Citation

Richard A, Debaty G, Pommier P, Koch FX, Briot R, Loizzo F, Carpentier F, Danel V, Maignan M. Ann. Fr. Med. Urgence 2014; 4(1): 23-28.

Copyright

(Copyright © 2014, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s13341-013-0388-9

PMID

unavailable

Abstract

AIM: Acute drug self-poisoning (DSP) is frequently encountered in emergency medical services. Previous studies seem to show that poisoning dispatch is not efficient. Our aim was to investigate secondary dispatch of mobile intensive care units (MICUs) as a criterion of quality and we also wanted to identify factors associated with secondary dispatch. Procedure: We conducted a retrospective and monocentric study from 01 January 2008 to 31 December 2010.We included DSP patients who benefitted from a MICU dispatch.We compared epidemiological (age, gender, co-morbidities) and toxicological (drug class and supposed ingested dose) data between patients who were immediately treated by a MICU team and patients for whom a MICU was secondarily dispatched upon the request of first-responders. Variables significantly different between groups were then included in a multiple regression analysis.

RESULTS: Three hundred and twelve DSP patients were included with 69% of women and a median age of 45 years [35; 53]. A MICU team was immediately dispatched for 131 patients (41%). Patients with a secondary MICU dispatch were more frequently intubated (N = 67 [47%] vs N = 111 [61%], P = 0.001) and admitted to an intensive care unit (N = 87 [66%] vs N = 147 [81%], P = 0.001). Epidemiological and toxicological data were not different between groups.

CONCLUSION: A MICU is secondarily dispatched in more than 60% of severe DSP cases. Secondary dispatch is associated with an increased risk of intensive treatment. Toxicological and epidemiological data do not explain secondary dispatch. © 2013 Société française de médecine d'urgence and Springer-Verlag France.

Language: fr

Keywords

adult; human; suicide; female; male; clinical trial; comorbidity; article; major clinical study; risk; retrospective study; intensive care unit; hospital discharge; preventive health service; Self-poisoning; intubation; outcome assessment; Advance life support; Emergency medical dispatch