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https://hdl.handle.net/11499/7205
Title: | Hospital costs of managing deliberate self-poisoning in Turkey | Authors: | Serinken, Mustafa Karcioglu, O. Sengul, C. Türkçüer, İbrahim Keysan, M.K. |
Keywords: | Deliberate self-harm Deliberate self-poisoning Hospital costs Intoxication Suicide acetylcysteine activated carbon antibiotic agent antidepressant agent flumazenil neuroleptic agent nonsteroid antiinflammatory agent paracetamol adolescent adult article automutilation demography diagnostic imaging dialysis drug cost endotracheal intubation female fluid therapy health care cost high risk population hospital charge human intensive care unit intestine lavage intubation laboratory test major clinical study male medical fee medical instrumentation nasogastric tube oxygen therapy patient monitoring patient referral self poisoning sex difference statistical significance stomach lavage suicide attempt Turkey (republic) vein puncture Adolescent Adult Age Distribution Cost-Benefit Analysis Female Humans Male Poison Control Centers Sex Distribution Suicide, Attempted Turkey |
Abstract: | Background: Most published data on the characteristics and direct hospital costs of deliberate self-poisoning (DSP) were collected from developed countries. This study was conducted to investigate hospital costs of DSP cases and relevant factors in a university-based emergency department (ED) in Turkey. Material/Methods: All patients referred to the ED due to DSP in the one-year period between October 1, 2005, and September 30, 2006, were investigated prospectively. Clinical and demographic features were analyzed. Results: The female-to-male ratio was 6.3 (189/30). Mean age of the patients was 24.5±5.7 years. Medical drugs comprised 93.6% (n=205) of the substances ingested in admissions due to DSP. The mean cost of patients with DSP was calculated to be $144.06±90.83. Treatment costs constituted 36.2% of the total figure ($52.27). Total costs showed statistically significant differences with respect to sex, type of intoxicants, and location of treatment. Venipuncture, monitoring, nasogastric tube insertion, and gastric lavage were the procedures most commonly applied. Activated charcoal was administered to 66.9% (n=146) of the study sample. Conclusions: The study sample had many differences in demographic and clinical outcomes of patients with DSP as well as hospital costs compared with global reports. Gender, ingestion of non-medical substances, and treatment location affected the total hospital costs of these patients. Strategies focusing on high-risk subgroups and conditions may help to reduce unnecessary expenses. © Med Sci Monit, 2008. | URI: | https://hdl.handle.net/11499/7205 | ISSN: | 1234-1010 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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