P J Caballero Vallés, S Dorado Pombo, A Díaz Brasero, M E García Gil, L Yubero Salgado, N Torres Pacho, C Ibero Esparza, J Cantero Bengoechea
{"title":"[Epidemiologic survey of acute poisoning in the south area of the Community of Madrid: the VEIA 2004 study].","authors":"P J Caballero Vallés, S Dorado Pombo, A Díaz Brasero, M E García Gil, L Yubero Salgado, N Torres Pacho, C Ibero Esparza, J Cantero Bengoechea","doi":"10.4321/s0212-71992008000600003","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>VEIA study is an evolutional registry of acute poisonings (AP) attended in the Emergency Room of the Doce de Octubre Hospital in Madrid (Spain) in a whole year (1979, 1985, 1990, 1994,1997 and 2000). We present the 2004 study and compare the results with the previous years.</p><p><strong>Methods and results: </strong>Methodology has been identical across VEIA STUDY. Of 1508 AP, 610 are suicide attempts (IAVIS), 319 ethylic, (IAVE), and 218 by illicit drugs (IAVD). Of the 2,259 toxics involved, 48% are medications (50% benzodiacepines) alcohol 25% and illicit drugs 13%.</p><p><strong>Conclusions: </strong>There is an important increase (34%) of cases and the incidence surpasses all published in our country. There are no gender differences nor in the whole neither the Health Area Census, but there are differences in IAVIS, IAVE and IAVD. IAVIS increase in 35%. Benzodiacepines poisoning increases two-fold as well as antidepressive drugs do in women. In men also increase, but in a minor extent. Acetaminophen remains the same in 23%. NSAID's, adjuvants and myorelaxants increase in women as do also alcohol and other poisons that almost equal men's. There are 13 cases of IAVIS in patients with alimentary disorders. Among men, a quarter are illicit drug abusers. In IAVE, the group without alcoholism grows and the total decreases. Illicit drugs duplicate the number of the former year. Cocaine supposes already 2/3 of the cases, MDMA ascends to 22 cases and they appear new substances as glue, without doubt as an effect of immigration and ketamine. Finally 205 household accidents and 57 industrial injuries complete the series.</p>","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"14","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anales De Medicina Interna","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4321/s0212-71992008000600003","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 14
Abstract
Objective: VEIA study is an evolutional registry of acute poisonings (AP) attended in the Emergency Room of the Doce de Octubre Hospital in Madrid (Spain) in a whole year (1979, 1985, 1990, 1994,1997 and 2000). We present the 2004 study and compare the results with the previous years.
Methods and results: Methodology has been identical across VEIA STUDY. Of 1508 AP, 610 are suicide attempts (IAVIS), 319 ethylic, (IAVE), and 218 by illicit drugs (IAVD). Of the 2,259 toxics involved, 48% are medications (50% benzodiacepines) alcohol 25% and illicit drugs 13%.
Conclusions: There is an important increase (34%) of cases and the incidence surpasses all published in our country. There are no gender differences nor in the whole neither the Health Area Census, but there are differences in IAVIS, IAVE and IAVD. IAVIS increase in 35%. Benzodiacepines poisoning increases two-fold as well as antidepressive drugs do in women. In men also increase, but in a minor extent. Acetaminophen remains the same in 23%. NSAID's, adjuvants and myorelaxants increase in women as do also alcohol and other poisons that almost equal men's. There are 13 cases of IAVIS in patients with alimentary disorders. Among men, a quarter are illicit drug abusers. In IAVE, the group without alcoholism grows and the total decreases. Illicit drugs duplicate the number of the former year. Cocaine supposes already 2/3 of the cases, MDMA ascends to 22 cases and they appear new substances as glue, without doubt as an effect of immigration and ketamine. Finally 205 household accidents and 57 industrial injuries complete the series.
目的:对西班牙马德里十月医院(Doce de Octubre Hospital)急诊室一年内(1979、1985、1990、1994、1997和2000年)急性中毒(AP)的演变登记进行VEIA研究。本文介绍了2004年的研究结果,并将其与前几年的结果进行了比较。方法和结果:VEIA研究的方法是相同的。在1508个AP中,有610个是自杀未遂(IAVIS), 319个是酗酒(IAVE), 218个是吸毒(IAVD)。在涉及的2259种有毒物质中,48%是药物(50%是苯二氮卓类药物),25%是酒精,13%是非法药物。结论:病例数显著增加(34%),发生率超过我国已发表的病例数。无论是在总体上还是在卫生地区普查中,都没有性别差异,但在家庭综合医疗保险、家庭综合医疗保险和家庭综合医疗保险方面存在差异。IAVIS增加了35%。在女性中,苯二氮卓类药物和抗抑郁药物的中毒增加了两倍。在男性中也有增加,但幅度不大。对乙酰氨基酚在23%中保持不变。非甾体抗炎药、佐剂和肌肉松弛剂在女性体内的含量增加,酒精和其他毒物的含量几乎与男性相同。消化道疾病患者中有13例IAVIS。在男性中,四分之一是非法药物滥用者。在IAVE中,没有酗酒的群体增加,总数减少。非法药品的数量与前一年相同。可卡因已经占了三分之二,摇头丸上升到22例,它们出现了新的物质,如胶水,毫无疑问是移民和氯胺酮的影响。最后,205起家庭事故和57起工伤事故完成了这个系列。