An Emergency Service Diagnosis in Childhood with an Increasing Trend Within Time: Alcohol Poisoning.

Objective: The aim of this study was to investigate the clinical and demographic features of patients presentign to the pediatric emergency department with alcohol intoxication. Material and Methods: The hospital records of 43 pediatric patients (0-18 years old) who presented with alcohol intoxicati...

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Publicado en:Turkiye Klinikleri Journal of Medical Sciences Vol. 32; no. 5; pp. 1254 - 1260
Autores principales: GÜZEL, Ahmet, PAKSU, Muhammet Sükrü, MURAT, Naci, YÜCE, Murat, SAHIN, Serkan, KARAKUS, Akan, PAKSU, Sule
Formato: research tables/charts Journal Article
Publicado: Turkiye Klinikleri Oct2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2012
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        atl: An Emergency Service Diagnosis in Childhood with an Increasing Trend Within Time: Alcohol Poisoning.
      aug:
        au:
          GÜZEL, Ahmet
          PAKSU, Muhammet Sükrü
          MURAT, Naci
          YÜCE, Murat
          SAHIN, Serkan
          KARAKUS, Akan
          PAKSU, Sule
        affil: Çocuk Sagligi ve Hastaliklari AD, Ondokuz Mayis Üniversitesi Tip Fakültesi, Samsun
      sug:
        subj:
          Emergency Service
          Ethanol Adverse Effects
          Poisoning Diagnosis
          Adolescence
          Child
          Child, Preschool
          Descriptive Statistics
          Female
          Human
          Male
          Record Review
          Retrospective Design
          Adolescent: 13-18 years
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Female
          Male
      ab: Objective: The aim of this study was to investigate the clinical and demographic features of patients presentign to the pediatric emergency department with alcohol intoxication. Material and Methods: The hospital records of 43 pediatric patients (0-18 years old) who presented with alcohol intoxication between January 2006 and March 2011 were examined retrospectively. Results: During the study period, 43 pediatric patients were admitted to our emergency unit; thirty-two patients (74.4%) were male, 11 (25.6%) were female. The mean age of the patients was 13.7±5.3 years (1 to 17 years). The reason of alcohol intoxication was excessive intake in 33 patients (76.7%), accidental intake in 7 patients (16.3%) and suicide attempt in 3 patients (7.0%). The median blood alcohol level was 127 (1-314) mg/dl. Poisoning severity score (PSS) was mild in 23 (53.5%) patients, moderate in 2 (4.7%) patients and severe in 3 (7.0%) patients. Glasgow Coma Score (GCS) was </= 8 in three (7.0%) cases. The most common symptoms and signs were nausea (48.8%), vomiting (46.5%), consciousness (7.0%) and hypothermia respectively. Three patients (7.0%) had a history for trauma. One patient had clinical findings of sexual abuse. Alcohol and illicit drug use was detected in two patients (4.7%). The mean follow-up period of the subjects was 16.1±7.1 hours. Intravenous fluid therapy was adminisered in forty-two (97.6%) patients and intravenous sodium bicarbonate in 1 (2.3%) patient. Conclusion: Admissions to pediatric emergency services because of alcohol poisoning are increasing. Trauma, drug use, and psychiatric disorders may accompany this clinical picture.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Turkish
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