中毒患者就诊于一家三级医疗中心的急诊医学部：一项描述性横断面研究。
Poisoning among Patients Presenting to the Department of Emergency Medicine of a Tertiary Care Centre: A Descriptive Cross-sectional Study.
机构信息
Department of General Practitioners and Emergency Medicine, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.
Ramghat Primary Health Center, Gaushala, Kathmandu, Nepal.
出版信息
JNMA J Nepal Med Assoc. 2022 Oct 1;60(254):861-864. doi: 10.31729/jnma.7878.
INTRODUCTION
Poisoning is one of the major public health problems worldwide. The World Health Organization has estimated 0.3 million deaths a year due to various poisoning agents; pesticides being the leading one. Poisoning is one of the leading causes of emergency room visits. It has become a significant public health issue in Nepal. This study aimed to find out the prevalence of poisoning among patients presenting to the Department of Emergency Medicine of a tertiary care centre.
METHODS
A descriptive cross-sectional study was done in the Department of Emergency Medicine of a tertiary care centre from 24 June 2022 to 6 July 2022. Ethical approval was obtained from the Institutional Review Committee (Reference number: 11/2022). Data from 765 patients were collected from the hospital records. The patient's history and clinical examination were used to make the diagnosis of poisoning. Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated.
RESULTS
Among 765 patients visiting the emergency department, 8 (1.04%) (0.99-1.09, 95% Confidence Interval) patients were of poisoning. The most common poison used was organophosphates which was consumed by 2 (25%) patients and benzodiazepines by 2 (25%) patients.
CONCLUSIONS
The prevalence of poisoning among patients presenting to the Department of Emergency Medicine was similar when compared to other studies conducted in similar settings. Although agricultural poisons were commonly used, cases of drug poisoning seems to be on the rise nowadays.
KEYWORDS
emergency department; poisoning; prevalence.
简介
中毒是全球主要的公共卫生问题之一。世界卫生组织估计，每年有 30 万人死于各种中毒剂，其中农药是主要原因。中毒是急诊科就诊的主要原因之一。在尼泊尔，它已成为一个重大的公共卫生问题。本研究旨在了解在一家三级保健中心的急诊医学科就诊的患者中毒的发生率。
方法
在 2022 年 6 月 24 日至 7 月 6 日期间，在一家三级保健中心的急诊医学科进行了一项描述性的横断面研究。已获得机构审查委员会的伦理批准（编号：11/2022）。从医院记录中收集了 765 名患者的数据。根据患者的病史和临床检查来诊断中毒。使用方便抽样法。计算了点估计值和 95%置信区间。
结果
在 765 名到急诊科就诊的患者中，有 8 名（1.04%）（0.99-1.09，95%置信区间）患者发生了中毒。最常用的毒物是有机磷，有 2 名（25%）患者服用，2 名（25%）患者服用了苯二氮䓬类药物。
结论
与在类似环境中进行的其他研究相比，到急诊医学科就诊的患者中毒的发生率相似。尽管农业毒物常用，但如今药物中毒的情况似乎呈上升趋势。
关键词
急诊科；中毒；发生率。
Zotero 插件