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2016, vol. 67, br. 4, str. 36-40
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Akutne intoksikacije etil-alkoholom zbrinute u Urgentnom centru Kliničkog centra Vojvodine u periodu od 2013. do 2015. godine - karakteristike i značaj
Acute ethyl-alcohol intoxications treated at the Emergency Department of the Clinical Centre of Vojvodina from 2013 - 2015: Characteristics and significance
aUniverzitet u Novom Sadu, Medicinski fakultet, Srbija bUniverzitet u Novom Sadu, Medicinski fakultet, Zavod za farmakologiju, toksikologiju i kliničku farmakologiju, Srbija cUniverzitet u Novom Sadu, Medicinski fakultet, Srbija + Klinički centar Vojvodine, Urgentni centar, Novi Sad, Srbija
e-adresa: maric1992@gmail.com
Sažetak
Uvod: Akutna trovanja postaju sve značajniji problem za zdravstvene službe širom sveta. Najveći deo intoksikacija predstavljaju akutna trovanja alkoholom. Prekomerna upotreba alkohola predstavlja rizik od trauma i nasilja i čini veliki deo uzroka smrti širom sveta. Cilj: Cilj istraživanja je ispitati karakteristike i značaj akutnih intoksikacija alkoholom u periodu od 2013. do 2015. godine. Materijal i metode: Podaci za istraživanje su prikupljeni iz medicinske dokumentacije pacijenata sa dijagnozom akutnog trovanja koji su hospitalizovani u Urgentnom centru Kliničkog centra Vojvodine tokom posmatranog perioda, te rad predstavlja retrospektivnu studiju. Rezultati: Pod dijagnozom akutne intoksikacije tokom posmatranog perioda zbrinuto je 3729 pacijenata. Kod 65,90% njih dokazano je prisustvo etil-alkohola. Od ukupnog broja pacijenata, kod 56,41% je dokazan samo etil-alkohol, dok je najveći broj korišćenih lekova bio iz grupe psihotropnih lekova (76,82%). Najveći broj pacijenata je bio muškog pola (68,81%), a prosečna starost svih analiziranih je bila 40 (± 15) godina. Prosečna koncentracija alkohola u krvi je bila 1,87‰ (± 1,33). Pacijenti sa koncentracijom alkohola u krvi između 1,5-3,00‰ činili su najveći deo ispitivanih (39,84%). Najmanji deo pacijenata (12,72%) imao je koncentracije alkohola u krvi između 0,5-1,5‰. Zaključak: Intoksikacije alkoholom su česte i u porastu. Ovaj razvoj je problematičan ne samo za urgentne službe već za društvo u celini. Posebna pažnja bi trebalo da se usmeri na istraživanje mera prevencije, edukaciju i usmeravanje na problem, sa ciljem smanjenja broja akutnih intoksikacija.
Abstract
Introduction: Acute poisonings are becoming an increasingly important issue for health services all over the world. The most common are acute alcohol intoxications. Excessive alcohol use is considered to be a high risk factor for injuries, trauma and violence and it is one of the major causes of death across the world. Aim: The aim of this research is to examine characteristics and the significance of acute alcohol intoxications treated at the Emergency Center of the Clinical Center of Vojvodina (ED CCV) in a three year period. This research is a retrospective study. Material and Methods: Data was collected from medical records of patients treated under the diagnosis of acute intoxication at the EC CCV from 2013 to 2015. Results: During the observed time period, 3729 patients were treated under the diagnosis of acute intoxication. Intoxications were caused by alcohol in 65.90%. In the largest number of patients (56.41%), alcohol was the only identified substance. Among those who have combined alcohol with other drugs, psychotropic drugs were the most common (76.82%). Most of the patients were male (68.81%) with the average age of 40.00 (±15) years. The average blood alcohol content was 1,87‰ (±1,33). Most of the patients had a blood alcohol content between 1,5-3,00‰, and they accounted for 39,84% of all patients treated. Blood alcohol level between 0,5-1,5‰ was detected in 12.72% of patients. Conclusion: Admissions due to alcohol intoxications are common and increasing in number. This development is problematic not only for Emergency Department units, but for the society as a whole. Special attention should be directed towards prevention and education, in order to decrease the number of acute intoxications.
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Reference
|
|
|
*** Management of substanceabuse: Alcohol. WHO, Available from: http://www.who.int/substance_abuse/facts/alcohol/en/hol/en
|
|
|
*** (2014) Global status report on alcohol and health. WHO Library Cataloguing-in Publication Data. Available from: http://apps.who.int/iris/bitstream/10665/112736/1/9789240692763_eng.pdf
|
|
|
*** (2013) Godišnjak Centra za kontrolu trovanja. Beograd: Vojnomedicinska akademija
|
|
  
|
Allely, P., Graham, W., McDonnell, M., Spedding, R. (2006) Alcohol levels in the emergency department: a worrying trend. Emergency medicine journal, 23(9): 707-8
|
|
|
Baumberg, B. (2006) The global economic burden of alcohol: a review and some suggestions. Drug and alcohol review, 25(6): 537-51
|
|
|
Bertholet, N., Adam, A., Faouzi, M., Boulat, O., Yersin, B., Daeppen, J.B., i dr. (2014) Admissions of patients with alcohol intoxication in the Emergency Department: A growing phenomenon. SMW, 144
|
|
1 
|
Bitunjac, K., Saraga, M. (2009) Alcohol Intoxication in Pediatric Age: Ten-year Retrospective Study. Croatian Medical Journal, 50(2): 151-156
|
|
|
Calle, P., Damen, J., de Paepe, P., Monsieurs, K.G., Buylaert, W.A. (2006) A survey on alcohol and illicit drug abuse among emergency department patients. Acta Clinica Belgica, 61(4): 188-195
|
|
|
Cengiz, M., Baysal, Z., Ganidagli, S., Altindag, A. (2006) Characteristics of poisoning cases in adult intensive care unit in Sanliurfa, Turkey. Saudi Med J, 27(4); 497-502
|
|
|
Čokanović, S.V. (2009) Marjanović V Akutna trovanja lečena u Centru zaurgentnu medicinu Kliničkog centra Kragujevac tokom 2008. godine. Racionalna terapija, I(2): 7-12
|
|
|
Gmel, G., Gaume, J., Faouzi, M., Kulling, J., Daeppen, J. (2008) Who Drinks Most of the Total Alcohol in Young Men—Risky Single Occasion Drinking as Normative Behaviour. Alcohol and Alcoholism, 43(6): 692-697
|
|
|
Greenblatt, D.J., Allen, M.D., Noel, B.J., Shader, R.I. (1977) Acute overdosage with benzodiazepine derivatives. Clinical pharmacology and therapeutics, 21(4): 497-514
|
|
2
|
Joksović, D., Šegrt, Z., Vučinić, S. (2006) Akutna trovanja hemijskim materijama - osnovni principi dijagnostike, lečenja i registracije akutno otrovanih. Beograd: Vojnomedicinska akademija, Centar za kontrolu trovanja
|
|
|
Kerču, Z. (2015) Akutna trovanja zbrinuta u Urgentnom centru Kliničkog centra Vojvodine tokom 2014. godine. Novi Sad
|
|
1
|
Kretzschmar, M. (2001) Poisoning with sleep supporting drugs. Z Arztl Fortbild Qualitatssich, 95(1): 45-9
|
|
|
Kuntsche, E., Gmel, G. (2013) Alcohol consumption in late adolescence and early adulthood - where is the problem?. Swiss Medical Weekly, 143:w13826
|
|
|
McGinnis, J. M., Foege, W.H. (1999) Mortality and Morbidity Attributable to Use of Addictive Substances in the United States. Proceedings of the Association of American Physicians, 111(2): 109-118
|
|
|
Medic, M.G., Merkler, M., Gasparovic, V. (2006) Epidemiology and management of acute intoxications in emergency department. Toxicology Letters, 164: S85
|
|
|
Neves, P., Neuffer, N., Yersin, B. (2011) Massive alcoholic poisoning in the emergency department: how many, who, what and how?. Revue medicale suisse, 7(302): 1445-9
|
|
|
Rehm, J., Mathers, C., Popova, S., Thavorncharoensap, M., Teerawattananon, Y., Patra, J. (2009) Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet (London, England), 373(9682): 2223-33
|
|
|
Shield, K.D., Gmel, G., Patra, J., Rehm, J. (2012) Global burden of injuries attributable to alcohol consumption in 2004: a novel way of calculating the burden of injuries attributable to alcohol consumption. Population Health Metrics, 10(1): 9
|
|
|
Singh, O., Juneja, D., Singh, G., Javeri, Y., Gupta, M., Dang, R. (2011) Profile and outcome of patients with acute toxicity admitted in intensive care unit: Experiences from a major corporate hospital in urban India. Indian Journal of Anaesthesia, 55(4): 370
|
|
|
Sorge, M., Weidhase, L., Bernhard, M., Gries, A., Petros, S. (2015) Self-poisoning in the acute care medicine 2005–2012. Der Anaesthesist, 64(6): 456-462
|
|
|
|
|