TY  - JOUR
PY  - 2019//
TI  - Long-term mortality and cause of death for patients treated in Intensive Care Units due to poisoning
JO  - Acta anaesthesiologica Scandinavica
A1  - Lindqvist, Elin
A1  - Edman, Gunnar
A1  - Hollenberg, Jacob
A1  - Nordberg, Per
A1  - Forsberg, Sune
SP  - 500
EP  - 505
VL  - 63
IS  - 4
N2  - BACKGROUND: Poisoned patients treated in the Intensive Care Unit are common, representing up to 6% of all ICU admissions. The in-hospital mortality is generally low but little is known about the long-term mortality in these patients. The aim of this study was to describe long-term mortality and cause of death in patients treated in the ICU for poisoning. <br><br>METHOD: A national observational study based on three registers: the National Patient Register, the Swedish Intensive Care Register and the Cause of Death Register. All patients ≥19 years admitted to a Swedish Intensive Care Unit between January 1, 2010 and December 31, 2011 with an ICD-10 code for poisoning were included. <br><br>RESULTS: A total of 6730 patients were included. The one-year mortality was 4.5% (n = 303), with an overweight of men among the deceased (59.1%, P = 0.002). Patients aged 19-39 years had a 48 times increased one-year mortality compared to the age-matched general population and 94% of these patients died from suicide and/or accident, of which 70% were from a new poisoning. The two-year mortality was 7.2%. Women have a slightly higher overall long-term survival over two years (P< 0.001). <br><br>CONCLUSION: The risk of premature death is markedly increased in younger patients one and two years after an ICU hospitalisation for non-fatal poisoning compared to the general population. A large majority die due to a new poisoning incident despite a previously known recent severe poisoning. EDITORIAL COMMENT: Admission to ICU with poisoning, and particularly self-poisoning, may be associated with long-term mortaliity. In this study of 6730 patients admitted to a Swedish ICU for poisoning, the in-hospital mortality was low for that admission, but there is an increased risk of later mortality in young patients one and two years after hospital discharge.<br><br>© 2018 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.<p />  <p>Language: en</p>
LA  - en
SN  - 0001-5172
UR  - http://dx.doi.org/10.1111/aas.13289
ID  - ref1
ER  -