Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department

Ünlüoglu, İlhami; ÇEVİK, Arif Alper; ŞAHİN, Adnan; ERGÜN, Nurdan

Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department

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

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

Nurdan ERGÜN, (Osmangazi Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Eskişehir, Türkiye)

Adnan ŞAHİN (Osmangazi Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Eskişehir, Türkiye)

Türkiye Acil Tıp Dergisi

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Yıl: 2007 Cilt: 7 Sayı: 3 Sayfa Aralığı: 102 - 108 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department

Öz:

Giriş: Bu çalışmanın amacı mantar zehirlenmesi olgularının tanımlanması ve zehirlenme ciddiyet skorları (ZCS) ile sonuçların tanımlayıcı ve diğer klinik verilerle kıyaslanmasıdır. Gereç ve Yöntem: Hastalar cinsiyet, yaş, başvuru ayı, oturdukları il, ilk ve acil servis başvuru semptomları, vital bulgular, laboratuvar değerleri, yatış veya taburcu durumları, hastanede yatış süresi, ilk semptomlarına göre ZCS (ZCS- 1) ve acil servis başvurusundaki ZCS (ZCS-2) ve ölüm, komplikasyon vb. parametreler açısından değerlendirildi. Bulgular: ZCS-1 271 olguda (%88.3) hafif, 33 olguda (%10.7) orta, 3 olguda (%1) şiddetli olarak bulundu. ZCS- 2 ise 203 olguda (%66.1) hafif, 77 olguda (%25.1) orta, 27 olguda (%8.8) şiddetli olarak bulundu. Altmış beş yaş üzerindeki olgular daha yüksek mortalite ve komplikasyon oranına sahipti (p<0.05). Olguların 12’si (%3.9) hayatını kaybetti; 6 olguda (%2) komplikasyon gelişti. Hayatını kaybeden veya komplikasyon geliştiren bu 18 olgunun 17’sinde ZCS-1 hafif olarak saptandı. ZCS-2’de hafif olarak saptanan olgularda ölüm ve komplikasyon oranı anlamlı olarak daha düşüktü. Sonuç: Bu sonuçlarla, erken dönemdeki ZCS kategorilendirmesi zehir danışma merkezleri çalışanlarını ve klinisyenleri yanlış yönlendirebileceği kanaatine varıldı. Acil serviste ZCS kategorilendirmesi klinik ciddiyetin belirlenmesi açısından daha doğru bir yöntem olarak görülmektedir.

Anahtar Kelime: Acil tıp servisleri Hastalık ciddiyet indeksi Zehirlenme Mantar zehirlenmesi Geriyedönük çalışma

Konular: Cerrahi

Acil servise mantar zehirlenmesi ile başvuran hastaların zehirlenme ciddiyet skorları

Öz:

Objectives:The aim of this study is the description of mushroom poisoning (MP) cases and evaluate their Poisoning Severity Scores (PSS), outcome and correlation with descriptive and clinical data. Materials and Methods: Patients were evaluated for gender, age, presenting month, city of residence, first noticed and admission symptoms, vital signs, laboratory studies, disposition, hospitalization period, PSS when first symptoms noticed (PSS-1) and in the ED (PSS-2), and outcome. Results: PSS-1 was found minor: 271 cases (88.3%), moderate: 33 cases (10.7%), severe: 3 cases (1%). PSS-2 was minor: 203 cases (66.1%), moderate: 77 cases (25.1%), severe: 27 cases (8.8%). The cases older than 65 years of age showed higher mortality and complication rate (p<0.05). Twelve of cases (3.9%) had fatal outcome, and 6 cases (2%) had complications. Seventeen of 18 of dead and complicated cases were categorized as minor in PSS-1. Minor grading in PSS-2 had less mortality and complication rates significantly. Conclusion: We concluded that PSS grading in early period might mislead the clinicians and poison control center staff. Grading the PSS in the ED is more concordant method to predict clinical severity.

Anahtar Kelime: Mushroom Poisoning Retrospective Studies Emergency Medical Services Severity of Illness Index Poisoning

Konular: Cerrahi

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

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APA	ÇEVİK A, Ünlüoglu İ, ERGÜN N, ŞAHİN A (2007). Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department. , 102 - 108.
Chicago	ÇEVİK Arif Alper,Ünlüoglu İlhami,ERGÜN Nurdan,ŞAHİN Adnan Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department. (2007): 102 - 108.
MLA	ÇEVİK Arif Alper,Ünlüoglu İlhami,ERGÜN Nurdan,ŞAHİN Adnan Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department. , 2007, ss.102 - 108.
AMA	ÇEVİK A,Ünlüoglu İ,ERGÜN N,ŞAHİN A Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department. . 2007; 102 - 108.
Vancouver	ÇEVİK A,Ünlüoglu İ,ERGÜN N,ŞAHİN A Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department. . 2007; 102 - 108.
IEEE	ÇEVİK A,Ünlüoglu İ,ERGÜN N,ŞAHİN A "Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department." , ss.102 - 108, 2007.
ISNAD	ÇEVİK, Arif Alper vd. "Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department". (2007), 102-108.

APA	ÇEVİK A, Ünlüoglu İ, ERGÜN N, ŞAHİN A (2007). Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department. Türkiye Acil Tıp Dergisi, 7(3), 102 - 108.
Chicago	ÇEVİK Arif Alper,Ünlüoglu İlhami,ERGÜN Nurdan,ŞAHİN Adnan Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department. Türkiye Acil Tıp Dergisi 7, no.3 (2007): 102 - 108.
MLA	ÇEVİK Arif Alper,Ünlüoglu İlhami,ERGÜN Nurdan,ŞAHİN Adnan Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department. Türkiye Acil Tıp Dergisi, vol.7, no.3, 2007, ss.102 - 108.
AMA	ÇEVİK A,Ünlüoglu İ,ERGÜN N,ŞAHİN A Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department. Türkiye Acil Tıp Dergisi. 2007; 7(3): 102 - 108.
Vancouver	ÇEVİK A,Ünlüoglu İ,ERGÜN N,ŞAHİN A Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department. Türkiye Acil Tıp Dergisi. 2007; 7(3): 102 - 108.
IEEE	ÇEVİK A,Ünlüoglu İ,ERGÜN N,ŞAHİN A "Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department." Türkiye Acil Tıp Dergisi, 7, ss.102 - 108, 2007.
ISNAD	ÇEVİK, Arif Alper vd. "Poisoning severity scores of cases with mushroom poisoning presenting to the emergency department". Türkiye Acil Tıp Dergisi 7/3 (2007), 102-108.