Retrospective analysis of characteristics of acute poisoning cases over eight years in a Tertiary Hospital in Jiangxi Province
10.3760/cma.j.issn.1671-0282.2024.09.013
- VernacularTitle:江西省某三甲医院八年急性中毒特点回顾性分析
- Author:
Yang LI
1
;
Fen LIU
;
Rui XU
;
Zhiqiang QIU
;
Bo YANG
;
Xiaolong LUO
;
Haiquan WU
;
Liang HUANG
Author Information
1. 南昌大学第一附属医院江西省重大公共卫生事件医学中心,南昌 330052
- Keywords:
Acute poisoning;
Epidemiology;
Retrospective study;
Hospitalized patients;
Poison treatment center
- From:
Chinese Journal of Emergency Medicine
2024;33(9):1297-1301
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the epidemiology and clinical characteristics of hospitalized patients with acute poisoning at the First Affiliated Hospital of Nanchang University in Jiangxi Province.Methods:Based on the electronic medical records management platform of the First Affiliated Hospital of Nanchang University, a retrospective analysis was conducted on hospitalized patients with acute poisoning based on ICD-10 disease codes from 2014 to 2021. The gender, age, residence, poison type, etiology, route of exposure, illness severity, diagnostic and therapeutic processes, hospital stay duration, and prognosis of patients were collected.Results:A total of 1 953 cases of acute poisoning were included, comprising 871 males (44.6%) and 1 082 females (55.4%). The age was (42.7±20.0) years, with 113 fatalities (5.8%). Urban residents accounted for 706 cases (36.1%) and rural residents for 1 247 cases (63.9%). The highest incidence occurred in the 41-60 age group. Suicide was the primary cause, constituting 1 318 cases (67.5%), followed by accidental ingestion or contact, with overdose being less frequent. Oral poison way was the predominant route (1 681 cases, 86.1%), followed by inhalation and contact. Pesticide poisoning was the predominant type of poisoning in this study, with 847 cases (43.4%), followed by drug poisoning and foodborne poisoning. Pesticide poisoning predominated among rural residents (79.2%), while drug poisoning was more prevalent among urban residents (53.5%).Conclusions:In this study, patients with acute poisoning exhibited predominantly female gender, hailed from rural areas, and primary etiology of poisoning was pesticide ingestion for suicidal intent. Targeted education and control measures should be carried out for the above high-risk areas, populations and poisons.