The epidemiology and management of adult poisonings admitted to the short-stay ward of a large Scottish emergency department

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10 Citations (Scopus)

Abstract

BACKGROUND AND AIMS: The emergency department of Aberdeen Royal Infirmary receives around 68,000 new adult admissions annually. All poisoning cases are admitted to a 14-bedded short-stay ward, except those admitted to intensive care or immediately discharged. This study aimed to analyse epidemiological trends and management of short-stay ward admissions for poisonings.

METHOD AND RESULTS: Adult (>13 years) poisoning presentations admitted to the emergency department short-stay ward of Aberdeen Royal Infirmary from 1 January-31 December 2009 were retrospectively reviewed using patient discharge summaries. During 2009, there were 1062 poisoning cases, of which repeat episodes were responsible for 15%. The mean age of presentation was 33.9 years (SD 14.4) and there was a female preponderance (62%). Almost half of poisonings were polypharmacy, alcohol was involved in 40% of cases and overdoses most commonly involved paracetamol (43%). Management involved basic observations only (66%), N-acetylcysteine (24%), naloxone (4%) and activated charcoal (1%). Liaison psychiatry reviewed 84% presentations and admitted 9% to the psychiatric unit.

CONCLUSIONS: The short-stay ward is important for acute management of poisonings and the data gained from this study should help to direct patient services appropriately.

Original languageEnglish
Pages (from-to)149-153
Number of pages5
JournalScottish Medical Journal
Volume58
Issue number3
DOIs
Publication statusPublished - Aug 2013

Fingerprint

Poisoning
Hospital Emergency Service
Epidemiology
Patient Discharge Summaries
Psychiatry
Polypharmacy
Charcoal
Acetylcysteine
Critical Care
Acetaminophen
Naloxone
Alcohols

Keywords

  • acetaminophen
  • acetylcysteine
  • adolescent
  • adult
  • aged
  • aged, 80 and over
  • analgesics, non-narcotic
  • antidotes
  • central nervous system depressants
  • charcoal
  • drug overdose
  • emergency service, hospital
  • ethanol
  • female
  • follow-up studies
  • free radical scavengers
  • hospitalization
  • humans
  • length of stay
  • male
  • mental disorders
  • middle aged
  • naloxone
  • narcotic antagonists
  • patient admission
  • patient discharge
  • public health
  • retrospective studies
  • Scotland
  • self-Injurious Behavior
  • poisonings
  • overdose
  • self-harm
  • paracetemol
  • alcohol

Cite this

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title = "The epidemiology and management of adult poisonings admitted to the short-stay ward of a large Scottish emergency department",
abstract = "BACKGROUND AND AIMS: The emergency department of Aberdeen Royal Infirmary receives around 68,000 new adult admissions annually. All poisoning cases are admitted to a 14-bedded short-stay ward, except those admitted to intensive care or immediately discharged. This study aimed to analyse epidemiological trends and management of short-stay ward admissions for poisonings.METHOD AND RESULTS: Adult (>13 years) poisoning presentations admitted to the emergency department short-stay ward of Aberdeen Royal Infirmary from 1 January-31 December 2009 were retrospectively reviewed using patient discharge summaries. During 2009, there were 1062 poisoning cases, of which repeat episodes were responsible for 15{\%}. The mean age of presentation was 33.9 years (SD 14.4) and there was a female preponderance (62{\%}). Almost half of poisonings were polypharmacy, alcohol was involved in 40{\%} of cases and overdoses most commonly involved paracetamol (43{\%}). Management involved basic observations only (66{\%}), N-acetylcysteine (24{\%}), naloxone (4{\%}) and activated charcoal (1{\%}). Liaison psychiatry reviewed 84{\%} presentations and admitted 9{\%} to the psychiatric unit.CONCLUSIONS: The short-stay ward is important for acute management of poisonings and the data gained from this study should help to direct patient services appropriately.",
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author = "Teo, {Alison Isabel Cameron} and Cooper, {J G}",
year = "2013",
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T1 - The epidemiology and management of adult poisonings admitted to the short-stay ward of a large Scottish emergency department

AU - Teo, Alison Isabel Cameron

AU - Cooper, J G

PY - 2013/8

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N2 - BACKGROUND AND AIMS: The emergency department of Aberdeen Royal Infirmary receives around 68,000 new adult admissions annually. All poisoning cases are admitted to a 14-bedded short-stay ward, except those admitted to intensive care or immediately discharged. This study aimed to analyse epidemiological trends and management of short-stay ward admissions for poisonings.METHOD AND RESULTS: Adult (>13 years) poisoning presentations admitted to the emergency department short-stay ward of Aberdeen Royal Infirmary from 1 January-31 December 2009 were retrospectively reviewed using patient discharge summaries. During 2009, there were 1062 poisoning cases, of which repeat episodes were responsible for 15%. The mean age of presentation was 33.9 years (SD 14.4) and there was a female preponderance (62%). Almost half of poisonings were polypharmacy, alcohol was involved in 40% of cases and overdoses most commonly involved paracetamol (43%). Management involved basic observations only (66%), N-acetylcysteine (24%), naloxone (4%) and activated charcoal (1%). Liaison psychiatry reviewed 84% presentations and admitted 9% to the psychiatric unit.CONCLUSIONS: The short-stay ward is important for acute management of poisonings and the data gained from this study should help to direct patient services appropriately.

AB - BACKGROUND AND AIMS: The emergency department of Aberdeen Royal Infirmary receives around 68,000 new adult admissions annually. All poisoning cases are admitted to a 14-bedded short-stay ward, except those admitted to intensive care or immediately discharged. This study aimed to analyse epidemiological trends and management of short-stay ward admissions for poisonings.METHOD AND RESULTS: Adult (>13 years) poisoning presentations admitted to the emergency department short-stay ward of Aberdeen Royal Infirmary from 1 January-31 December 2009 were retrospectively reviewed using patient discharge summaries. During 2009, there were 1062 poisoning cases, of which repeat episodes were responsible for 15%. The mean age of presentation was 33.9 years (SD 14.4) and there was a female preponderance (62%). Almost half of poisonings were polypharmacy, alcohol was involved in 40% of cases and overdoses most commonly involved paracetamol (43%). Management involved basic observations only (66%), N-acetylcysteine (24%), naloxone (4%) and activated charcoal (1%). Liaison psychiatry reviewed 84% presentations and admitted 9% to the psychiatric unit.CONCLUSIONS: The short-stay ward is important for acute management of poisonings and the data gained from this study should help to direct patient services appropriately.

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KW - aged

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