Evaluation and Comparison of Patients Poisoning with Acetaminophen and Nonsteroidal Anti-Inflammatory Drugs

التفاصيل البيبلوغرافية
العنوان: Evaluation and Comparison of Patients Poisoning with Acetaminophen and Nonsteroidal Anti-Inflammatory Drugs
المؤلفون: Ahmet Çelik, Muhammed İkbal Şaşmaz
المساهمون: Department of Emergency Medicine, Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, Turkey, Department of Emergency Medicine, Manisa Celal Bayar University, Manisa, Turkey
المصدر: Eastern Journal Of Medicine. 24:314-319
بيانات النشر: LookUs Bilisim A.S., 2019.
سنة النشر: 2019
مصطلحات موضوعية: chemistry.chemical_compound, Nonsteroidal, chemistry, medicine.drug_class, business.industry, medicine, General Medicine, Pharmacology, business, Anti-inflammatory, Acetaminophen, medicine.drug
الوصف: We aimed to determine and compare the clinical and demographical features, treatments, follow-up, poisoning scores and outcome of cases with the acetaminophen and NSAIDs intoxication. Data of the patients who were at the age of 18 and older and applied to the Emergency Department with the acetaminophen or NSAIDs intoxication were retrospectively examined. The cases were divided into 2 groups as the acetaminophen and NSAIDs group. The cases‟ age, gender, drug dose, hospitalization status and periods, poisoning scores (PSS, APACHE-II) and last conditions in discharging from the hospital were compared. The döşe was taken by 99 (55%) patients in the acetaminophen group was calculated as toxic, and intravenous acetylcysteine was administered to 70 (38.9%) patients as an antidote. When the APACHE-II scores of the patients hospitalized in the intensive care unit were examined, the mean APACHE-II score of 54 patients in the acetaminophen group was 3.15±3.70, the mean APACHE-II score of 34 patients in the NSAIDs group was 4.15±3.13 and it was statistically higher (p=0.031). All the patients followed-up in both groups were discharged with healing except only 1 (0.6%) patient who developed acute liver failure. Conclusion: The mean APACHE-II score was low in both groups. Therefore, following-up the patients in a unit such as a toxicology unit instead of the intensive care unit can be beneficial in terms of both reducing the place and labor force loads and cost. Moreover, the acetylcysteine treatments in the early period of the acetaminophen toxicity are very effective in decreasing the mortality and morbidity. © 2019, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
تدمد: 1301-0883
DOI: 10.5505/ejm.2019.91259
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2fe738eedfec5e51a1bea8c5940bd082
https://doi.org/10.5505/ejm.2019.91259
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....2fe738eedfec5e51a1bea8c5940bd082
قاعدة البيانات: OpenAIRE
الوصف
تدمد:13010883
DOI:10.5505/ejm.2019.91259