TY  - JOUR
PY  - 2020//
TI  - Predictors of ICU admission and long-term outcomes in overdose presentations to emergency department
JO  - Australasian psychiatry
A1  - Savage, Mark
A1  - Kung, Ross
A1  - Green, Cameron
A1  - Thia, Brandon
A1  - Perera, Dinushka
A1  - Tiruvoipati, Ravindranath
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: To describe the characteristics of patients presenting to an Emergency Department (ED) following overdoses; to identify risk factors for intensive care unit (ICU) admission among these patients; and to identify the rate of mortality and repeat overdose presentations over four years. <br><br>METHODS: Adult patients presenting to ED following drug overdose during 2014 were included. Data were collected from medical notes and hospital databases. <br><br>RESULTS: During the study period, 654 patients presented to ED 800 times following overdose. Seventy-eight (9.8%) resulted in ICU admission, and 59 (7.4%) required intubation; 57.2% had no history of overdose presentations, and 72.9% involved patients with known psychiatric illness. Overdose of atypical antipsychotics (AAP), age and history of prior overdose independently predicted ICU admission. A third of patients (<i>n</i> = 196, 30%) had subsequent presentations to ED following overdose, in the four years from their index presentation, with an all-cause four-year mortality of 3.4% (<i>n</i> = 22). <br><br>CONCLUSION: A history of overdose, use of AAP and older age were risk factors for ICU admission following ED presentations. Over a third of patients had repeat overdose presentation in the four-year follow-up with a mortality of 3.4%.<p />  <p>Language: en</p>
LA  - en
SN  - 1039-8562
UR  - http://dx.doi.org/10.1177/1039856219889317
ID  - ref1
ER  -