[Proved self-poisoning. A 10-year case load from an intensive care unit]. 1991

N J Fisker, and R S Garcia, and P K Andersen
Anaestesi- og intensiv afdeling V, Odense Sygehus.

During the period 1.1.1979-31.12.1988, a total of 2.023 admissions (involving 1.511 patients) occurred on account of deliberate self-poisoning in the Intensive Care Unit of the Anaesthetic Department of Odense Hospital. No significant alterations were observed in the female/male ratio or in the average age, during this period. Duration of hospitalization in the Intensive Care Unit showed a decrease. The frequencies of cases of poisoning with barbiturates showed a decrease while poisonings with acetaminophen, alcohol and chemical-technical agents showed increasing frequencies. Poisoning with benzodiazepines, neuroleptics, polycyclic antidepressive drugs, dextropropoxyphen or acetylsalicylic acid occurred with unaltered frequency. Treatment consisted mainly of endotracheal intubation, artificial ventilation, circulatory therapy, forced alkaline diuresis, haemodialysis and antibiotic therapy. The frequency of forced alkaline diuresis decreased during the period while circulatory therapy, haemodialysis, antibiotic therapy and treatment with antidotes were employed increasingly frequently. The acute lethality was 1.6%. It is concluded that treatment was mainly symptomatic and concentrated on ensuring respiratory and circulatory functions and that the acute lethality is unchanged and will probably not be lowered further. The "Scandinavian method" is thus still the cornerstone in the treatment of poisoning and is responsible for the continued low acute lethality.

UI MeSH Term Description Entries
D007362 Intensive Care Units Hospital units providing continuous surveillance and care to acutely ill patients. ICU Intensive Care Units,Intensive Care Unit,Unit, Intensive Care
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011041 Poisoning A condition or physical state produced by the ingestion, injection, inhalation of or exposure to a deleterious agent. Poisonings
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D003422 Critical Care Health care provided to a critically ill patient during a medical emergency or crisis. Intensive Care,Intensive Care, Surgical,Surgical Intensive Care,Care, Critical,Care, Intensive,Care, Surgical Intensive
D003718 Denmark A country in northern Europe, bordering the Baltic Sea and the North Sea. The capital is Copenhagen. Faeroe Islands,Faroe Islands
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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