埃塞俄比亚中北部Debre Tabor Debre Tabor综合专科医院急诊科收治的杀鼠剂中毒成年患者的结果及其相关因素

IF 1.5 Q3 EMERGENCY MEDICINE Open Access Emergency Medicine Pub Date : 2023-01-01 DOI:10.2147/OAEM.S405970
Sheganew Fetene Tassew, Betlhem Amha Haile, Tekalign Amera Birlie
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引用次数: 1

摘要

灭鼠剂是用来消灭啮齿动物的杀虫剂。这是去急诊室和住院的一个常见原因,也是一个主要的公共卫生问题。有意或无意的中毒可导致严重后果,死亡率高。在埃塞俄比亚,关于杀鼠剂中毒后果的研究很少。本研究的目的是评估埃塞俄比亚中北部Debre Tabor综合专科医院急诊科收治的成年患者杀鼠剂中毒的结果及其相关因素。方法:对2017年5月1日至2022年4月30日期间在Debre Tabor综合专科医院急诊科接受杀鼠剂中毒治疗的156例成年患者进行回顾性记录回顾、基于机构的横断面研究设计。采用摘要表从患者病历和健康管理信息系统中收集数据。数据录入EPI数据版本4.6,使用STATA版本14软件导出分析。为了分析因变量和自变量之间的关系,使用了双变量和多变量回归。结果:共有156名参与者参与了这项研究。年龄以19 ~ 37岁为主,占55.13%,中位年龄23岁。其中四分之三是自杀中毒。总体而言,49.35%到Debre Tabor专科医院就诊的患者预后不佳。自杀中毒(AOR = 10.64;95% CI: 2.43, 46.53),有心动过速(AOR = 5.41;95% CI: 1.54, 18.98),转诊自其他卫生中心(AOR = 5.78;95% CI: 1.97, 16.95)为不良预后相关因素。结论:灭鼠剂中毒总体预后较差。自杀中毒、心动过速和其他卫生机构转诊都是杀鼠剂中毒不良结局的重要预测因素。
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Outcome of Rodenticide Poisoning and Its Associated Factors Among Adult Patients Admitted with Rodenticide Poisoning at the Emergency Unit of Debre Tabor Comprehensive Specialized Hospital, Debre Tabor, North Central Ethiopia.

Introduction: Rodenticides are pesticides used to eradicate rodents. It is a common reason for visits to the emergency department and hospitalization, and it is a major public health concern. Intentional or unintentional intoxication can result in severe consequences with a high fatality rate. In Ethiopia, studies on the outcome of rodenticide poisoning are scarce. The goal of this study was to assess the outcomes of rodenticide poisoning and its associated factors in adult patients admitted to the emergency unit of Debre Tabor Comprehensive Specialized Hospital in North Central Ethiopia.

Methods: A retrospective record review institutional-based cross-sectional study design was used on 156 adult patients treated with rodenticide poisoning at Debre Tabor Comprehensive Specialized Hospital's emergency unit between May 1, 2017 and April 30, 2022. To collect data from patient medical documents and the Health Management Information System, an abstraction sheet was employed. The information was entered into EPI data version 4.6, then exported and analyzed using STATA version 14 software. To analyze the relationship between the dependent and independent variables, bivariable and multivariable regression were used.

Results: A total of 156 participants were involved in the study. The majority of them 55.13% were in the age group of 19-37 years with the median age of 23 years. Three-fourth of the cases were suicidal poisoning. Overall, 49.35% patients presented to Debre Tabor Specialized Hospital had poor outcome. Having suicidal poisoning (AOR = 10.64; 95% CI: 2.43, 46.53), having tachycardia (AOR = 5.41; 95% CI: 1.54, 18.98), being referred from other health center (AOR = 5.78; 95% CI: 1.97, 16.95) were factors associated with poor outcome.

Conclusion: Rodenticide poisoning had a poor overall outcome. Suicidal poisoning, tachycardia, and referral from other health facilities were all important predictors in poor rodenticide poisoning outcomes.

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来源期刊
Open Access Emergency Medicine
Open Access Emergency Medicine EMERGENCY MEDICINE-
CiteScore
2.60
自引率
6.70%
发文量
85
审稿时长
16 weeks
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