EMERGENCY DEPARTMENT MORTALITY PREDICTORS OF ACUTE POISONING PATIENTS ADMITTED IN THE INTENSIVE CARE UNIT OF SOUTHERN PHILIPPINES MEDICAL CENTER: A 5-YEAR RETROSPECTIVE STUDY FROM JANUARY 2016 TO JANUARY 2021

  • Maria Irene Lourdes Tonog SPMC

Abstract

Background: Clinical epidemiological studies is necessary to understand patterns of acute poisoning as predictor of mortality.  These are useful for planning and providing good and efficient health care services to reduce poisoning related morbidity and mortality.

Objectives/Design/Setting/Participants: This retrospective study conducted in SPMC was aimed to determine the ED mortality predictors and describe the clinical profile, toxicology variables, and ED variables of ICU admitted patients with acute poisoning (n=143) covering January 2016 to January 2021. Descriptive studies and multinominal logistic regression was used.

Results: Most were in their early 20s (40%), unemployed (67%), single (56%), male (69%), and without co-existing medical conditions (74%) residing within Davao City (64%).  Most were also discharged (90%) and recovered with no disability (78%).  Age (OR=1.04; p=0.037) significantly affects mortality. Most poison types were caustic ingestion (14%), snake envenomation (14%), ethanol ingestion (12%), and organophosphate ingestion (11%). Most are non-accidental (69%) and have not been given any home remedies (98%). Bee sting, benzodiazepines, carbamates, cone snail envenomation, heavy metals, hydrocarbons, methamphetamines, and plant toxins, did not significantly cause mortality as well as inhalation as route. This study did not have significant difference in time related factors. Most common ED management given was intubation, fluids, D50W, and antidotes. Intubation and mechanical ventilation (OR=28.55; p=5.48E-06) significantly predicted mortality.

Conclusion: This study provided a good baseline data on the predictors of mortality. Recommendations include to widen the scope, demographics, and other determinants.

Published
2024-12-26
How to Cite
Tonog, M. I. L. (2024). EMERGENCY DEPARTMENT MORTALITY PREDICTORS OF ACUTE POISONING PATIENTS ADMITTED IN THE INTENSIVE CARE UNIT OF SOUTHERN PHILIPPINES MEDICAL CENTER: A 5-YEAR RETROSPECTIVE STUDY FROM JANUARY 2016 TO JANUARY 2021. Southern Philippines Medical Center Journal of Health Care Services, 10(2). Retrieved from https://submissions.spmcjournal.com/index.php/SPMCJHCS/article/view/54
Issue
Vol 10 No 2 (2024)
Section
Research

Copyright (c) 2026 Maria Irene Lourdes Tonog

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