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Evolución temporal de las intoxicaciones medicamentosas. / Evolución temporal de las intoxicaciones medicamentosas. / Medication overdoses: changes over time.
Emergencias ; 31(2): 107-110, 2019.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-30963738
ABSTRACT

OBJECTIVES:

To review changes occurring over time in cases of medication overdose attended by an emergency department.

MATERIAL AND METHODS:

Retrospective review of epidemiologic and care variables related to drug poisonings in a university teaching hospital in 2007 and 2017. We used multivariate analysis to compare the 2 years.

RESULTS:

A total of 750 cases were included; 438 (58.4%) were from 2007. Fewer cases were seen in 2017 even though the total numbers of emergencies and poisonings had risen (P<.001). Fewer cases were suicides or suicide attempts in 2017 (P<.001), and digestive tract decontamination and antidotes were used less often (P<.001 and P=.007, respectively). Admissions (P=.004) and voluntary self-discharges or patient losses were also down in 2017 (P=.03). However, multidrug poisonings increased (P=.001), especially in the context of recreational drug use by men. Benzodiazepine overdoses accounted for most of such cases (65.1%).

CONCLUSION:

Medication overdoses seem to be decreasing, although the proportion of men overdosing is rising. Suicide attempts, the abuse of specific medications, and admissions also seem to be decreasing.
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Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Overdose de Drogas Limite: Adolescente / Adulto / Idoso / Feminino / Humanos / Masculino / Meia-Idade / Jovem adulto País/Região como assunto: Europa Idioma: Inglês / Espanhol Revista: Emergencias Ano de publicação: 2019 Tipo de documento: Artigo