Do pre-hospital poisoning deaths differ from in-hospital deaths? A retrospective analysis
Source at https://doi.org/10.1186/s13049-017-0391-z . Background: Most fatal poisonings occur outside the hospital and the victims found dead. The purpose of this study was to determine the general pattern and patient demographics of fatal poisonings in Northern Finland. In particular, we wanted to...
Published in: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
---|---|
Main Authors: | , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BioMed Central
2017
|
Subjects: | |
Online Access: | https://hdl.handle.net/10037/12225 https://doi.org/10.1186/s13049-017-0391-z |
id |
ftunivtroemsoe:oai:munin.uit.no:10037/12225 |
---|---|
record_format |
openpolar |
spelling |
ftunivtroemsoe:oai:munin.uit.no:10037/12225 2023-05-15T17:42:22+02:00 Do pre-hospital poisoning deaths differ from in-hospital deaths? A retrospective analysis Koskela, Lauri Raatiniemi, Lasse Bakke, Håkon Kvåle Ala-Kokko, Tero Liisanantti, Janne 2017-05-08 https://hdl.handle.net/10037/12225 https://doi.org/10.1186/s13049-017-0391-z eng eng BioMed Central Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Oulu University Hospital North Finland Support Foundation for Health Care Koskela, L., Raatiniemi, L., Bakke, H.K., Ala-Kokko, T., Liisanantti, J. (2017) Do pre-hospital poisoning deaths differ from in-hospital deaths? A retrospective analysis. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 25:48 FRIDAID 1468902 doi:10.1186/s13049-017-0391-z 1757-7241 https://hdl.handle.net/10037/12225 openAccess Poisoning Intoxication Alcohol Finland VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750 VDP::Medical disciplines: 700::Clinical medical disciplines: 750 Journal article Tidsskriftartikkel Peer reviewed 2017 ftunivtroemsoe https://doi.org/10.1186/s13049-017-0391-z 2021-06-25T17:55:37Z Source at https://doi.org/10.1186/s13049-017-0391-z . Background: Most fatal poisonings occur outside the hospital and the victims found dead. The purpose of this study was to determine the general pattern and patient demographics of fatal poisonings in Northern Finland. In particular, we wanted to analyze differences between pre-hospital and in-hospital deaths. Methods: All fatal poisonings that occurred in Northern Finland in 2007–2011 were retrieved from the Cause of Death Registry provided by Statistics Finland. We noted the patient demographics, causal agents, and other characteristics of the poisoning events. Results: A total of 689 fatal poisonings occurred during the study period, of which only 42 (6.1%) reached the hospital alive. Those who died pre-hospital were significantly younger (50 vs. 56 years, p = 0.04) and more likely to be male (77% vs. 57%, p = 0.003). Cardiopulmonary resuscitation was attempted less often in pre-hospital cases (9.9% vs. 47.6%, p < 0.001). Ethanol was more frequently the main toxic agent in pre-hospital deaths (58.4% vs. 26.2%, p < 0.001), and multiple ingestions were more common (52.2% vs. 35.7%, p < 0.001) in pre-hospital deaths. Discussion: Most of the pre-hospital fatal poisoning victims are found dead and the majority of in-hospital victims are admitted to hospital in an already serious condition. According to results of this and former studies, prevention seems to be the most important factor in reducing deaths due to poisoning. Conclusions: The majority of poisoning-related deaths occur pre-hospital and are related to alcohol intoxication and multiple ingestions. Article in Journal/Newspaper Northern Finland University of Tromsø: Munin Open Research Archive Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 25 1 |
institution |
Open Polar |
collection |
University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
Poisoning Intoxication Alcohol Finland VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750 VDP::Medical disciplines: 700::Clinical medical disciplines: 750 |
spellingShingle |
Poisoning Intoxication Alcohol Finland VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750 VDP::Medical disciplines: 700::Clinical medical disciplines: 750 Koskela, Lauri Raatiniemi, Lasse Bakke, Håkon Kvåle Ala-Kokko, Tero Liisanantti, Janne Do pre-hospital poisoning deaths differ from in-hospital deaths? A retrospective analysis |
topic_facet |
Poisoning Intoxication Alcohol Finland VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750 VDP::Medical disciplines: 700::Clinical medical disciplines: 750 |
description |
Source at https://doi.org/10.1186/s13049-017-0391-z . Background: Most fatal poisonings occur outside the hospital and the victims found dead. The purpose of this study was to determine the general pattern and patient demographics of fatal poisonings in Northern Finland. In particular, we wanted to analyze differences between pre-hospital and in-hospital deaths. Methods: All fatal poisonings that occurred in Northern Finland in 2007–2011 were retrieved from the Cause of Death Registry provided by Statistics Finland. We noted the patient demographics, causal agents, and other characteristics of the poisoning events. Results: A total of 689 fatal poisonings occurred during the study period, of which only 42 (6.1%) reached the hospital alive. Those who died pre-hospital were significantly younger (50 vs. 56 years, p = 0.04) and more likely to be male (77% vs. 57%, p = 0.003). Cardiopulmonary resuscitation was attempted less often in pre-hospital cases (9.9% vs. 47.6%, p < 0.001). Ethanol was more frequently the main toxic agent in pre-hospital deaths (58.4% vs. 26.2%, p < 0.001), and multiple ingestions were more common (52.2% vs. 35.7%, p < 0.001) in pre-hospital deaths. Discussion: Most of the pre-hospital fatal poisoning victims are found dead and the majority of in-hospital victims are admitted to hospital in an already serious condition. According to results of this and former studies, prevention seems to be the most important factor in reducing deaths due to poisoning. Conclusions: The majority of poisoning-related deaths occur pre-hospital and are related to alcohol intoxication and multiple ingestions. |
format |
Article in Journal/Newspaper |
author |
Koskela, Lauri Raatiniemi, Lasse Bakke, Håkon Kvåle Ala-Kokko, Tero Liisanantti, Janne |
author_facet |
Koskela, Lauri Raatiniemi, Lasse Bakke, Håkon Kvåle Ala-Kokko, Tero Liisanantti, Janne |
author_sort |
Koskela, Lauri |
title |
Do pre-hospital poisoning deaths differ from in-hospital deaths? A retrospective analysis |
title_short |
Do pre-hospital poisoning deaths differ from in-hospital deaths? A retrospective analysis |
title_full |
Do pre-hospital poisoning deaths differ from in-hospital deaths? A retrospective analysis |
title_fullStr |
Do pre-hospital poisoning deaths differ from in-hospital deaths? A retrospective analysis |
title_full_unstemmed |
Do pre-hospital poisoning deaths differ from in-hospital deaths? A retrospective analysis |
title_sort |
do pre-hospital poisoning deaths differ from in-hospital deaths? a retrospective analysis |
publisher |
BioMed Central |
publishDate |
2017 |
url |
https://hdl.handle.net/10037/12225 https://doi.org/10.1186/s13049-017-0391-z |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_relation |
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Oulu University Hospital North Finland Support Foundation for Health Care Koskela, L., Raatiniemi, L., Bakke, H.K., Ala-Kokko, T., Liisanantti, J. (2017) Do pre-hospital poisoning deaths differ from in-hospital deaths? A retrospective analysis. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 25:48 FRIDAID 1468902 doi:10.1186/s13049-017-0391-z 1757-7241 https://hdl.handle.net/10037/12225 |
op_rights |
openAccess |
op_doi |
https://doi.org/10.1186/s13049-017-0391-z |
container_title |
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
container_volume |
25 |
container_issue |
1 |
_version_ |
1766144227268362240 |