[老年患者与年轻患者急诊中毒病例的特征]

[Characteristics of emergency poisoning cases in elderly versus younger patients].

作者信息

Supervía Caparrós August, Pallàs Villaronga Oriol, Clemente Rodríguez Carlos, Aranda Cárdenas María Dolores, Pi-Figueras Valls María, Cirera Lorenzo Isabel

机构信息

Servicio de Urgencias, Hospital Universitario del Mar, Barcelona, España. Grup de treball de Toxicologia de la SoCMUE (SoCMUETox). 6Servicio de Geriatría, Hospital Universitario del Mar, Barcelona, España.

Servicio de Urgencias, Hospital Universitario del Mar, Barcelona, España. Unitat Funcional de Toxicología, Hospital Universitario del Mar, Barcelona, España. Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, España.

出版信息

Emergencias. 2017 Oct;29(5):335-338.

PMID:29077293

Abstract

OBJECTIVES

To compare cases of poisoning according to age to detect differences in frequency of visits to the emergency department, patient characteristics, case management, and immediate outcome in terms of related mortality.

MATERIAL AND METHODS

Descriptive study of a retrospective series of patients who visited a university hospital emergency department for treatment of poisoning between 2009 and 2014. We collected patient characteristics and data related to the event, case management, and poisoning-related death. Patients were grouped according to age (cut-off 65 y).

RESULTS

Of a total of 3847 poisoning episodes, 341 (8.9%) were in patients aged 65 years or older. The percentage of women among these older patients (61.3%) was greater than among younger patients (36.3%; P<.001). Poisoning was accidental in older patients more often than younger ones (64.4% vs 9.5%, respectively; P<.001), occurred more often in the home (82.1% vs 37%, P<.001), and more often required active treatment (73.3% vs 57.4%; P<.001) and admission to hospital (21.4% vs 7.3%, P<.001). The related mortality rate was also higher in the older patients (2.1% vs 0.1% in younger patients, P<.001).

CONCLUSION

The percentage of poisonings in patients aged 65 years or older is not negligible. Poisoning in patients of advanced age tends to be accidental and take place in the home. Older patients more often require active treatment and hospital admission; poisoning-related death is more common in older patients than younger ones.

摘要

目的

根据年龄对中毒病例进行比较，以检测急诊科就诊频率、患者特征、病例管理以及相关死亡率方面的即时结局的差异。

材料与方法

对2009年至2014年间因中毒到大学医院急诊科就诊的患者进行回顾性系列描述性研究。我们收集了患者特征以及与事件、病例管理和中毒相关死亡有关的数据。患者按年龄分组（分界点为65岁）。

结果

在总共3847例中毒事件中，341例（8.9%）发生在65岁及以上的患者中。这些老年患者中女性的比例（61.3%）高于年轻患者（36.3%；P<0.001）。老年患者中毒意外发生的情况比年轻患者更常见（分别为64.4%和9.5%；P<0.001），更多发生在家中（82.1%和37%，P<0.001），并且更常需要积极治疗（73.3%和57.4%；P<0.001）以及住院治疗（21.4%和7.3%，P<0.001）。老年患者的相关死亡率也更高（老年患者为2.1%，年轻患者为0.1%，P<0.001）。