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ABSTRACT: Objective
To compare the clinical and procedural characteristics of emergency hospital admissions for drug poisoning and major diseases.Design
Retrospective observational study.Setting
Discharged patients from 855 acute care hospitals from 1 July to 31 December in 2008 in Japan.Results
There were a total of 1 157 893 emergency hospital admissions. Among the top 100 causes, drug poisoning was ranked higher in terms of the percentage of patients using ambulance services (74.1%; second) and tertiary emergency medical services (37.8%; first). Despite higher utilisation of emergency care resources, drug poisoning ranked lower in terms of the median length of stay (2 days; 100th), percentage of requirement for surgical procedures (1.7%; 91st) and inhospital mortality ratio (0.3%; 74th).Conclusions
Drug poisoning is unique among the top 100 causes of emergency admissions. Our findings suggest that drug poisoning imposes a greater burden on emergency care resources but has a less severe clinical course than other causes of admissions. Future research should focus on strategies to reduce the burden of drug poisoning on emergency medical systems.
SUBMITTER: Okumura Y
PROVIDER: S-EPMC3533045 | biostudies-literature | 2012
REPOSITORIES: biostudies-literature
Okumura Yasuyuki Y Shimizu Sayuri S Ishikawa Koichi B KB Matsuda Shinya S Fushimi Kiyohide K Ito Hiroto H
BMJ open 20121205 6
<h4>Objective</h4>To compare the clinical and procedural characteristics of emergency hospital admissions for drug poisoning and major diseases.<h4>Design</h4>Retrospective observational study.<h4>Setting</h4>Discharged patients from 855 acute care hospitals from 1 July to 31 December in 2008 in Japan.<h4>Results</h4>There were a total of 1 157 893 emergency hospital admissions. Among the top 100 causes, drug poisoning was ranked higher in terms of the percentage of patients using ambulance serv ...[more]