Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia

Ünlüoglu, İlhami; ÇEVİK, Arif Alper

Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia

Arif Alper ÇEVİK, (Eskişehir Osmangazi Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Eskişehir, Türkiye)

İlhami ÜNLÜOĞLU (Eskişehir Osmangazi Üniversitesi, Tıp Fakültesi, Aile Hekimliği Anabilim Dalı, Eskişehir, Türkiye)

Türkiye Acil Tıp Dergisi

3 1

Yıl: 2014 Cilt: 14 Sayı: 3 Sayfa Aralığı: 104 - 110 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia

Öz:

Amaç Mantar zehirlenmeleri (MZ) dünyanın önde gelen mevsimsel ve bölgesel sağlık problemidir. Bu araştırmanın amacı MZ'de klinik faktörlerle sonuçlar arasındaki ilişkiyi incelemektir.Gereç ve YöntemAraştırma Acil Tıp departmanında gerçekleştirilmiştir. 1 Ocak 1991 ve 31 Aralık 2010 tarihlerinde başvuran hastalar geriye dönük olarak incelenmiştir.Bulgular599 MZ olgusu araştırmaya dahil edildi. Yaşlı hastalar daha yüksek mortalite (%8.8) ve komplikasyon (%12.3) oranına sahiptiler (p=0.005). (Odd oranı [OO]: 3.98, %95 [Güven Aralığı] GA 1.9291 - 8.2290, p=0.0002). Yaz aylarında başvuran hastalar daha yüksek mortalite (%9.5) ve komplikasyona (%11.9) sahiptiler (OO: 3.83, %95 GA 1.7068 to 8.6074, p=0.0011). Mantarları kendi toplayıp yemiş olan hastalarda mortalite ve komplikasyon oranı %6.8 iken bu oran satın alınmış vahşi mantarlarda %15.2 idi (p=0.016), (satın alınan mantarlar için OO: 2.46, 95% GA 1.1609 - 5.2353, p=0.0189). Gastrointestinal semptomları olan hastaların mortalite ve komplikasyon oranı %9.9 olarak saptandı (OO: 3.98, %95 GA 1.5503 10.2679, p=0.0041). Sonuç Yaşlılık, yaz mevsimi, satın alınmış vahşi mantarlar ve gastrointestinal semptomlar mortalite ve komplikasyonlar ile anlamlı ilişki göstermiştir.

Anahtar Kelime:

Konular: Cerrahi

Yirmi Yılda Mantar Zehirlenmelerinde Mortalite ve Komplikasyonu Etkileyen Faktörler: Anadolu'dan Bir Rapor

Öz:

ObjectivesMushroom poisoning (MP) is one of the world's leading seasonal and regional health problems. The aim of this study was to analyze the relationship between clinical factors and outcomes of mushroom poisoning.MethodsThe study was conducted in the emergency department. The patients who presented between January 1st, 1991 and December 31, 2010 were retrospectively reviewed. Results599 MP cases were enrolled into the statistical analysis. The elderly group had a higher rate of mortality (8.8%) and complications (12.3%) (p=0.005) (OR 3.98, 95% CI: 1.9291 to 8.2290; p=0.0002). The patients who presented in summer had a higher rate of mortality (9.5%) and complications (11.9%) (p<0.001). (OR: 3.83, 95% CI 1.7068 to 8.6074, p=0.0011). The rate of mortality and complications in patients who had eaten self-harvested wild mushrooms (WM) was 6.8%, while those who purchased WM had a mortality and complication rate of 15.2% (p=0.016), (Purchased WM OR 2.46, 95% CI 1.1609 to 5.2353, p=0.0189). The rate of mortality and complications in the patients who presented with gastrointestinal symptoms was 9.9% (OR: 3.98, 95% CI 1.5503 to 10.2679; p=0.0041).ConclusionsFactors such as being elderly, summer season, purchased WM, and gastrointestinal symptoms were significantly associated with mortality and complications in our study.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ÇEVİK A, Ünlüoglu İ (2014). Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia. , 104 - 110.
Chicago	ÇEVİK Arif Alper,Ünlüoglu İlhami Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia. (2014): 104 - 110.
MLA	ÇEVİK Arif Alper,Ünlüoglu İlhami Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia. , 2014, ss.104 - 110.
AMA	ÇEVİK A,Ünlüoglu İ Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia. . 2014; 104 - 110.
Vancouver	ÇEVİK A,Ünlüoglu İ Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia. . 2014; 104 - 110.
IEEE	ÇEVİK A,Ünlüoglu İ "Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia." , ss.104 - 110, 2014.
ISNAD	ÇEVİK, Arif Alper - Ünlüoglu, İlhami. "Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia". (2014), 104-110.

APA	ÇEVİK A, Ünlüoglu İ (2014). Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia. Türkiye Acil Tıp Dergisi, 14(3), 104 - 110.
Chicago	ÇEVİK Arif Alper,Ünlüoglu İlhami Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia. Türkiye Acil Tıp Dergisi 14, no.3 (2014): 104 - 110.
MLA	ÇEVİK Arif Alper,Ünlüoglu İlhami Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia. Türkiye Acil Tıp Dergisi, vol.14, no.3, 2014, ss.104 - 110.
AMA	ÇEVİK A,Ünlüoglu İ Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia. Türkiye Acil Tıp Dergisi. 2014; 14(3): 104 - 110.
Vancouver	ÇEVİK A,Ünlüoglu İ Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia. Türkiye Acil Tıp Dergisi. 2014; 14(3): 104 - 110.
IEEE	ÇEVİK A,Ünlüoglu İ "Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia." Türkiye Acil Tıp Dergisi, 14, ss.104 - 110, 2014.
ISNAD	ÇEVİK, Arif Alper - Ünlüoglu, İlhami. "Factors Affecting Mortality and Complications in Mushroom Poisonings Over a 20 Year Period: A Report from Central Anatolia". Türkiye Acil Tıp Dergisi 14/3 (2014), 104-110.