Iranian Journal of Toxicology
مجله سم شناسی و مسمومیتهای ایران
IJT
Medical Sciences
http://ijt.arakmu.ac.ir
1
admin
2008-2967
2251-9459
8
10.61186/ijt
14
8888
13
en
jalali
1386
3
1
gregorian
2007
6
1
1
2
online
1
fulltext
en
Evaluating the Factors Accompanying Coma in Patients Admitted to the Poisoning ICU of Loghman-Hakim Poison Hospital
Evaluating the Factors Accompanying Coma in Patients Admitted to the Poisoning ICU of Loghman-Hakim Poison Hospital
عمومى
General
پژوهشي
Research
<span style="font-weight: bold">Introduction:</span> Iran is a young-populated country. Loss of consciousness (LOC) due to poisoning is a major cause of patients' referrals to emergency departments. It has good prognosis if it is appropriately diagnosed and treated.
This study was done to determine the causes of LOC in patients hospitalized in poisoning ICU of Loghman-Hakim Poison Hospital (LHPH) from September 23, 2004 to March 20, 2005.
<span style="font-weight: bold">Materials and Methods:</span> This descriptive study was performed on 263 poisoned patients in the poisoning ICU of LHPH who had LOC with advanced grades (2,3 or 4) and were 10 years and older. Questionnaires including these data were filled: age, sex, grade of LOC, cause of LOC, cause of using the drug or poison (accidental or suicidal) and the outcome. These questionnaires were filled for patients whose data met our inclusion criteria. All the information was then analyzed by SPSS using Chi-square test.
<br><span style="font-weight: bold">Results: </span>Two hundred sixty three patients were studied of which 59.7% were men and 40.3% women. The mean age was 30.2±11.9 with the range of 11 to 76 years. The median age was 26. The most common age group was 21 to 30 (45.3%). The most common causes of LOC were tricyclic antidepressants (TCAs) (26%), opium and opioids (18.6%), benzodiazepines (15.43%), unknown etiology (9.7%) and organophosphates (7.7%). 23.6% were poisoned accidentally and 76.4% were poisoned due to suicide attempts. Finally, 81.4% were discharged and 18.6% died.
<br><span style="font-weight: bold">Conclusion:</span> Most poisonings were due to suicides and the most common age was that of young people. Therefore, it is recommended that the young be mentally supported so that the suicidal motives decrease. Most comatose cases due to poisoning eventually recovered fully.
Poisoning, Intoxication, Toxin, Coma, LOC, ICU (Intensive Care Unit)
Poisoning, Intoxication, Toxin, Coma, LOC, ICU (Intensive Care Unit)
1
1
http://ijt.arakmu.ac.ir/browse.php?a_code=A-10-2-1&slc_lang=en&sid=1
Hossein
Hassaniam-Moghaddam
حسین
حسنیان مقدم
10031947532846003631
10031947532846003631
No
Assistant professor of Clinical Toxicology and Medicine,Shahid Beheshti Unuversity, Tehran,Iran
Assistant professor of Clinical Toxicology and Medicine,Shahid Beheshti Unuversity, Tehran,Iran
Neda
Baghbanian
ندا
باغبانیان
10031947532846003632
10031947532846003632
No
General Physician
General Physician
Ali Ashghar
Kolah
علی اصغر
کلاه
a.kolahi@sbmu.ac
10031947532846003633
10031947532846003633
Yes
Associte professor of Community Medicine,Shahid Beheshti Unuversity, Tehran,Iran
Associte professor of Community Medicine,Shahid Beheshti Unuversity, Tehran,Iran