Abstract：Objective To analyze the clinical and social demography patterns of 6, 902 acute poisoning patients admitted into the emergency department of a grade A tertiary hospital in Shenyang region so as to provide references for the management and prevention of acute poisoning in this region. Methods Demographic data regarding all poisoning cases admitted to the emergency department of the hospital from January 1, 2012 to December 31, 2018 were statistically analyzed, and the epidemiological features of acute poisoning were studied. Results A total of 6, 902 poisoning patients were admitted to the hospital, accounting for 0.6% of the total emergency cases. There were 93 cases of poisoning death, and the case fatality rate was 1.3%. The sex ratio of male to female was 1∶1.14. The mean age of all patients was (36.2 ± 15.1) years. The incidence rate of poisoning was found to be the highest in patients aged 20-29 years (about accounting for 30.1%). The majority of patients were classified as suicidal poisoning (n=3, 835, 55.6%). There was a significant gender difference in suicide and drug abuse (χ2=289.14, P<0.001), females were involved in more suicidal poisonings than males, whereas males were more exposed to poisoning due to drug abuse. Oral administration was the most common route of poisoning (86.1%). The four most common toxic agent groups in decreasing order were therapeutic drugs, pesticides, alcohol and gases. 849 (12.3%) patients consumed two or more toxic agents. However, with regard to specific substances, alcohol, paraquat, carbon monoxide and sedatives/hypnotics were the four main toxic agents. The incidence rate of pesticide poisoning was found to be the highest in summer season, but the most common season for gas poisoning was winter. Conclusions The overall number of poisoning cases in 2012-2018 presented a downward trend. The characteristics of acute poisoning in this region were different from those of ten years ago.
张亚杰, 于波心, 王娜娜, 李铁刚. 沈阳地区某三甲医院6902例急性中毒患者流行病学分析[J]. 实用预防医学, 2020, 27(3): 290-295.
ZHANG Ya-jie, YU Bo-xin, WANG Na-na, LI Tie-gang. Epidemiological analysis of 6,902 patients with acute poisoning in a grade A tertiary hospital in Shenyang region. , 2020, 27(3): 290-295.
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