Evidence map›Paper›PMID 31584988›Full record

ArticlePloS one2019

Characteristics and costs in adults with acute poisoning admitted to the emergency department of a university hospital in Belgium.

Anne-Marie K Descamps, Dominique M Vandijck, Walter A Buylaert, Martine A Mostin, Peter De Paepe

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
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  4. Article
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  8. Article
  9. [Acute intoxications in the intensive care unit: A 10-year analysis].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022
    Article
  10. Article
  11. Socioeconomic factors and substances involved in poisoning-related emergency department visits in British Columbia, Canada.Health promotion and chronic disease prevention in Canada : research, policy and practice
    Article
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

5 authors at 2 institutions in 1 country.

Anne-Marie K DescampsAntigifcentrum/Centre Antipoisons, Brussels, Belgium.ORCID 0000-0003-0448-4420
Dominique M VandijckDepartment of Public Health of Ghent University, Ghent, Belgium.
Walter A BuylaertDepartment of Emergency Medicine of Ghent University Hospital, Ghent, Belgium.
Martine A MostinAntigifcentrum/Centre Antipoisons, Brussels, Belgium.
Peter De PaepeDepartment of Emergency Medicine of Ghent University Hospital, Ghent, Belgium.
Ghent University · BEGhent University Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aims of this study were to assess the characteristics of all acute poisoning admissions among adult emergency department (ED) patients, to identify factors associated with admission and to calculate direct medical cost.

methodsData of 2017 (1st January to 31st December) were collected and analyzed retrospectively using patients' medical records and hospital invoices. Factors associated with type of hospitalization were identified using appropriate statistics.

resultsA total of 1,214 hospital admissions were included, accounting for 3.6% of all ED admissions. Men (62.2%) and the age group 21-40 years (43.0%) accounted for the largest proportion. Substances most commonly involved were ethanol (52.9%), benzodiazepines (9.7%), cocaine (4.9%), cannabis (4.6%), antidepressants (4.6%) and psychostimulants (4.6%). A total of 4,561 treatment acts were recorded, most commonly monitoring of vital signs (63.6%) and medication and/or intravenous drip administration (62.9%). Patients were discharged home after having received care in the emergency department (ED-amb) in 54.5% of admissions, were admitted to the emergency-department-24-hours-observation unit (ED-24h) or were hospitalized (Hosp) in 24.6% and 20.9% of admissions, respectively. Factors found to be associated with hospitalization type were age, hour of admission, victim location, degree of severity, use of antidotes, involvement of antidepressants, antipsychotics, psychostimulants, benzodiazepines and ethanol. Total cost was €1,512,346 with an average of €1,287 per admission.

conclusionPoisonings entail a considerable percentage of patients admitted to an ED and financial burden. In particular, ethanol poisonings account for the largest proportion of all ED admissions. Comparison of our figures with other data is hampered by the heterogeneity in inclusion criteria. Availability of a uniform template would facilitate comparison and allow better monitoring policies for prevention and cost reduction.

Indexed as

Emergency Service, HospitalHealth Care CostsHospitals, UniversityAdolescentAdultAgedAge FactorsBelgiumEmergency Medical ServicesFemaleHumansMaleMiddle AgedOdds RatioPoisoningRetrospective Studies

Identifiers

PMID31584988
PMCPMC6777762
OpenAlexW2979071652

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.