(51.33%)的中毒流行率略有上升2.7%(p=0.03)。女性在这两个时期都占主导地位,平均年龄为32.5岁。主要(57%)患者年龄组为15-34岁。36.9%(n=41)的患者服用多种毒药,19.8%(n=22)服用扑热息痛,14.4%(n=16)的患者使用精神药物。在封锁前,27.02%(n=30)的患者在摄入3小时内出现,21.6%(n=24)的患者摄入3小时后出现(p=0.012)。观察到,在封锁期间,中毒病例的到达时间显著延迟(p=0.02),入院人数增加(p=0.03)。36.03%的病例出现精神障碍。大多数病例被送入重症监护室,0.9%(n=1)死亡。结论:这是印度第一项描述2019冠状病毒病大流行期间中毒病例发生率及其模式的研究,研究表明,喀拉拉邦农村低资源环境中心理健康危机的增加主要影响年轻人。研究表明,促使心理健康护理专业人员启动心理健康筛查计划的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical profile and Prevalence of poisoning patients presenting to the emergency department of a teaching hospital in Kerala: A retrospective comparative study before and during COVID-19 pandemic
Background: Emergency physicians must be updated about the variations in poisoning pattern during Covid19 pandemic. Limited data exist on the incidence and characteristics of patients presenting with poisoning in Indian Emergency Departments (ED) during the COVID 19 pandemic. Hence, we aimed to explore the impact of Covid19 pandemic on poisoning cases presenting to the ED.Methods: This cross-sectional retrospective study was conducted on poisoning patients presenting to ED during the pandemic period (April 1-October 30, 2020 (period 2)), and a matching period before the pandemic (September 1,2019 to March 31, 2020 (period 1)). The rate of prevalence and clinical profile were compared between period 1 and 2 using appropriate statistical test.Results: A total of 111 (periods 1 = 57, and periods 2 = 54) cases were analysed. Poisoning prevalence rates had slightly increased by 2.7% before the pandemic (51.33%) in comparison to during the pandemic (48.6%) period (p=0.3). Females were predominant in both periods, and the mean age of 32.5 years. The predominant (57%) patient age group was 15-34 years. 36.9% (n=41) patients consumed multiple poisons, 19.8% (n=22) consumed paracetamol, and 14.4% (n=16) patients consumed psychiatric medications. Before lockdown, 27.02% (n=30) patients presented within 3 hours ingestion, and 21.6% (n=24) presented after 3 hours ingestion (p=0.12). A significant delay in arrival of poisoning cases during lockdown (p= 0.12) with increased hospital admission (p=0.03) was observed.  A psychiatric disorder was observed in 36.03% cases. Majority of the cases were admitted in the ICU, and 0.9%(n=1) death was recorded.Conclusions: This is the first Indian study that describes the incidence of poisoning cases and their pattern during the COVID 19pandemic period, study revealed that increased mental health crisis in low resource settings in rural Kerala affects predominantly young population. Study implies the importance of priming the mental health care professionals to initiate their mental health screening programmes.
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来源期刊
自引率
0.00%
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0
审稿时长
12 weeks
期刊介绍: Asia Pacific Journal of Medical Toxicology (APJMT) aims to expand the knowledge of medical toxicology and tries to provide reliable information in this field for medical and healthcare professionals. APJMT mainly focuses on research related to medical toxicology issues in the Asia Pacific region and publishes articles on clinical and epidemiological aspects of toxicology, poisonings emergency care, addiction, drug interactions and adverse effects. The journal accepts and welcomes high quality papers in the form of original articles and rarely review articles, case reports and scientific letters relevant to medical practice in toxicology.
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