Puiguriguer-Ferrando J, Yates-Bailo C, Gervilla-García E, Ortega-Pérez J, Alfaro García-Belenguer E, Jiménez-López R
Affiliation of the authors
Toxicology Unit, Emergency Department. Hospital University Son Espases. Toxicology Working Group Neuroscience Area Clinic of the Institut d’Investigació Sanitària de Baleares (IdiSBA), Spain. Behavioral Sciences Methodology Area, Department of Psychology, University of the Balearic Islands. Working Group on Statistical and Psychometric Procedures Applied in Health Sciences of the Institut d’Investigació Sanitària de Baleares (IdiSBA), Spain.
Puiguriguer-Ferrando J, Yates-Bailo C, Gervilla-García E, Ortega-Pérez J, Alfaro García-Belenguer E, Jiménez-López R. Medication overdoses: changes over time. Emergencias. 2019;31:107-110
Summary
Objective.
To review changes occurring over time in cases of medication overdose attended by an emergency department.
Methods.
Retrospective review of epidemiologic and care variables related to drug poisonings in a university teaching hospital in 2007 and 2017. We used multivariate analysis to compare the 2 years.
Results.
A total of 750 cases were included; 438 (58.4%) were from 2007. Fewer cases were seen in 2017 even though the total numbers of emergencies and poisonings had risen (P<.001). Fewer cases were suicides or suicide attempts in 2017 (P<.001), and digestive tract decontamination and antidotes were used less often (P<.001 and P=.007, respectively). Admissions (P=.004) and voluntary self-discharges or patient losses were also down in 2017 (P=.03). However, multidrug poisonings increased (P=.001), especially in the context of recreational drug use by men. Benzodiazepine overdoses accounted for most of such cases (65.1%).
Conclusions.
Medication overdoses seem to be decreasing, although the proportion of men overdosing is rising. Suicide attempts, the abuse of specific medications, and admissions also seem to be decreasing.
