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Titolo:
Measuring plasma paracetamol concentrations in all patients with drug overdose or altered consciousness: Does it change outcome?
Autore:
Dargan, PI; Ladhani, S; Jones, AL;
Indirizzi:
Guys & St Thomas Hosp, Med Toxicol Unit, London SE14 5ER, England Guys & St Thomas Hosp London England SE14 5ER , London SE14 5ER, England
Titolo Testata:
EMERGENCY MEDICINE JOURNAL
fascicolo: 3, volume: 18, anno: 2001,
pagine: 178 - 182
SICI:
1472-0205(200105)18:3<178:MPPCIA>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
N-ACETYLCYSTEINE; ACETAMINOPHEN; DEPARTMENTS; EMERGENCY; ACCIDENT;
Keywords:
paracetamol; acetaminophen; overdose; screening; prognosis; predictive value;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Dargan, PI Guys & St Thomas Hosp, Med Toxicol Unit, Avonley Rd, London SE14 5ER, England Guys & St Thomas Hosp Avonley Rd London England SE14 5ER gland
Citazione:
P.I. Dargan et al., "Measuring plasma paracetamol concentrations in all patients with drug overdose or altered consciousness: Does it change outcome?", EMERG MED J, 18(3), 2001, pp. 178-182

Abstract

Objective-To assess whether measuring plasma paracetamol concentrations inall patients with drug overdose or collapse (altered consciousness) changes outcome. Method-A retrospective survey was performed of all patients attending the Accident and Emergency Department at Guy's Hospital, London over a 12 monthperiod who had plasma paracetamol concentrations measured (it is hospital policy that patients presenting after any drug overdose, or with a collapse/altered consciousness have a plasma paracetamol concentration). Results-A total of 440 patients were identified who had plasma paracetamolconcentrations measured, of whom 411 were eligible for the study. Altogether 115 patients presented after a collapse and paracetamol was detected in four of these. A total of 296 patients presented after a drug overdose-136 denied overdose with a paracetamol containing product and paracetamol was not detected in any of these 136 cases. Of the remaining 160 patients who gave a positive history for overdose with paracetamol, 122 presented within 24 hours and 94 had detectable paracetamol values with 16 cases above the treatment line, 12 presented more than 24 hours after ingestion, and 26 presented with a staggered overdose. One patient died as a result of paracetamoloverdose. Conclusions-This is the first study in the United Kingdom to evaluate the clinical value of routine paracetamol levels in patients presenting to the emergency department after any overdose or a collapse. Taking blood samplesfor plasma paracetamol estimation in patients who deny taking paracetamol is of little clinical value. However, there is the potential for missing significant paracetamol poisoning in patients presenting with collapse and soscreening with a plasma paracetamol concentration is clinically justified in these patients. Such an approach can only be justified in a country in which paracetamol poisoning is prevalent, such as the United Kingdom.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 15:25:52