%0 Journal Article
%T Demographical Features of Patients with Suicidal Drug Intoxication, Glasgow Coma Scale and Revised Trauma Score Relationship with Mortality
%A Roj£¿in Ayhan £¿zhasenekler
%A Haktan Karaman
%A G£¿n¨¹l £¿. Kavak
%A Adnan T¨¹fek
%J Journal of Academic Emergency Medicine
%D 2012
%I Aves Yayincilik
%X Objective: It is aimed in this study to analyze whether a relationship exists between mortality and demographical features, Glasgow coma scale (GCS) plus revised trauma scores (RTS) of inpatients diagnosed with suicidal drug intoxication.Material and Methods: Files of a total of 120 patients admitted in the reanimation unit because of suicidal drug intoxication whose data we could access were analyzed retrospectively. Results: 75.8% (n=91) of our patients were female while female/male ratio was 3.13/1. The average age of our patients was 25.18¡À10.26 years whereas mean arterial blood pressure, mean pulse rate and mean respiratory rate were 85.09¡À18.08 mmHg, 105.25¡À27.07 and 11.54¡À4.39, respectively. Mean GCS and RTS values of our patients on initial admission were 10.48¡À3.34 and 6.52¡À1.20, respectively. Mean duration of hospital stay of our patients was 6.43¡À14.2 days. 64 of our patients (53.3%) ingested a tricyclic antidepressant, while 22 (18.3%) took organic phosphorus. 33 (27.5%) cases were multiple-drug intoxication. 37 patients (30.8%) required mechanical ventilation support and mean duration of follow-up under mechanical ventilation support was found to be 2.39¡À9.08 days. 11 of our patients (9.1%) died. A statistically significant relationship was found not only between mortality and organic chlorine (p=0.002) plus TCA intoxication (p=0.003), but also between mortality and GCS (p<0.001) plus RTS (p=0.003). Conclusion: Since suicidal drug intoxications are among important issues faced in the emergency room and intensive care units, it was concluded that physiological scoring systems used for initial assessment and follow-up, as well as the kind of drug taken had impacts on mortality.
%K Drug intoxication
%K suicidal
%K mortality
%K GCS
%K RTS
%U http://www.journalagent.com/z4/download_fulltext.asp?pdir=atuder&plng=tur&un=ATUDER-62681