1.Points requiring attention in primary-care settings in the treatment of patients with acute drug intoxication
Yoshinori Masui ; Naonori Tsuda ; Takeshi Nishiyama ; Junwa Kunimatsu ; Tomonori Mizutani ; Sumie Moriyama ; Reo Yoshikawa ; Hiroki Adachi ; Hidetaka Hamasaki ; Hirohisa Morikawa ; Kazuhiro Honda ; Hiroshi Kaneko ; Shuichi Mishima ; Atsuto Yoshizawa ; Hidekatsu Yanai
An Official Journal of the Japan Primary Care Association 2011;34(2):115-123
Objective: To develop an effective and safe therapeutic strategy, we studied the effect of the clinical characteristics of patients with acute drug intoxication on the duration of hospitalization.
Subjects and Methods: The subjects were 89 patients hospitalized for acute drug intoxication. They were divided into two subgroups; the short hospitalization group (duration of hospitalization < 7 days) and the long hospitalization group (duration of hospitalization ≥ 7 days). We compared age, sex, vital signs, drugs, and therapy between the two groups.
Results: There were no significant differences in sex or severity of consciousness disturbance between the short- and long-hospitalization groups. Age in the latter group was higher than that in the former, and age was significantly and positively correlated with the duration of hospitalization. Prolongation of hospitalization in patients with Japan Coma Scale (JCS) I or II is associated with psychiatric disease, and in patients with JCSIII, with physical disease. We used direct hemoperfusion (DHP) to treat patients with severe acute drug intoxication. The duration of hospitalization in patients treated by DHP tended to be shorter than those not so treated.
Conclusions: The present results suggest that aging is associated with prolongation of hospitalization and the onset of physical disease among patients with acute drug intoxication. When elderly patients with acute drug intoxication are treated in a primary-care setting, the question of whether or not physical diseases are present as complications should be considered. The appropriate use of DHP for the treatment of patients with severe acute drug intoxication requires further study.
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