ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2018
The burden of intentional self-poisoning on a district-level public Hospital in Cape Town, South Africa.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Effectiveness of treatments for propranolol toxicity: a systematic review of current approaches and evidence.European journal of clinical pharmacology · 2026Pooled it
- Exploring the knowledge and practice of calcium channel blocker overdose management among South African Emergency Medicine doctors.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Septic pulmonary embolism in Somali children: a retrospective study from a tertiary hospital.Frontiers in pediatrics · 2026Article
- Current pesticide suicide surveillance methods used across the African continent: a scoping review.BMJ open · 2025Article
- The impact of the COVID-19 pandemic on presentations with suicidal behaviour in a tertiary hospital Emergency Centre in the Eastern Cape, South Africa-A cross-sectional analysis.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Self-inflicted ingestion of harmful chemicals in adolescents and adults: risk factors and characteristics.BMC public health · 2024Article
- An approach to the management of acute poisoning in emergency settings.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Uncovering the Hidden Burden of Pharmaceutical Poisoning in High-Income and Low-Middle-Income Countries: A Scoping Review.Pharmacy (Basel, Switzerland) · 2023Article
- A descriptive analysis of the casemix presenting to a tertiary hospital emergency centre in East London, South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Calcium Channel Blocker Toxicity: A Practical Approach.Journal of multidisciplinary healthcare · 2022Review
- An electronic survey of preferred podcast format and content requirements among trainee emergency medicine specialists in four Southern African universities.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- The burden of HIV and tuberculosis on the resuscitation area of an urban district-level hospital in Cape Town.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Acute poisonings presenting to King Edward VIII hospital intensive care unit in Durban, South Africa.The Southern African journal of critical care : the official journal of the Critical Care Society · 2021Article
- An analysis of 1344 consecutive acute intoxication cases admitted to an academic emergency medicine department in Turkey.Northern clinics of Istanbul · 2021Article
- Core competencies required by toxicology graduates in order to function effectively in a Poisons Information Centre: A Delphi study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Article
- The economic burden of deliberate self-poisoning: insight from a tertiary hospital in the Free State Province, South Africa.The Pan African medical journal · 2020Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIntentional self-poisoning is a significant part of the toxicological burden experienced by emergency centres. The aim of this study was to describe all adults presenting with intentional self-poisoning over a six-month period to the resuscitation unit of Khayelitsha Hospital, Cape Town.
methodsAdult patients with a diagnosis of intentional self-poisoning between 1 November 2014 and 30 April 2015 were retrospectively analysed after eligible patients were obtained from the Khayelitsha Hospital Emergency Centre database. Missing data and variables not initially captured in the database were retrospectively collected by means of a chart review. Summary statistics were used to describe all variables.
resultsA total of 192 patients were included in the analysis. The mean age was 27.3 years with the majority being female (n = 132, 68.8%). HIV-infection was a comorbidity in 39 (20.3%) patients, while 13 (6.8%) previously attempted suicide. Presentations per day of the week were almost equally distributed while most patients presented after conventional office hours (n = 152, 79.2%), were transported from home (n = 124, 64.6%) and arrived by ambulance (n = 126, 65.6%). Patients spend a median time of 3h37m in the resuscitation unit (interquartile range 1 h 45 m-7 h 00 m; maximum 65 h 49 m). Patient acuity on admission was mostly low according to both the Triage Early Warning Score (non-urgent n = 100, 52.1%) and the Poison Severity Score (minor severity n = 107, 55.7%). Pharmaceuticals were the most common type of toxin ingested (261/343, 76.1%), with paracetamol the most frequently ingested toxin (n = 48, 25.0%). Eleven patients (5.7%) were intubated, 27 (14.1%) received N-acetylcysteine, and 18 (9.4%) received benzodiazepines. Fourteen (7.3%) patients were transferred to a higher level of care and four deaths (2%) were reported. DISCUSSION: Intentional self-poisoning patients place a significant burden on emergency centres. The high percentage of low-grade acuity patients managed in a high-acuity area is of concern and should be investigated further.
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Registered trials
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