Geographic Difference in Elderly with Acute Poisoning
Tóm tắt
In the elderly, a significant decline in the liver and renal function was observed with increasing aging. This study aims to identify the characteristics of elderly with acute poisoning and analyzed the difference between Asia and non-Asia. We gathered works of literature from the Google Scholar database and PubMed with limits in human, English, MEDLINE, age above 65 years old, and title or abstract of “acute poisoning in the elderly” from the year 1983 to 2019. During the 36 years, 11 articles from Google Scholar (including 9 articles in PubMed) with 34,593 patients were included to study. Data of age, gender, etiology, poisoned substance, outcome, length of stay (LOS), and mortality rate were collected, and we divide them into two groups: Asia and non-Asia, to compare the diversities and discussion were made. The mean ± SD (standard deviation) in age is 72.3 ± 4.5 years old. Of these patients, 57.8% were male. Accidental poisoning was more common in elderlies. Of the types of poisoning, drugs were the most common substance (40.4%). Among all the cases in this study, 60.2% were admitted to the hospital after poisoning. Of them, 26.2% were admitted to an intensive care unit (ICU). The mortality rate of the study participants was 13.2%. Most of the poisoned elderly patients are unintentional, and drug (BZDs) is the most common agent poisoned. Asia group of poisoned elderly patients are older, male predominant, more intentional, and having a higher rate of mortality than the non-Asia group.
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