scholarly journals Impact of a poison control center on the length of hospital stay of poisoned patients: retrospective cohort

2011 ◽  
Vol 129 (1) ◽  
pp. 23-29 ◽  
Author(s):  
Taís Freire Galvão ◽  
Marcus Tolentino Silva ◽  
Carolina Dalene Silva ◽  
Adriana Melo Barotto ◽  
Izabela Lucchese Gavioli ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Hospital Stay ◽  
Retrospective Cohort ◽  
Length Of Hospital Stay ◽  
Poison Control ◽  
Poison Control Center ◽  
Toxic Agent ◽  
Control Center ◽  
Set Up ◽  
Remote Assistance

CONTEXT AND OBJECTIVE: Poison control centers play an essential role in caring for poisoned patients, albeit without secure funding for their activities. The aim here was to investigate differences in length of hospital stay among poisoned patients, between those who received remote assistance from a poison control center and those who did not. DESIGN AND SETTING: A retrospective cohort including all poisoned patients hospitalized at an emergency service in Manaus between 2005 and 2007 was set up, and the local poison control center database was checked to see whether they received such assistance. METHODS: Patients presenting a known toxic agent, with less than 12 hours since exposure and without severe comorbidities, were selected. Their severity of poisoning was evaluated by two independent reviewers and divergences were resolved by another reviewer. RESULTS: One hundred and ninety-eight patients were included. Those who received remote assistance from a poison control center stayed in hospital on average for 3.43 days less than those without poison control center assistance (95% confidence interval, CI: -6.10 to -0.77). Severity was assessed in the cases of 90 patients: there was no statistical difference in severity between the patients with and without poison control center assistance (P > 0.5). CONCLUSION: Patients with remote assistance from a poison control center had a shorter length of stay then patients without this aid. The poison control center may have reduced the length of stay of the poisoned patients

Household Disinfectant Exposure During the COVID-19 Pandemic: A Retrospective Study of the Data from an Italian Poison Control Center

2020 ◽  
Author(s):  
Paolo Maurizio Soave ◽  
Simone Grassi ◽  
Antonio Oliva ◽  
Bruno Romanò ◽  
Enrico Di Stasio ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Poison Control ◽  
Poison Control Center ◽  
Control Center

scholarly journals Acute toxic exposures in children: analysis of a three year registry managed by a Pediatric poison control Center in Italy

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
M. Marano ◽  
F. Rossi ◽  
L. Ravà ◽  
M. Khalil Ramla ◽  
M. Pisani ◽  
...  
Keyword(s):  
Hospital Admission ◽  
Age Groups ◽  
Gastrointestinal Symptoms ◽  
Direct Access ◽  
Poison Control ◽  
Poison Control Center ◽  
Pediatric Hospital ◽  
Control Center ◽  
Hospital Referral ◽  
The Impact

Abstract Introduction Acute pediatric poisoning is an emerging health and social problem. The aim of this study is to describe the characteristics of a large pediatric cohort exposed to xenobiotics, through the analysis of a Pediatric Poison Control Center (PPCc) registry. Methods This study, conducted in the Pediatric Hospital Bambino Gesù of Rome, a reference National Pediatric Hospital, collected data of children whose parents or caregivers contacted the PPCc by phone (group “P”), or who presented to the Emergency Department (group “ED”), during the three-year period 2014–2016. Data were prospectively and systematically collected in a pre-set electronic registry. Comparisons among age groups were performed and multivariable logistic regression models used to investigate associations with outcomes (hospital referral for “P”, and hospital admission for “ED”group). Results We collected data of 1611 children on group P and 1075 on group ED. Both groups were exposed to both pharmaceutical and non-pharmaceutical agents. Pharmaceutical agent exposure increased with age and the most common route of exposure was oral. Only 10% among P group were symptomatic children, with gastrointestinal symptoms. Among the ED patients, 30% were symptomatic children mostly with gastrointestinal (55.4%) and neurologic symptoms (23.8%). Intentional exposure (abuse substance and suicide attempt), which involved 7.7% of patients, was associated with older age and Hospital admission. Conclusions Our study describes the characteristics of xenobiotics exposures in different paediatric age groups, highlighting the impact of both pharmacological and intentional exposure. Furthermore, our study shows the utility of a specific PPCc, either through Phone support or by direct access to ED. PPCc phone counselling could avoid unnecessary access to the ED, a relevant achievement, particularly in the time of a pandemic.

565 POST-OPERATIVE WEIGHT LOSS AND OUTCOMES FOLLOWING ESOPHAGECTOMY

2020 ◽  
Vol 33 (Supplement_1) ◽  
Author(s):  
R Khaw ◽  
S Munro ◽  
J Sturrock ◽  
H Jaretzke ◽  
S Kamarajah ◽  
...  
Keyword(s):  
Weight Loss ◽  
Length Of Stay ◽  
Hospital Stay ◽  
Enhanced Recovery ◽  
Length Of Hospital Stay ◽  
Failure To Thrive ◽  
Post Discharge ◽  
Postoperative Weight Loss ◽  
Poor Outcomes ◽  
The Impact

Abstract   Oesophageal cancer is the 11th most common cancer worldwide, with oesophagectomy remaining the mainstay curative treatment, despite significant associated morbidity and mortality. Postoperative weight loss remains a significant problem and is directly correlated to poor prognosis. Measures such as the Enhanced Recovery After Surgery (ERAS) programme and intraoperative jejunostomy feed have looked to tackle this. This study investigates the impact of these on mortality, length of hospital stay and postoperative weight loss. Methods Patients undergoing oesophagectomy between January 1st 2012—December 2014 and 28th October 2015–December 31st 2019 in a national tertiary oesophagogastric unit were included retrospectively. Variables measured included comorbidities, operation, histopathology, weights (pre- and post-operatively), length of hospital stay, postoperative complications and mortality. Pre-operative body weight was measured at elective admission, and further weights were identified from a prospectively maintained database, during further clinic appointments. Other data was collected through patient notes. Results 594 patients were included. Mean age at diagnosis was 65.9 years (13–65). Majority of cases were adenocarcinoma (63.3%), with varying stages of disease (TX-4, NX-3). Benign pathology accounted for 8.75% of cases. Mean weight loss post-oesophagectomy exceeded 10% at 6 months (SD 14.49). Majority (60.1%) of patients were discharged with feeding jejunostomy, and 5.22% of these required this feed to be restarted post-discharge. Length of stay was mean 16.5 days (SD 22.3). Complications occurred in 68.9% of patients, of which 13.8% were infection driven. Mortality occurred in 26.6% of patients, with 1.83% during hospital admission. 30-day mortality rate was 1.39%. Conclusion Failure to thrive and prolonged weight-loss following oesophagectomy can contribute to poor recovery, with associated complications and poor outcomes, including increased length of stay and mortality. Further analysis of data to investigate association between weight loss and poor outcomes for oesophagectomy patients will allow for personalised treatment of high-risk patients, in conjunction with members of the multidisciplinary team, including dieticians.

scholarly journals The independent patient factors that affect length of stay following hip fractures

2018 ◽  
Vol 100 (7) ◽  
pp. 556-562 ◽  
Author(s):  
T Richards ◽  
A Glendenning ◽  
D Benson ◽  
S Alexander ◽  
S Thati
Keyword(s):  
Hip Fracture ◽  
Length Of Stay ◽  
Hospital Stay ◽  
Hip Fractures ◽  
Length Of Hospital Stay ◽  
Hospital Length ◽  
Acute Hospital ◽  
Hospital Length Of Stay ◽  
Patient Factors ◽  
Mobility Status

Introduction Management of hip fractures has evolved over recent years to drive better outcomes including length of hospital stay. We aimed to identify and quantify the effect that patient factors influence acute hospital and total health service length of stay. Methods A retrospective observational study based on National Hip Fracture Database data was conducted from 1 January 2014 to 31 December 2015. A multiple regression analysis of 330 patients was carried out to determine independent factors that affect acute hospital and total hospital length of stay. Results American Society of Anesthesiologists (ASA) grade 3 or above, Abbreviated Mental Test Score (AMTS) less than 8 and poor mobility status were independent factors, significantly increasing length of hospital stay in our population. Acute hospital length of stay can be predicted as 8.9 days longer when AMTS less than 8, 4.2 days longer when ASA grade was 3 or above and 20.4 days longer when unable to mobilise unaided (compared with independently mobile individuals). Other factors including total hip replacement compared with hemiarthroplasty did not independently affect length of stay. Conclusions Our analysis in a representative and generalisable population illustrates the importance of identifying these three patient characteristics in hip fracture patients. When recognised and targeted with orthogeriatric support, the length of hospital stay for these patients can be reduced and overall hip fracture care improved. Screening on admission for ASA grade, AMTS and mobility status allows prediction of length of stay and tailoring of care to match needs.

Acute Ethylene Chlorohydrin Poisoning: Experience of a Poison Control Center

2001 ◽  
Vol 39 (6) ◽  
pp. 587-593 ◽  
Author(s):  
Jou-Fang Deng ◽  
Chen-Chang Yang ◽  
Wei-Jen Tsai ◽  
Jiin Ger ◽  
Ming-Ling Wu
Keyword(s):  
Poison Control ◽  
Poison Control Center ◽  
Ethylene Chlorohydrin ◽  
Control Center

666 EARLY EXTUBATION AFTER ESOPHAGECTOMY IS SAFE. A SYSTEMATIC REVIEW AND META-ANALYSIS

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Maria Serafim ◽  
Clara Santos ◽  
Marina Orlandini ◽  
Letícia Datrino ◽  
Guilherme Tavares ◽  
...  
Keyword(s):  
Systematic Review ◽  
Length Of Stay ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Risk Difference ◽  
Pulmonary Complications ◽  
Mean Difference ◽  
Early Extubation ◽  
Icu Length Of Stay ◽  
Anastomotic Fistula

Abstract   Esophagectomy has high morbidity and mortality, mainly due to pulmonary complications. Consequently, ventilatory support is a cornerstone in postoperative management. However, there is still no consensus on the timing for extubation. There is a fear that untimely extubation would lead to a high risk for an urgent reintubation. On the other hand, there is a risk for pulmonary damage in prolonged intubation. Thus, the present study aimed to compare early and late extubation after esophagectomy. Methods A systematic review was carried out on PubMed, Lilacs, Cochrane Library Central, and Embase, comparing early and late extubation after esophagectomy. The primary outcome was reintubation. Secondary outcomes included mortality; complications; pulmonary complications; pneumonia; anastomotic fistula; length of hospital stay; and ICU length of stay. The inclusion criteria were: a) clinical trials and cohort studies; b) adult patients (> 18 years); and c) patients with esophageal cancer undergoing esophagectomy. The results were summarized by risk difference and mean difference. 95% confidence interval and random model were applied. Results Four articles were selected, comprising 490 patients. Early extubation did not increase the risk for reintubation, with a risk difference of 0.01 (95%CI -0.03; 0.04). Also, there was no difference for mortality −0.01 (95%CI -0.04; 0.03); complications −0.09 (95%CI -0.22; 0.05); pulmonary complications −0.05 (95%CI -0.13; 0.03); pneumonia −0.06 (95% CI-0.18; 0.05); anastomotic fistula −0.01 (95% CI -0.09; 0.08). In addition, there was no significant mean difference for: length of hospital stay −0.10 (95%CI -0.38; 0.1); and ICU length of stay 0.00 (95%CI -0.22; 0.22). Conclusion Early extubation after esophagectomy does not increase the risk for reintubation, mortality, complications, and lenght of stay.

PREVENTIVE IMPLICATIONS OF A STUDY OF 100 POISONINGS IN CHILDREN

PEDIATRICS ◽  
1960 ◽  
Vol 25 (3) ◽  
pp. 490-495
Author(s):  
Gordon D. Jensen ◽  
Wesley W. Wilson
Keyword(s):  
Family Member ◽  
Accidental Poisoning ◽  
Poison Control ◽  
Poison Control Center ◽  
Control Center ◽  
Safe Place ◽  
Specific Advice ◽  
Usual Location ◽  
Medicine Cabinet

One hundred cases of accidental poisoning occurring in Seattle, Washington, during the summer of 1958 and referred through the Poison Control Center were studied. Although this group probably was not representative of all Seattle children in whom poisonings occurred during this period, the information gained from a study of the circumstances leading to the poisonings has important preventive implications. Eighty-two of the children were between 1 and 3 years of age. Aspirin caused 24 poisonings. In 19 of these cases it had been left out by another family member, and only three children found aspirin in the medicine cabinet. The medicine cabinet was the source of the poison in only 4 of the 100 cases. Poisonous berries and toadstools caused 14 poisonings and represent an important local hazard, particularly as most parents were not aware that the berries were harmful. Whereas only 22 of the patients had previously suffered accidents, 25 had been poisoned before, several more than once. In 32 cases there had been recent or concurrent illness in some member of the household. Three circumstances were found to occur commonly, and singly or in combination accounted for 86 of the poisonings: 1) In 26 cases some person other than the parents (siblings, other children, neighbors, relatives, friends) played an important part either by making it possible for the patient to reach the poison or by failing to put it away. 2) In 31 cases the parents did not think that the child could climb, open doors, unscrew caps, or perform other tasks necessary to get the poison. 3) In 53 cases the poison was not in its usual location, either because it was in use, because persons other than the parents had left it out, or because the parents themselves were careless. As most of these parents appeared to have some degree of safety consciousness and at least tried to provide a safe place in which to keep potential poisons, they would probably profit from specific advice based on the most common circumstances under which poisonings occur.

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