Evidence map›Paper›PMID 26268351›Full record

Observational studyBMC emergency medicine2015

Patients presenting with acute poisoning to an outpatient emergency clinic: a one-year observational study in Oslo, Norway.

Odd Martin Vallersnes, Dag Jacobsen, Øivind Ekeberg, Mette Brekke

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
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  13. Changing Pattern of Acute Alcohol Intoxications in Children.Medical science monitor : international medical journal of experimental and clinical research · 2018
    Article
  14. Article
  15. Intoxication with GHB/GBL: characteristics and trends from ambulance-attended overdoses.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017
    Article
  16. Article
  17. Article
  18. Outpatient treatment of acute poisoning by substances of abuse: a prospective observational cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2016
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Odd Martin VallersnesDepartment of General Practice, University of Oslo, Oslo, Norway. o.m.vallersnes@medisin.uio.no.
Dag JacobsenDepartment of Acute Medicine, Oslo University Hospital, Oslo, Norway. uxdaja@ous-hf.no.
Øivind EkebergDivision of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway. uxoiek@ous-hf.no.
Mette BrekkeDepartment of General Practice, University of Oslo, Oslo, Norway. mette.brekke@medisin.uio.no.
Oslo University Hospital · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Oslo, the majority of patients with acute poisoning are treated in primary care, at an emergency outpatient clinic with limited diagnostic and treatment resources. We describe the poisonings currently seen in this setting. We compare our findings with previous studies, with special concern for the appearance of new toxic agents, and changes in overall numbers and patterns of poisoning.

methodsObservational study. Patients above the age of 12 years presenting at Oslo Accident and Emergency Outpatient Clinic (Oslo Legevakt) with acute poisoning were included consecutively from October 2011 through September 2012. Physicians and nurses registered data on preset forms. Main outcome measures were toxic agents, age, sex, intention, referral and time of presentation.

resultsThere were 2923 episodes of acute poisoning in 2261 patients. Median age of the patients was 32 years, and 1430 (63%) were males. The most frequent toxic agents were ethanol in 1684 (58%) episodes, heroin in 542 (19 %), benzodiazepines in 521 (18%), amphetamine in 275 (9%), fire smoke in 192 (7%), gamma-hydroxybutyrate (GHB) in 144 (5%), and cannabis in 143 (5%). In 904 (31%) poisonings there were more than one toxic agent. In 493 episodes (17%), the patient was hospitalised, and in 60 episodes (2%) admitted to a psychiatric ward. Most poisonings, 2328 (80%), were accidental overdoses with substances of abuse, 276 (9%) were suicide attempts, and 312 (11%) were accidents. Among ethanol poisonings in patients above the age of 26 years, 685/934 (73%) were in males, and 339/934 (36%) presented during weekends. However, among ethanol poisonings in patients under the age of 26 years, 221/451 (49 ) were in females, and 297/451 (66%) presented during weekends.

conclusionsThe poisonings treated in this primary care setting were mostly due to accidental overdoses with ethanol or other substances of abuse. There is a disconcerting weekend drinking pattern among adolescents and young adults, with young females presenting as often as young males with ethanol poisoning.

Indexed as

AdolescentAdultAgedAged, 80 and overAmbulatory Care FacilitiesChildCross-Sectional StudiesDrug OverdoseEmergency Medical ServicesFemaleHumansMaleMiddle AgedNorwayPoisoningPrimary Health Care

Identifiers

PMID26268351
PMCPMC4535826
OpenAlexW1770519791

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.