TY - JOUR PY - 1996// TI - Intentional drug overdose: predictors of clinical course in the intensive care unit JO - Heart and lung A1 - Heyman, E. N. A1 - LoCastro, D. E. A1 - Gouse, L. H. A1 - Morris, D. L. A1 - Lombardo, B. A. A1 - Montenegro, H. D. A1 - Takacs, M. SP - 246 EP - 252 VL - 25 IS - 3 N2 - OBJECTIVE: To examine the characteristics of patients admitted to the Medical Intensive Care Unit (MICU) after intentional drug overdose. DESIGN: Retrospective chart review, descriptive. SETTING: Midwestern teaching hospital. SUBJECTS: Convenience sample of 43 patients admitted to the MICU after intentional drug overdose. OUTCOME MEASURES: Survival and disposition of those patients who survived and were discharged from the MICU. RESULTS: Ninety-five percent of the patients survived and were discharged from the MICU; Acute Physiology and Chronic Health Evaluation II scores ranged from 1 to 29 (mean, 8); Glascow Coma Scale scores ranged from 3 to 15 (mean 12.5); five patients were intubated and two patients had serious electrocardiograph changes requiring pharmacologic intervention for dysrhythmia. CONCLUSIONS: Neurologic findings were the best indicators of serious complications after drug overdose. THerefore, patients with a Glascow Coma Scale score of more than six, and who are not intubated, may not need admission to an intensive care unit.
Language: en
LA - en SN - 0147-9563 UR - http://dx.doi.org/ ID - ref1 ER -