TY  - JOUR
PY  - 2019//
TI  - An analysis of reports concerning overdose evaluated by abdominal computed tomography
JO  - Acute medicine and surgery
A1  - Yanagawa, Youichi
A1  - Muramatsu, Ken-Ichi
A1  - Nagasawa, Hiroki
A1  - Takeuchi, Ikuto
A1  - Kushida, Yoshihiro
A1  - Jitsuiki, Kei
A1  - Ohsaka, Hiromichi
A1  - Oode, Yasumasa
A1  - Omori, Kazuhiko
SP  - 352
EP  - 357
VL  - 6
IS  - 4
N2  - Recently, there have been a number of reports concerning the utility of abdominal computed tomography (CT) for diagnosing overdose (OD). We herein report the summary and results of an analysis of these reports to assess the significance of CT for patients with OD. Searches of Ichushi (Japana Centra Revuo Medicine) and PubMed were carried out to identify articles from 1983 to 2019 using the key words "poisoning" and "abdominal computed tomography". Forty-eight cases across 15 articles were defined as subjects in this report. The average age of subjects was 46 years old, and there were 28 women. Forty-five of the 48 subjects (93.8%) had positive findings of residual drugs on CT. The finding of a high-density fluid level in the stomach was the most frequent (60.4%), followed by ill-defined high-density material in the stomach (12.5%) and high-density tablets in the stomach (10.4%). One prospective study suggested the merits of decontamination for patients with positive findings on CT even if more than 60 min had elapsed since the ingestion of drugs. Computed tomography could aid in the diagnosis of OD in comatose patients who cannot talk or who present without any other evidence of OD. In addition, a recent study revealed the merits of decontamination for patients with positive findings on the CT even if more than 60 min had elapsed since the ingestion of drugs.<br><br>© 2019 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.<p />  <p>Language: en</p>
LA  - en
SN  - 2052-8817
UR  - http://dx.doi.org/10.1002/ams2.424
ID  - ref1
ER  -