Cited by 11Poisoning and overdose treatmentsForensic Toxicology and Drug AnalysisOpioid Use Disorder Treatment

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Acute drug poisonings leading to hospitalization

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Abstract

Knowledge about current trends and epidemiology in poisonings is important to maintain quality in diagnostics, treatment and prevention. We performed a cross‐sectional study of all cases (n = 261) admitted with drug poisoning to Aalborg University Hospital during 1 year in 2017–2018. Median age was 30 (22–49) years, and 58% were female. Fifty percent were suicide attempts. In most cases, involved drugs were identified by history taking; blood analysis barely revealed any additional paracetamol and salicylicate poisonings. Drugs prescribed to the patient or available over the counter were involved in nearly two thirds of cases. Weak analgesics dominated by paracetamol (n = 91, 35%) was the most frequently involved group of drugs followed by opioids and benzodiazepines. Gender differences were observed with respect to involvement of weak analgesics and central stimulants. A higher prevalence of unidentified involved drugs was observed in 26 cases (10%) in which the length of admission exceeded 2 days and/or intensive care was needed. No deaths, cardiac arrhythmias or physical complications occurred. Thus, current handling of the acute poisoning seems effective in most cases. However, a more tailored use of blood analyses including a toxicological screen in selected cases may represent an opportunity for improvement.

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Crossref · 10.1111/bcpt.13688

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Metadata

Authors
Andersen, C. U., Nielsen, L. P., Møller, J. M., & Olesen, A. E.
Affiliations
  • Aarhus University (DK)
  • Aalborg University Hospital (DK)
Corresponding author
Andersen, Charlotte Uggerhøj
Venue
Basic & Clinical Pharmacology & Toxicology
Publisher
Wiley
Published
2021-12-03
Volume
130
Issue
2
Pages
328-336
ISSN
  • 1742-7835 (ISSN-L)
  • 1742-7843
OpenAlex
W3216954007
Cited by
11
References
20
Citations by year
2026: 1 · 2025: 1 · 2024: 2 · 2023: 5 · 2022: 2
FWCI
2.35
Type
journal article
Language
en
Open access
Locations
  • Basic & Clinical Pharmacology & Toxicology (publishedVersion)
  • PubMed (publishedVersion)
  • VBN Forskningsportal (Aalborg Universitet) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Emergency Medicine › Poisoning and overdose treatments
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Forensic Toxicology and Drug Analysis
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords
acute drug poisoning, hospitalization, suicide attempts, acetaminophen toxicity, salicylate toxicity, opioids, benzodiazepines, central stimulants, toxicity screening, blood analysis, gender differences, over-the-counter drugs, intensive care
MeSH terms
Acute Disease, Adult, Cross-Sectional Studies, Nonprescription Drugs, Female, Hospitalization, Hospitals, University, Humans, Male, Middle Aged, Poisoning, Retrospective Studies, Suicide, Attempted, Prescription Drugs, Young Adult

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