Evaluation of The risk Factors Influencing The prognosis of Elderly Patients with Acute Poisoning Admitted to Poison Control Center, Ain Shams University Hospitals during 2022 | ||||
| Ain Shams Journal of Forensic Medicine and Clinical Toxicology | ||||
| Volume 43, Issue 2, July 2024, Page 38-50 PDF (424.61 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ajfm.2024.365484 | ||||
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| Authors | ||||
| Essam M. Abd Allah1; Mona E. Maussa2; Abeer H. Mohammed3; Azza O. Hassan4; Marwa A. Hasb Elnabi4 | ||||
| 1Forensic Medicine & Clinical Toxicology Department, Faculty of Medicine, Sohag University, Egypt | ||||
| 2Forensic Medicine & Clinical Toxicology Department, Faculty of Medicine, Ain Shams University, Egypt. | ||||
| 3Forensic Medicine & Clinical Toxicology Department, Faculty of Medicine, Sohag University, Egypt. | ||||
| 4Forensic Medicine & Clinical Toxicology Department, Faculty of Medicine, Sohag University, Egypt. | ||||
| Abstract | ||||
| Background: Poisoning in elderly people is frequently more severe, with greater complications and a higher risk of death. This study aimed to explore the risk factors affecting the prognosis of elderly individuals with acute intoxication. Subjects and Methods: A prospective study involved all individuals sixty years of age or older with acute intoxication admitted to the Poison Control Center of Ain Shams University Hospitals during 2022. Results: There were 72 elderly individuals with acute intoxication were enrolled in this study, with 56 survivors (77.78%) and 16 non-survivors (22.22%). The majority of patients (83.33%) were between 60 and 74 years. Accidental intoxication and suicidal attempts were equally represented. The majority of acutely intoxicated elderly patients had one or more underlying chronic comorbidities and the oral route was more common. CVS drugs, CNS drugs, and pesticides were the major causes of acute poisoning in elderly patients. CVS complications were the most frequent reason of ICU admission in the elderly patients. The PSS score and APACHE II score were 3 ± 0 and 29.25 ± 3.55 in the non-survivors, 1.52 ± 0.60, and 7.92 ± 1.81 in the survivors. Long hospitalization was correlated with a high APACHE II score. The presence of respiratory manifestations, the need for mechanical ventilation, PSS score, and the APACHE II score were the independent risk factors of poor prognosis. Conclusion: The presence of respiratory manifestations, the need for mechanical ventilation, the PSS score, and the APACHE II score were the prognostic factors in elderly patients with acute poisoning. This study recommends taking precautions against poisoning in the elderly, particularly those who are at a high risk of suicid | ||||
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