Pediatric Practice and Research, cilt.10, sa.2, ss.103-107, 2022 (Hakemli Dergi)
Purpose: Our study was planned to reach out intoxication
patient’s clinical characteristics, treatment modalities and
outcomes of those patients followed up in pediatric intensive
care unit.
Material and Method: We examined patients admitted to
our hospital or transferred from another medical center to
our PICU, diagnosed with intoxication from 01 January 2019
to 31 December 2021, retrospectively. We collected patient’s
demographic data. Glasgow Coma Scale score at admission,
medical treatments applied to patients’ mechanical ventilation
requirement, hemodialysis and plasmapheresis applied was
recorded. Outcomes evaluated by survival, days in PICU and
days in hospital. We divided study group as adolescent group
(>120-month-old) and non-adolescent group (<120-monthold). All collected variables were compared between two
groups.
Results: During study period 114 patients included into the
study. Most of the patients were in adolescent age group
(52.6%). If we examined intoxication causes, in adolescent
patient’s suicide was major cause of intoxication. In patients
below <120-month-old unintentional intoxication was the
main reason. Antipsychotics, antidepressants, and analgesics
were the most common medication causes of intoxication
respectively. Mechanical ventilation applied to 4 patients. 5
patients were hemodialyzed. Plasmapheresis performed to 5
patients. All patients were survived. Median days in PICU was 1
day. Median days in hospital was 3 days.
Conclusion: In our study, 2.8% of all PICU admissions were
intoxications. Antipsychotics, antidepressants, and analgesics
were the most common medication causes of intoxications.
Antidepressants intake were seen in higher rates in adolescent
age group. Antidepressant prescription and drug control
should be more carefully in adolescent age group.