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Elderly patients visiting the emergency department for deliberate self-poisoning: do they present a more severe poisoning severity score than the nonelderly patients in the initial 24 h?
Purpose Many elderly patients arrive at the emergency department (ED) complaining of deliberate self-poisoning (DSP). This study determined the poisoning severity of elderly patients who committed DSP. Methods A study was performed with 1329 patients (> 15 years of age) who were treated for DSP a...
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| Published in: | Aging clinical and experimental research 2019-08, Vol.31 (8), p.1139-1146 |
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| container_title | Aging clinical and experimental research |
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| creator | Hong, Sungyoup Lee, Woon Jeong Kim, Dae Hee Seol, Seung Hwan Lee, June Young In, Sang Kook Lee, Hye Won Woo, Seon Hee Wee, Jung Hee |
| description | Purpose
Many elderly patients arrive at the emergency department (ED) complaining of deliberate self-poisoning (DSP). This study determined the poisoning severity of elderly patients who committed DSP.
Methods
A study was performed with 1329 patients (> 15 years of age) who were treated for DSP at two EDs between January 2010 and December 2016. We classified these patients into two groups based on age (an elderly group ≥ 65 years of age and a nonelderly group). Information was collected on age, sex, cause, ingestion time, drug type, suicide attempt history, initial poisoning severity score (PSS), final PSS, outcome, etc.
Results
In total, 242 (18.2%) patients were included in the elderly group, of whom 211 (86.9%) were treated for a first suicide attempt. Admission to the intensive-care unit (ICU) (43.8% vs. 25.5%) and endotracheal intubation (16.1% vs. 4.9%) occurred more frequently in the elderly group than in the nonelderly group (
p
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| doi_str_mv | 10.1007/s40520-018-1053-3 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2264891491</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2264891491</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-167dcdb566dac07efef62b0eb1343d2a0129f10f1e57659b663dfd37b8b5db983</originalsourceid><addsrcrecordid>eNp1kV1rFTEQhoNYbG39Ad5IwOvVSbKf3oiU-gGF3tjrkGwm56TsJmuSUzh_rb_OrFurCF5NMvO87wy8hLxm8I4BdO9TDQ2HClhfMWhEJZ6RM9aVTi_Y8Pyv9yl5mdIdQM3K5wU5FSAaAFGfkYeryWCcjnRR2aHPid675LLzO5r3SHHGuEM_HqnBRcU8F4TaEMt3chqjykgTTrZagkvBF9kHasIqLY4R04orOoe4YvdYyhO4NVw-0jSu87xX_tdOHzz-e5TbRs6X09REeU33Hy_IiVVTwleP9Zzcfr76fvm1ur758u3y03U1io7nirWdGY1u2taoETq0aFuuATUTtTBcAeODZWAZNl3bDLpthbFGdLrXjdFDL87J2813ieHHAVOWd-EQfVkpOW_rfmD1wArFNmqMIaWIVi7RzSoeJQO5piW3tGRJS65pSVE0bx6dD3pG86T4HU8B-AakMvI7jH9W_9_1JwRPpCU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2264891491</pqid></control><display><type>article</type><title>Elderly patients visiting the emergency department for deliberate self-poisoning: do they present a more severe poisoning severity score than the nonelderly patients in the initial 24 h?</title><source>Springer Link</source><creator>Hong, Sungyoup ; Lee, Woon Jeong ; Kim, Dae Hee ; Seol, Seung Hwan ; Lee, June Young ; In, Sang Kook ; Lee, Hye Won ; Woo, Seon Hee ; Wee, Jung Hee</creator><creatorcontrib>Hong, Sungyoup ; Lee, Woon Jeong ; Kim, Dae Hee ; Seol, Seung Hwan ; Lee, June Young ; In, Sang Kook ; Lee, Hye Won ; Woo, Seon Hee ; Wee, Jung Hee</creatorcontrib><description>Purpose
Many elderly patients arrive at the emergency department (ED) complaining of deliberate self-poisoning (DSP). This study determined the poisoning severity of elderly patients who committed DSP.
Methods
A study was performed with 1329 patients (> 15 years of age) who were treated for DSP at two EDs between January 2010 and December 2016. We classified these patients into two groups based on age (an elderly group ≥ 65 years of age and a nonelderly group). Information was collected on age, sex, cause, ingestion time, drug type, suicide attempt history, initial poisoning severity score (PSS), final PSS, outcome, etc.
Results
In total, 242 (18.2%) patients were included in the elderly group, of whom 211 (86.9%) were treated for a first suicide attempt. Admission to the intensive-care unit (ICU) (43.8% vs. 25.5%) and endotracheal intubation (16.1% vs. 4.9%) occurred more frequently in the elderly group than in the nonelderly group (
p
< 0.001). The frequencies of initial severe PSSs (3 and 4) in the elderly group were 9.1% (
N
= 22) and 1.2% (
N
= 3), respectively. Multivariate logistic regression analysis showed that the ICU admission of DSP patients was significantly associated with being elderly (OR of 1.47, 95% CI 1.04–2.09,
p
= 0.029) and with having a GCS of < 13 (OR of 2.67, 95% CI 1.99–3.57,
p
< 0.001) and an initial PSS of (3,4) (OR of 3.66, 95% CI 2.14–6.26,
p
< 0.001). In addition, the presence of underlying diseases (coronary heart disease and cerebrovascular disease) yielded high ORs [(OR of 13.13, 95% CI 2.80–61.57,
p
= 0.001), (OR of 7.34, 95% CI 1.38–39.09,
p
= 0.020)].
Conclusion
Elderly patients who visited the ED for DSP exhibited overall more severe PSSs and poorer in-hospital prognosis than did nonelderly DSP patients.</description><identifier>ISSN: 1720-8319</identifier><identifier>ISSN: 1594-0667</identifier><identifier>EISSN: 1720-8319</identifier><identifier>DOI: 10.1007/s40520-018-1053-3</identifier><identifier>PMID: 30350034</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Age ; Aged ; Aged, 80 and over ; Cardiovascular disease ; Emergency Service, Hospital ; Female ; Geriatrics/Gerontology ; Hospitalization ; Humans ; Intensive Care Units ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Poisoning ; Retrospective Studies ; Suicide, Attempted ; Suicides & suicide attempts</subject><ispartof>Aging clinical and experimental research, 2019-08, Vol.31 (8), p.1139-1146</ispartof><rights>Springer Nature Switzerland AG 2018</rights><rights>Aging Clinical and Experimental Research is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-167dcdb566dac07efef62b0eb1343d2a0129f10f1e57659b663dfd37b8b5db983</citedby><cites>FETCH-LOGICAL-c372t-167dcdb566dac07efef62b0eb1343d2a0129f10f1e57659b663dfd37b8b5db983</cites><orcidid>0000-0001-8914-1640</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30350034$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hong, Sungyoup</creatorcontrib><creatorcontrib>Lee, Woon Jeong</creatorcontrib><creatorcontrib>Kim, Dae Hee</creatorcontrib><creatorcontrib>Seol, Seung Hwan</creatorcontrib><creatorcontrib>Lee, June Young</creatorcontrib><creatorcontrib>In, Sang Kook</creatorcontrib><creatorcontrib>Lee, Hye Won</creatorcontrib><creatorcontrib>Woo, Seon Hee</creatorcontrib><creatorcontrib>Wee, Jung Hee</creatorcontrib><title>Elderly patients visiting the emergency department for deliberate self-poisoning: do they present a more severe poisoning severity score than the nonelderly patients in the initial 24 h?</title><title>Aging clinical and experimental research</title><addtitle>Aging Clin Exp Res</addtitle><addtitle>Aging Clin Exp Res</addtitle><description>Purpose
Many elderly patients arrive at the emergency department (ED) complaining of deliberate self-poisoning (DSP). This study determined the poisoning severity of elderly patients who committed DSP.
Methods
A study was performed with 1329 patients (> 15 years of age) who were treated for DSP at two EDs between January 2010 and December 2016. We classified these patients into two groups based on age (an elderly group ≥ 65 years of age and a nonelderly group). Information was collected on age, sex, cause, ingestion time, drug type, suicide attempt history, initial poisoning severity score (PSS), final PSS, outcome, etc.
Results
In total, 242 (18.2%) patients were included in the elderly group, of whom 211 (86.9%) were treated for a first suicide attempt. Admission to the intensive-care unit (ICU) (43.8% vs. 25.5%) and endotracheal intubation (16.1% vs. 4.9%) occurred more frequently in the elderly group than in the nonelderly group (
p
< 0.001). The frequencies of initial severe PSSs (3 and 4) in the elderly group were 9.1% (
N
= 22) and 1.2% (
N
= 3), respectively. Multivariate logistic regression analysis showed that the ICU admission of DSP patients was significantly associated with being elderly (OR of 1.47, 95% CI 1.04–2.09,
p
= 0.029) and with having a GCS of < 13 (OR of 2.67, 95% CI 1.99–3.57,
p
< 0.001) and an initial PSS of (3,4) (OR of 3.66, 95% CI 2.14–6.26,
p
< 0.001). In addition, the presence of underlying diseases (coronary heart disease and cerebrovascular disease) yielded high ORs [(OR of 13.13, 95% CI 2.80–61.57,
p
= 0.001), (OR of 7.34, 95% CI 1.38–39.09,
p
= 0.020)].
Conclusion
Elderly patients who visited the ED for DSP exhibited overall more severe PSSs and poorer in-hospital prognosis than did nonelderly DSP patients.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiovascular disease</subject><subject>Emergency Service, Hospital</subject><subject>Female</subject><subject>Geriatrics/Gerontology</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Intensive Care Units</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Poisoning</subject><subject>Retrospective Studies</subject><subject>Suicide, Attempted</subject><subject>Suicides & suicide attempts</subject><issn>1720-8319</issn><issn>1594-0667</issn><issn>1720-8319</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1kV1rFTEQhoNYbG39Ad5IwOvVSbKf3oiU-gGF3tjrkGwm56TsJmuSUzh_rb_OrFurCF5NMvO87wy8hLxm8I4BdO9TDQ2HClhfMWhEJZ6RM9aVTi_Y8Pyv9yl5mdIdQM3K5wU5FSAaAFGfkYeryWCcjnRR2aHPid675LLzO5r3SHHGuEM_HqnBRcU8F4TaEMt3chqjykgTTrZagkvBF9kHasIqLY4R04orOoe4YvdYyhO4NVw-0jSu87xX_tdOHzz-e5TbRs6X09REeU33Hy_IiVVTwleP9Zzcfr76fvm1ur758u3y03U1io7nirWdGY1u2taoETq0aFuuATUTtTBcAeODZWAZNl3bDLpthbFGdLrXjdFDL87J2813ieHHAVOWd-EQfVkpOW_rfmD1wArFNmqMIaWIVi7RzSoeJQO5piW3tGRJS65pSVE0bx6dD3pG86T4HU8B-AakMvI7jH9W_9_1JwRPpCU</recordid><startdate>20190801</startdate><enddate>20190801</enddate><creator>Hong, Sungyoup</creator><creator>Lee, Woon Jeong</creator><creator>Kim, Dae Hee</creator><creator>Seol, Seung Hwan</creator><creator>Lee, June Young</creator><creator>In, Sang Kook</creator><creator>Lee, Hye Won</creator><creator>Woo, Seon Hee</creator><creator>Wee, Jung Hee</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><orcidid>https://orcid.org/0000-0001-8914-1640</orcidid></search><sort><creationdate>20190801</creationdate><title>Elderly patients visiting the emergency department for deliberate self-poisoning: do they present a more severe poisoning severity score than the nonelderly patients in the initial 24 h?</title><author>Hong, Sungyoup ; Lee, Woon Jeong ; Kim, Dae Hee ; Seol, Seung Hwan ; Lee, June Young ; In, Sang Kook ; Lee, Hye Won ; Woo, Seon Hee ; Wee, Jung Hee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-167dcdb566dac07efef62b0eb1343d2a0129f10f1e57659b663dfd37b8b5db983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cardiovascular disease</topic><topic>Emergency Service, Hospital</topic><topic>Female</topic><topic>Geriatrics/Gerontology</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Intensive Care Units</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Poisoning</topic><topic>Retrospective Studies</topic><topic>Suicide, Attempted</topic><topic>Suicides & suicide attempts</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hong, Sungyoup</creatorcontrib><creatorcontrib>Lee, Woon Jeong</creatorcontrib><creatorcontrib>Kim, Dae Hee</creatorcontrib><creatorcontrib>Seol, Seung Hwan</creatorcontrib><creatorcontrib>Lee, June Young</creatorcontrib><creatorcontrib>In, Sang Kook</creatorcontrib><creatorcontrib>Lee, Hye Won</creatorcontrib><creatorcontrib>Woo, Seon Hee</creatorcontrib><creatorcontrib>Wee, Jung Hee</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (ProQuest Medical & Health Databases)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>Aging clinical and experimental research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hong, Sungyoup</au><au>Lee, Woon Jeong</au><au>Kim, Dae Hee</au><au>Seol, Seung Hwan</au><au>Lee, June Young</au><au>In, Sang Kook</au><au>Lee, Hye Won</au><au>Woo, Seon Hee</au><au>Wee, Jung Hee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Elderly patients visiting the emergency department for deliberate self-poisoning: do they present a more severe poisoning severity score than the nonelderly patients in the initial 24 h?</atitle><jtitle>Aging clinical and experimental research</jtitle><stitle>Aging Clin Exp Res</stitle><addtitle>Aging Clin Exp Res</addtitle><date>2019-08-01</date><risdate>2019</risdate><volume>31</volume><issue>8</issue><spage>1139</spage><epage>1146</epage><pages>1139-1146</pages><issn>1720-8319</issn><issn>1594-0667</issn><eissn>1720-8319</eissn><abstract>Purpose
Many elderly patients arrive at the emergency department (ED) complaining of deliberate self-poisoning (DSP). This study determined the poisoning severity of elderly patients who committed DSP.
Methods
A study was performed with 1329 patients (> 15 years of age) who were treated for DSP at two EDs between January 2010 and December 2016. We classified these patients into two groups based on age (an elderly group ≥ 65 years of age and a nonelderly group). Information was collected on age, sex, cause, ingestion time, drug type, suicide attempt history, initial poisoning severity score (PSS), final PSS, outcome, etc.
Results
In total, 242 (18.2%) patients were included in the elderly group, of whom 211 (86.9%) were treated for a first suicide attempt. Admission to the intensive-care unit (ICU) (43.8% vs. 25.5%) and endotracheal intubation (16.1% vs. 4.9%) occurred more frequently in the elderly group than in the nonelderly group (
p
< 0.001). The frequencies of initial severe PSSs (3 and 4) in the elderly group were 9.1% (
N
= 22) and 1.2% (
N
= 3), respectively. Multivariate logistic regression analysis showed that the ICU admission of DSP patients was significantly associated with being elderly (OR of 1.47, 95% CI 1.04–2.09,
p
= 0.029) and with having a GCS of < 13 (OR of 2.67, 95% CI 1.99–3.57,
p
< 0.001) and an initial PSS of (3,4) (OR of 3.66, 95% CI 2.14–6.26,
p
< 0.001). In addition, the presence of underlying diseases (coronary heart disease and cerebrovascular disease) yielded high ORs [(OR of 13.13, 95% CI 2.80–61.57,
p
= 0.001), (OR of 7.34, 95% CI 1.38–39.09,
p
= 0.020)].
Conclusion
Elderly patients who visited the ED for DSP exhibited overall more severe PSSs and poorer in-hospital prognosis than did nonelderly DSP patients.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>30350034</pmid><doi>10.1007/s40520-018-1053-3</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-8914-1640</orcidid></addata></record> |
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| ispartof | Aging clinical and experimental research, 2019-08, Vol.31 (8), p.1139-1146 |
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| language | eng |
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| source | Springer Link |
| subjects | Adult Age Aged Aged, 80 and over Cardiovascular disease Emergency Service, Hospital Female Geriatrics/Gerontology Hospitalization Humans Intensive Care Units Male Medicine Medicine & Public Health Middle Aged Original Article Poisoning Retrospective Studies Suicide, Attempted Suicides & suicide attempts |
| title | Elderly patients visiting the emergency department for deliberate self-poisoning: do they present a more severe poisoning severity score than the nonelderly patients in the initial 24 h? |
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