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Afzali, Saeed, Seifrabiei, Mohammad Ali, Taheri, Seyed Kazem, Pourabdollah, Jahangir. (1394). Acute Poisoning in Elderly; a Five-Year Study (2008-2013) in Hamadan, Iran. , 4(4), 143-146. doi: 10.22038/apjmt.2015.6360
Saeed Afzali; Mohammad Ali Seifrabiei; Seyed Kazem Taheri; Jahangir Pourabdollah. "Acute Poisoning in Elderly; a Five-Year Study (2008-2013) in Hamadan, Iran". , 4, 4, 1394, 143-146. doi: 10.22038/apjmt.2015.6360
Afzali, Saeed, Seifrabiei, Mohammad Ali, Taheri, Seyed Kazem, Pourabdollah, Jahangir. (1394). 'Acute Poisoning in Elderly; a Five-Year Study (2008-2013) in Hamadan, Iran', , 4(4), pp. 143-146. doi: 10.22038/apjmt.2015.6360
Afzali, Saeed, Seifrabiei, Mohammad Ali, Taheri, Seyed Kazem, Pourabdollah, Jahangir. Acute Poisoning in Elderly; a Five-Year Study (2008-2013) in Hamadan, Iran. , 1394; 4(4): 143-146. doi: 10.22038/apjmt.2015.6360

Acute Poisoning in Elderly; a Five-Year Study (2008-2013) in Hamadan, Iran

Asia Pacific Journal of Medical Toxicology
مقاله 4، دوره 4، شماره 4، اسفند 2015، صفحه 143-146    اصل مقاله (422.13 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22038/apjmt.2015.6360
نویسندگان
Saeed Afzali* 1؛ Mohammad Ali Seifrabiei2؛ Seyed Kazem Taheri2؛ Jahangir Pourabdollah3
1Department of Forensic Medicine and Toxicology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
2Department of Community Medicine, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
3School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
چکیده
Background: A good proportion of poisoned patients treated at poisoning wards are elderly. This study was designed to evaluate the epidemiologic pattern of acute poisoning in elderly in Hamadan, western Iran.
Methods: In this retrospective cross-sectional study, poisoned patients aged 60 years and older treated at department of poisoning of Farshchian Hospital from March 2008 to March 2013 were included.
Results: In this 5-year period, 7951 poisoned patients were treated at Farshchian Hospital in Hamadan, Iran. Among them, 418 (5.3%) patients were 60 years old or older, with mean age of 71.6 ± 5.1 years. Narcotics and recreational substances were the most common type of poisons responsible for poisoning (46.4%), which among them, methadone was the most commonly used drug (20.3%). Neurologic medicines were the most commonly used pharmaceutical products (16%), among which, benzodiazepines (8.9%) were responsible for the highest number of poisonings due to pharmaceuticals. Fifteen patients (3.6%) including 13 men and 2 women died. The toxic agents used by cases with fatal outcome were opioids (8 patients), organophosphates (5 patients) and aluminum phosphide (2 patients). Men were found to be significantly more affected with recreational substances (P < 0.001) and pesticides (P < 0.001), while poisoning with pharmaceutical products (P = 0.017) was significantly more common in women. Regarding the intention of poisoning, accidental poisoning (P = 0.025) and overdose (P < 0.001) were significantly more common in men while deliberate self-poisoning was significantly more frequent in women (P < 0.001).
Conclusion: Deliberate self-harm and poisoning with opioids especially methadone showed a high prevalence in elderly poisoned patients in Hamadan, Iran.  It seems that drug trafficking control, addiction rehabilitation therapies and suicide prevention programs for elderly can be helpful in poisoning reduction in this age group in this part of the country.
کلیدواژه‌ها
Aged؛ Iran؛ methadone؛ Opioid-Related Disorders؛ Poisoning
اصل مقاله

How to cite this article: Afzali S, Seifrabiei MA, Taheri SK, Pourabdollah J. Acute Poisoning in Elderly; a Five-Year Study (2008-2013) in Hamadan, Iran. Asia Pac J Med Toxicol 2015;4:143-6.

مراجع
  1. Ameri GF, Govari F, Nazari T, Rashidinejad M, Afsharzadeh P. The adult age theories and definition. J Hayat. 2002;8:4-13. (In Persian)
  2. World Health Organization. Health statistics and information systems: Definition of an older or elderly person [Internet]. 2015 [cited 3 Aug 2015]. Available from: http://www.who.int/healthinfo/survey/ageingdefnolder/en/
  3. United Nations, Department of Economic and Social Affairs, Population Division. World Population Ageing 2013. Herndon, VA, USA: United Nations publication; 2013.
  4. Bolton S, Brunier A. First WHO report on suicide prevention [Internet]. 2014 [updated 4 Sep 2014, cited 14 Oct 2015]. Available from:http://www.who.int/mediacentre/news/releases/2014/suicide-prevention-report/en
  5. Moradi S, Khademi A. Evaluation of suicides resulting in death in Iran, comparing with the world rates. J Legal Med 2002;27:16-21. (In Persian)
  6. Mortazavi SM, Haaji Y, Khonche A, Jamilian H. Epidemiology and Causes of Poisoning in patients Referred to Loqman Hospital, Tehran, Iran during summer 2010. Iran J Toxicol 2012;6:642-8.
  7. Mühlberg W, Becher K, Heppner HJ.  Wicklein S, Sieber C. Acute poisoning in old and very old patients: a longitudinal retrospective study of 5883 patients in a toxicological intensive care unit. Z Gerontol Geriatr 2005;38:182-9.
  8. Hu YH, Chou HL, Lu WH, Huang HH, Yang CC, Yen DH et al . Features and prognostic factors for elderly with acute poisoning in the emergency department. J Chin Med Assoc 2010;73:78-87.
  9. Karbakhsh M, Zandi NS. Pattern of poisoning in the elderly: an experience from Tehran. Clin Toxicol (Phila) 2008;46:211-7.
  10. Klein-Schwartz W, Oderda GM. Poisoning in the elderly. Epidemiological, clinical and management considerations. Drugs Aging. 1991;1:67-89.
  11. Miranda Arto P, Ferrer Dufol A, Ruiz Ruiz F, Menao Guillén S, Civeira Murillo E. Acute poisoning in patients over 65 years of age. An Sist Sanit Navar 2014;37:99-108. (In Spanish)
  12. Khodabandeh F, Noorbala AA, Kahani S, Bagher A. A Study on the Factors Associated with Attempting Suicide in Middle and Old Age Patients Referred to Loghman Hospital Poison Center in 2009. Health Psychol 2012;11:1-11. (In Persian)
  13. Zhang J, Jiang C, Jia S, Wieczorek WF. An Overview of Suicide Research in China. Arch Suicide Res 2002;6:167-184.
  14. Sarkar D, Shaheduzzaman M, Hossain MI, Ahmed M, Mohammad N, Basher A. Spectrum of Acute Pharmaceutical and Chemical Poisoning in Northern Bangladesh. Asia Pac J Med Toxicol 2013;2:2-5.
  15. Soltaninejad K, Hassanian-Moghaddam H, Shadnia S. Methadone Related Poisoning on the Rise in Tehran, Iran. Asia Pac J Med Toxicol 2014;3:104-9.
  16. Calabrese J. Iran’s war on drugs: holding the line. Washington, USA: The Middle East Institute; 2007.
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