Evidence map›Paper›PMID 31885923›Full record

ArticleEmergency medicine international2019

Presentations Related to Acute Paracetamol Intoxication in an Urban Emergency Department in Switzerland.

Natalia Piotrowska, Jolanta Klukowska-Rötzler, Beat Lehmann, Gert Krummrey, Manuel Haschke, Aristomenis K Exadaktylos, Evangelia Liakoni

Abstract read
In one paragraph

Article in Emergency medicine international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

7 authors.

Natalia PiotrowskaDepartment of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland.
Jolanta Klukowska-RötzlerDepartment of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0001-7956-2724
Beat LehmannDepartment of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0003-3218-2470
Gert KrummreyDepartment of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland.
Manuel HaschkeClinical Pharmacology and Toxicology, Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Aristomenis K ExadaktylosDepartment of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland.
Evangelia LiakoniClinical Pharmacology and Toxicology, Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0002-2239-1378

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the characteristics of Emergency Department (ED) presentations due to acute paracetamol intoxication.

methodsRetrospective observational study of patients presenting to the ED of Bern University Hospital between May 1, 2012, and October 31, 2018, due to a paracetamol overdose (defined as intake of >4 g/24 h). Cases were identified using the full-text search of the electronic patient database and were grouped into intentional (suicidal/parasuicidal) and unintentional intoxications (e.g., patient unaware of maximal daily dose).

resultsDuring the study period, 181 cases were included and 143 (79%) of those were intentional. Compared to the patients in the unintentional group, patients in the intentional group were more often female (85% vs 45%,

conclusionsThe majority of presentations due to paracetamol poisoning were intentional, most commonly in female patients with borderline personality disorder. Patients with unintentional paracetamol intoxication had worse outcomes with respect to acute liver failure and hospitalisation. Future preventive measures should raise awareness of paracetamol toxicity in the general population and encourage particular attention and frequent follow-ups when prescribing paracetamol for vulnerable groups.

Identifiers

PMID31885923
PMCPMC6925749

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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.