Description

Naim et al identified factors associated with prolonged intensive care unit (ICU) stay or death for a self-poisoned patient. These can help to identify a patient who may require more aggressive management. The authors are from Lariboisiere Hospital and Paris University in France.


Patient selection: self-poisoned patient admitted to the ICU

Exclusions: adverse drug effects, chronic intoxications

 

Frequency of prolonged ICU stay: 13%

Frequency of death: 9%

 

Predictors of prolonged ICU stay (>= 7 days):

(1) acute kidney injury (OR 3.2)

(2) multi-organ failure (OR 8.1)

(3) aspiration pneumonia (OR 8.5)

(4) delayed awakening (OR 8.6)

 

Predictors of in-hospital death:

(1) cardiac arrest prior to admission or soon after admission (OR 27.3)

(2) delayed awakening (OR 14.9)

 

Poisoning with a psychotropic drug was associated with a reduced risk of mortality (OR 0.08).


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