1. Prevalência e análise clínica-epidemiológica de casos de intoxicação nas unidades de terapia intensiva de um Hospital Universitário no Paraná.
- Author
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Cecília Cerri, Ana and Bortoli, Stella
- Subjects
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MENTAL health services , *CONCOMITANT drugs , *POISONS , *SUBSTANCE abuse , *INTENSIVE care units , *GASTROINTESTINAL hemorrhage - Abstract
Intoxication is the process of imbalance of an organism due to exposure to toxic agents, usually exogenous, which can be acute or chronic and has different etiologies. An example of an acute consequence of a chronic exposure is upper gastrointestinal bleeding (UGH), which can manifest in cases of chronic exposure to alcohol. The present work investigated cases related to exogenous intoxication, hematemesis, melena and UGH at the four Intensive Care Units's (ICUs) physical records of the Regional University Hospital of Campos Gerais (HURCG) from January 2019 to April 2022. The medical records selected whose cause of intoxication was a consequence of substance abuse were studied regarding the variables: sex, age, prompter agent and outcome. A total of 112 cases of UGH were found, 94 (83.9%) caused by alcoholism, 15 (13.4%) by drug use only and three (2.7%) by alcoholism and concomitant drug use. Most cases of UGH occurred in men as a result of alcohol consumption, with the most affected age group being 55-64 years, and of the total number of cases studied 49.1% were discharged and 43.8% were to death. As for exogenous intoxication, 26 cases were found, most occurred in women in self-inflicted circumstances, the age ranged from 15-86 years, and of the total cases of intoxication, 80.8% were discharged and 15.4% died. Based on these observations, it is possible to point out the need for improvements in society's mental health care, especially concearning substance abuse and its consequences, reinforcing the need for health system managers and governments programs to implement and strengthen public policies for suicide prevention and alcohol and other drugs use discourage. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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