Paediatric Medicine, Townsville Hospital, Queensland, Australia.
Cairns Hospital, Queensland, Australia.
Br J Clin Pharmacol. 2019 Jan;85(1):11-19. doi: 10.1111/bcp.13768. Epub 2018 Oct 28.
Presentations of intoxicated patients to hospital are frequent and increasing. We aimed to review the existing evidence that the presence of inpatient clinical toxicology services reduces use of resources without impacting on the care of these patients.
We conducted a literature search using the Cochrane Library, PubMed, and Embase for articles that measured length of stay (and other outcomes) for the target population, with toxicology services as an intervention. The articles were reviewed with respect to the ROBINS-I tool.
Seven relevant articles were identified. Six of these studies demonstrated reduced hospital length of stay for intoxicated patients in hospitals with inpatient toxicology services. None of the articles demonstrated a detriment in morbidity or mortality. There were also improvements in other resource-related outcomes.
The presence of inpatient toxicology services appears to improve resource utilization, in reduction of length of stay, as well as a number of other related outcomes. It does this without compromising on patient morbidity or mortality. Thus, it should be considered as a potential model of care for future toxicology services, especially with current trends of increasing demand for service efficiency.
中毒患者到医院就诊的情况较为常见且呈上升趋势。本研究旨在回顾现有的证据，即住院临床毒理学服务的存在可以减少资源的使用，而不影响对这些患者的护理。
我们使用 Cochrane 图书馆、PubMed 和 Embase 对以毒理学服务为干预措施的目标人群的住院时间（和其他结果）进行了文献检索。这些文章根据 ROBINS-I 工具进行了审查。
确定了 7 篇相关文章。其中 6 项研究表明，有住院毒理学服务的医院中，中毒患者的住院时间缩短。没有一篇文章表明发病率或死亡率有下降。在其他与资源相关的结果方面也有改善。
住院毒理学服务的存在似乎可以改善资源利用，缩短住院时间，并改善许多其他相关结果。这并不会影响患者的发病率或死亡率。因此，它应该被视为未来毒理学服务的潜在护理模式，特别是在当前对服务效率需求不断增加的趋势下。
