TY - JOUR PY - 2010// TI - Acute intoxication: Differences in men and women JO - Emergencias A1 - Clemente Rodríguez, C. A1 - Aguirre Tejedo, A.A. A1 - Echarte Pazos, J.L. A1 - Puente Palacios, I. A1 - Iglesias Lepine, M.L. A1 - Supervía Caparrós, A. SP - 435 EP - 440 VL - 22 IS - 6 N2 - OBJECTIVE: To analyze intoxications treated in our emergency department according to the patient's gender.

METHODS: Retrospective study of intoxications treated in 2003 and 2004. We recorded patient characteristics, place where the toxic exposure occurred, treatment, and destination on discharge; data for men and women were compared.

RESULTS: Our department recorded treating 1531 cases of intoxication. Mean patient age was 34 years; 56.6% were men. Suicide was the motive for more women than men (35.6% vs 18.8%), and women suffered more accidental intoxications than men (11.7% vs 4.2%). However, fewer recreational intoxications were treated in women (52.6% vs 77.0%) (P<.001 for all comparisons). Toxic exposure occurred in a public place more often in men (68.1%) than women (46.8%), who were more frequently exposed at home (50.8% vs 28.9% for men) (P<.001). Men more often had a history of prior intoxication (51.6% vs 39.2%, P<.001). Drug-related intoxications were more common in women overall (31.6% vs 12.6%), but men had more drug abuse exposures (23.8% vs 11.3%) (P<.001, both comparisons). Regarding street drug abuse, more polydrug intoxications were also recorded for men (43.9% vs 31.3%, P=.003). Psychiatric evaluations were performed in 27.7% of the men and 40.2% of the women (P<.001). Treatment differed only for the percentage of gastrointestinal tract decontaminations performed (16.8% of women vs 7.3% of men, P<001). Destination on discharge did not differ.

CONCLUSIONS: In women, intoxications occurred at home from drugs and products found in the home and women more often used exposure to a toxic substance to attempt suicide. Recreational use of illicit toxic substances was more common in men, who also used public places more often.

Language: es

LA - es SN - 1137-6821 UR - http://dx.doi.org/ ID - ref1 ER -