Comparative study on conditions of intoxication in patients received in „Clinical Hospital“ Shtip

Jovanova, Rusandra and Kamceva, Gordana (2020) Comparative study on conditions of intoxication in patients received in „Clinical Hospital“ Shtip. Knowledge - International Journal, Scientific Papers. ISSN 2545-4439

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Introduction: According to the WHO, about 800,000 cases of suicide are registered annually in underdeveloped and developing countries. Suicide is a serious global and health problem, a hidden and silent epidemic, which has many triggers: psychiatric illness and mental disorders, broken emotional ties, economic difficulties.
Aim: According to the fact that suicides are a serious and global health problem, through this study we want to show the number of patients who asked for help in the emergency department at „Clinical Hospital“ Shtip due to intoxication with emphasis on the motive for the poisoning.
Materials and methods: This comparative study uses data for the period from 01.01.2016 to 31.12.2019 taken from the archives of the Department of Internal Medicine using descriptive and retrospective epidemiological method.
Results: The number of patients who asked for help due to intoxication for this period was 415, of which as many as 375 (90,36%) had suicidal intentions. Of the total number of patients, 225 (54,22%) were men and 190 (45,78%) were women. Suicidal intentions were recorded more in men 199 (53,07%) cases, while in women there were 176 (46,93%) cases. Regarding the age group, the following results were obtained: 32 (7,73%) of all admitted were aged <18 years, 127 (30,68%) aged 19-29 years, 95 (22,95%) of aged 30-39 years, 56 (13,53%) were aged 40-49 years, 45 (10,87%) were aged 50-59 years, and 59 (14,25%) were patients older than 60 years. The obtained data show insignificantly higher number of drug intoxications 153 (36,78%) compared to alcohol intoxications 142 (34,13%). 90 (21,63%) cases were due to chemical intoxication, and 21 (5,05%) of the patients used multiple means of intoxication. According to the season of the examination, highest number of poisonings were registered in the winter 119 (28,54%), then 115 (27,58%) in summer, 104 (24,94%) in autumn, and the least in spring 79 (18,94%). In terms of place the patients come from, the number of patients from urban areas or 357 (86,02%) is significantly higher than the number of patients from rural areas or 58 (13,98%). Association with psychological and psychiatric conditions was recorded in 53 (11,32%) cases. Because 27 (6,11%) of the total number of cases were urgent, they were referred to the University Clinic of Toxicology in Skopje, and the remaining 388 (93,89%) were treated in the „Clinical Hospital“ Shtip. Only 3 (0,72%) of the total number of poisonings ended in death.
Conclusion: Our results showed a significantly increased number of suicidal compared to accidental poisonings. Therefore, it is necessary to take preventive measures to prevent suicidal poisoning. Suicides can be prevented at least in part by restricting access to suicidal ideation, by training primary care physicians and health professionals to identify people at risk, and by reducing the rate of depression.

Item Type: Article
Subjects: Medical and Health Sciences > Clinical medicine
Divisions: Faculty of Medical Science
Depositing User: Gordana Kamceva
Date Deposited: 29 Jan 2021 11:25
Last Modified: 29 Jan 2021 11:25

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