Kavalci Gulsum, Ethemoglu Filiz Banu, Batuman Asli, Kumral Dilber, Emre Cengizhan, Surgit Meltem, Akdikan Alev, Kavalci Cemil
Department of Anesthesiology and Reanimation, Yenimahalle State Hospital, Ankara, Turkey.
Department of Medicine Emergency, University of Baskent, Ankara, Turkey.
Iran Red Crescent Med J. 2014 Nov 17;16(11):e10856. doi: 10.5812/ircmj.10856. eCollection 2014 Nov.
Poisoning is a global public health problem. Self-poisoning has potentially serious consequences. Follow-up studies have found that 3-10% of self-harm patients eventually succeed.
This study was designed to investigate the epidemiological, clinical and economical aspects of deliberate self-poisoning patients admitted to Yenimahalle State Hospital Intensive Care Unit.
The study was carried out retrospectively in Ankara Yenimahalle State Hospital. It included Seventy-one patients over 16 years of age who were admitted to the hospital due to poisoning during 2012. Exposed poisons were classified into one of three categories; pharmaceuticals, pesticides, and alcohols. Cost account was based on the medical invoices at patient discharge. Data were compared using Student's T test and chi-square test. A P value of less than 0.05 was considered significant.
The female/male ratio was 2.55. The mean age of the 71 poisoned patients was 28.92 ± 11.51 years. Most of the poisoning agents were pharmaceuticals (68 cases). Among the pharmaceuticals, antidepressants were involved most often, followed by analgesics. There was no statistically significant difference between pharmaceutical agents in terms of hospital cost (P > 0.05). The mean length of hospital stay was 6.4 ± 4.3 days. There was a statistically significant difference between the lengths of stay of patients in terms of hospital cost (P < 0.05).
The patient cost increased as the length of stay increased due to the policy of bundle pricing.
中毒是一个全球性的公共卫生问题。自我中毒可能会产生严重后果。后续研究发现，3%至10%的自残患者最终会自杀成功。
本研究旨在调查耶尼马哈勒州立医院重症监护病房收治的蓄意自我中毒患者的流行病学、临床和经济方面情况。
本研究在安卡拉耶尼马哈勒州立医院进行回顾性研究。研究纳入了2012年因中毒入院的71名16岁以上患者。所接触的毒物分为三类之一：药品、农药和酒精。费用核算基于患者出院时的医疗发票。数据采用学生t检验和卡方检验进行比较。P值小于0.05被认为具有统计学意义。
女性与男性的比例为2.55。71名中毒患者的平均年龄为28.92±11.51岁。大多数中毒剂为药品（68例）。在药品中，抗抑郁药涉及最多，其次是镇痛药。就住院费用而言，药品之间没有统计学显著差异（P>0.05）。平均住院时间为6.4±4.3天。就住院费用而言，患者的住院时间存在统计学显著差异（P<0.05）。
由于捆绑定价政策，患者费用随着住院时间的增加而增加。
