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The Spanish National Institute of Toxicology treats only 30&#37; of these consultations<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>&#59; therefore&#44; the information they record on these episodes is clearly insufficient&#46; In the US&#44; cases of poisoning are treated mostly by telephone and recorded by poison centers&#46;<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5&#8211;7</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">To this respect&#44; research aimed at furthering our understanding of this type of event can be a useful tool for improving the care provided and the prevention measures to be implemented&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;9</span></a> Therefore&#44; the aim of this study was to assess the prevalence of acute poisonings treated in 3 secondary hospitals over 5 years&#46; We analyzed the demographic characteristics&#44; types of poisoning&#44; toxins ingested&#44; seasonal variations and recurrence data regarding patients who experienced new poisoning events of similar characteristics&#44; among others&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Methodology</span><p id="par0015" class="elsevierStylePara elsevierViewall">We conducted a descriptive&#44; observational retrospective study based on information obtained after completing a questionnaire on data<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> extracted from the medical records of the patients treated in the hospital EDs of 3 secondary hospitals belonging to the Murcian Department of Health &#40;Murcia&#44; Spain&#41; from 2013 to 2017&#46; The centers were located in various areas of Murcia&#46; Hospital 1 &#40;H1&#41;&#44; which covered a healthcare area of 87&#44;000 inhabitants&#44; was located on the coast and therefore had a significant tourist influence and thus a notable seasonal nature&#46; Hospital 2 &#40;H2&#41;&#44; which included a healthcare area of 173&#44;000 inhabitants&#44; was located in an eminently rural area&#46; Hospital 3 &#40;H3&#41;&#44; located in a major urban nucleus&#44; covered a healthcare area of 250&#44;000 inhabitants&#46; After anonymizing the cases&#44; we analyzed the data regarding the date of the event&#44; age&#44; sex&#44; prior care&#44; type of poisoning and toxin&#44; recurrence&#44; time in contact with the toxin&#44; care received and destination after the ED care&#46; The inclusion criteria were male and female patients of all ages and a diagnosis of acute poisoning &#40;provided it was established based on the case history or clinical symptoms&#41;&#46; We also included cases that had no initial clinical diagnosis of poisoning but whose poisoning was subsequently demonstrated by laboratory tests&#46; The study limitations were related to the lack of diagnostic coding of the patients treated in the EDs&#44; which could have resulted in the loss of cases&#46; To compare the nominal-nominal variables&#44; we employed Pearson&#8217;s chi-squared test&#46; For the ordinal-nominal variables&#44; we employed the Kruskal&#8211;Wallis test for independent K samples&#46; We considered a p-value &#60;&#46;05 statistically significant&#46; For the data analysis&#44; we employed the statistical package SPSS v24 for Windows&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Results</span><p id="par0020" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> shows the number of emergencies and the cases of acute poisoning treated in the 3 hospitals &#40;the subject of the study&#41; for the 5 years of sampling&#46; A total of 1&#44;141&#44;361 cases were treated during the study period&#44; 0&#46;51&#37; &#40;n&#8239;&#61;&#8239;5870&#41; of which corresponded to acute poisoning&#46; There were no relevant differences observed from one year to the next&#46; The prevalence of acute poisonings treated in H1&#44; H2 and H3 was 0&#46;37&#37;&#44; 0&#46;22&#37; and 0&#46;91&#37;&#44; respectively&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a> shows the temporal distribution and type of poisonings treated in each of the study areas&#46; The data reveal significant differences &#40;p&#8239;&#60;&#8239;&#46;05&#41; between the type of poisoning and the number of cases in most months&#46; In H1&#44; the percentage of poisonings cases related to alcohol had a high upturn in the summer months &#40;60&#46;53&#37; and 61&#46;27&#37; in July and August&#44; respectively&#41;&#46; In H3&#44; however&#44; there was a clear reduction &#40;28&#46;22&#37; and 37&#46;20&#37; in July and August&#44; respectively&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">When analyzing the type of poisoning by age range &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#44; we detected significant differences &#40;p&#8239;&#60;&#8239;&#46;05&#41; in the 3 hospitals and in all categories&#44; except for the 0&#8211;30-year range&#46; Alcohol was the main cause of poisoning for the 15&#8211;30-year age group &#40;in the 3 hospitals&#41;&#44; followed by accidental poisonings and voluntary poisoning for suicidal purposes&#46; In H3 &#40;the urban hospital&#41;&#44; the voluntary poisonings exceeded the accidental&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">In the 31&#8211;45-year age range&#44; alcohol poisoning had the highest prevalence in the 3 hospitals &#40;65&#46;03&#37;&#44; 53&#46;97&#37; and 61&#46;52&#37; in H1&#44; H2 and H3&#44; respectively&#41;&#44; followed by voluntary poisonings for suicidal purposes &#40;15&#46;51&#37;&#44; 32&#46;70&#37; and 17&#46;72&#37; in H1&#44; H2 and H3&#44; respectively&#41;&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">In the 46&#8211;60-year age range&#44; alcohol poisoning predominated in H1 and H2 &#40;43&#46;78&#37; and 54&#46;72&#37;&#44; respectively&#41;&#44; followed by voluntary poisonings for suicidal purposes &#40;31&#46;64&#37; and 26&#46;41&#37;&#44; respectively&#41;&#46; In H3&#44; however&#44; voluntary poisonings for suicidal purposes had a higher prevalence than alcohol poisonings &#40;38&#46;80&#37; vs&#46; 34&#46;18&#37;&#41;&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">The data shown in <a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a> show that 55&#46;77&#37; and 44&#46;23&#37; of the poisonings occurred in male and female patients&#44; respectively&#46; There were significant differences &#40;p&#8239;&#60;&#8239;&#46;05&#41; between the male and female patients in all age ranges&#44; except for the 0&#8211;30-year range&#46; In the 31&#8211;45-year age range&#44; alcohol poisoning had the highest prevalence for both sexes &#40;67&#46;36&#37; and 50&#46;06&#37; for the men and women&#44; respectively&#41;&#44; followed by voluntary poisonings for suicidal purposes&#44; which was higher for the women &#40;30&#46;38&#37;&#41; than for the men &#40;11&#46;91&#37;&#41;&#46; The illicit drug overdose rate was higher for the men &#40;12&#46;16&#37;&#41; than for the women &#40;6&#46;12&#37;&#41;&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">In the 46&#8211;60-year age range&#44; alcohol poisoning still accounted for most of the cases among the men &#40;51&#46;45&#37;&#41;&#44; followed by voluntary poisonings for suicidal purposes &#40;20&#46;29&#37;&#41;&#44; illicit drug overdosing &#40;16&#46;15&#37;&#41; and accidental poisonings &#40;10&#46;77&#37;&#41;&#46; However&#44; voluntary poisonings for suicidal purposes accounted for most of the cases among women &#40;54&#46;76&#37;&#41;&#44; followed by alcohol poisoning &#40;23&#46;81&#37;&#41;&#44; accidental poisoning &#40;16&#46;67&#37;&#41; and illicit drug overdosing &#40;3&#46;57&#37;&#41;&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">In the 61&#8211;75-year age range&#44; alcohol poisoning remained predominant among the men &#40;59&#46;22&#37;&#41; but dropped to third position for women &#40;23&#46;43&#37;&#41;&#46; Voluntary poisonings for suicidal purposes was the leading cause for women &#40;49&#46;32&#37;&#41; and the second leading cause for men &#40;18&#46;62&#37;&#41;&#46; Accidental poisonings was the second leading cause for women &#40;24&#46;78&#37;&#41; and the third for men &#40;16&#46;31&#37;&#41;&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">In the 76&#8211;90-year age range&#44; alcohol was still the most common type of poisoning among men &#40;47&#46;65&#37;&#41;&#44; while for women it was accidental poisoning &#40;66&#46;67&#37;&#41;&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> shows the number of recurrent cases according to the type of toxin and sex&#46; The most prevalent poisonings for both sexes were from alcohol&#44; medication&#44; insect bites and illicit drugs&#46; For medicinal products&#44; benzodiazepines were the most widely used substances&#46; For recreational drugs&#44; cocaine generated the most cases&#44; followed by cannabis&#46; The results also reveal significant differences between men and women in terms of recurrence poisonings by alcohol &#40;p&#8239;&#61;&#8239;&#46;000&#41;&#44; benzodiazepines &#40;p&#8239;&#61;&#8239;&#46;010&#41;&#44; anticoagulants &#40;p&#8239;&#61;&#8239;&#46;011&#41; and heroin &#40;p&#8239;&#61;&#8239;&#46;026&#41;&#46; The men with recurrent poisonings are usually those with poisoning by alcohol &#40;62&#46;73&#37;&#41;&#44; benzodiazepine &#40;13&#46;32&#37;&#41;&#44; cocaine &#40;9&#46;83&#37;&#41; and cannabis &#40;3&#46;57&#37;&#41;&#44; while for women&#44; these poisonings were from benzodiazepine &#40;45&#46;41&#37;&#41;&#44; alcohol &#40;30&#46;11&#37;&#41;&#44; antidepressants &#40;6&#46;44&#37;&#41; and cocaine &#40;5&#46;80&#37;&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0070" class="elsevierStylePara elsevierViewall">The patients&#8217; origin&#44; time in contact with the toxin to the first treatment and the destination after emergency care are shown in <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#46; The overall results show a relationship between the time in contact with the toxin and the patient&#8217;s origin before the ED care &#40;p&#8239;&#61;&#8239;&#46;000&#41;&#44; although fewer cases were observed when the origin was another hospital &#40;n&#8239;&#61;&#8239;99&#41;&#46; Some 37&#46;96&#37; of the patients came from the ED itself&#44; 23&#46;73&#37; came from primary care&#44; and 22&#46;74&#37; had an outpatient origin&#46; Most of the patients were treated within the first hour of contact with the toxin &#40;69&#46;34&#37;&#41;&#44; 15&#46;94&#37; were treated between the first and second hour&#44; and 7&#46;26&#37; were treated between the second and third hour of contact&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0075" class="elsevierStylePara elsevierViewall">Moreover&#44; the statistical test applied between the destination after the ED care and the patients&#8217; origin shows that there was a relationship between the 2 variables &#40;p&#8239;&#61;&#8239;&#46;000&#41;&#46; Regardless of the patients&#8217; origin&#44; 65&#46;69&#37; were discharged within 12&#8239;h&#44; 10&#46;09&#37; required hospitalization &#40;conventional ward&#44; ICU or psychiatry&#41;&#44; 2&#46;82&#37; fled&#44; 2&#46;74&#37; requested a voluntary discharge&#44; and 0&#46;88&#37; died&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discussion</span><p id="par0080" class="elsevierStylePara elsevierViewall">The mean prevalence of acute poisoning treated in the EDs of the 3 hospitals analyzed during the study period was 0&#46;51&#37;&#46; H2 &#40;located in a rural area&#41; had fewer poisoning cases &#40;0&#46;22&#37;&#41;&#44; while H3 &#40;located in an urban area&#41; had more &#40;0&#46;91&#37;&#41;&#46; H1 &#40;located in a highly touristic area&#41; had a prevalence of 0&#46;37&#37; during the summer&#46; These data differ from those published by other authors in which the rates remained similar &#40;0&#46;66&#37;&#44;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> 0&#46;67&#37;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> and 0&#46;68&#37;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">12</span></a>&#41;&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">The data reveal certain seasonal variations over the course of the year&#44; especially in H1&#46; In this hospital&#44; the rates were very similar &#40;0&#46;32&#37; and 0&#46;38&#37; for May and November&#44; respectively&#41;&#46; However&#44; H1 experienced an upturn during the summer months &#40;0&#46;44&#37; for both July and August&#41;&#46; This result could be due to the fact that this hospital is located in an area with considerable tourism and whose population increases in the summer&#46; These differences are more obvious in alcohol poisoning&#46; In H2 &#40;0&#46;13&#37; and 0&#46;30&#37; for May and September&#44; respectively&#41; and H3 &#40;0&#46;75&#37; and 1&#46;12&#37; for July and June&#44; respectively&#41;&#44; the seasonal variations are not as noticeable&#46; However&#44; variations are manifested in alcohol poisoning&#44; given that they increase during local festivities and decrease during the summer&#44; quite possibly due to the fact that these areas experience a vacation exodus in the summer months&#46; These data reveal that alcohol consumption is highly ingrained in popular traditions in Spain&#44; with alcohol being the most prevalent toxin for more than 30 years&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">13&#44;14</span></a></p><p id="par0090" class="elsevierStylePara elsevierViewall">In terms of age groups and type of poisoning&#44; the results indicate that the highest number of poisonings occurred in the 31&#8211;60-year age group&#44; which is consistent with other studies performed on the national level&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">10&#44;12</span></a> In this age range&#44; alcohol poisoning is most prevalent among men&#46; For women 46 years or older&#44; poisoning for suicidal purposes was the most prevalent&#44; as shown by other multicenter studies performed in Asturias<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> and Catalonia&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> The lack of pediatric cases &#40;0&#8211;15 years&#41; limits the comparison with other studies that included this age range&#46; Alcohol was the main cause of poisoning for the 15&#8211;30-year age range in the 3 hospitals&#44; which again shows the need to boost outreach campaigns to decrease alcohol consumption among the young&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Most patients are admitted to EDs within the first hours after contact with the toxin&#44; which favors the treatment&#44; especially for medicinal products where prompt digestive decontamination can be performed&#46; Generally&#44; the first intervention with the poisoned patient is performed in the hospital ED&#44; although a considerable number of patients previously attend primary care or are treated by outpatient emergency services such as 061 &#40;the Spanish equivalent of 911 &#40;US&#41; &#47; 999 &#40;UK&#41;&#41;&#46; The HISPATOX<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> study conducted in 2006 also showed that most poisonings were treated directly in hospital EDs &#40;51&#46;2&#37;&#41;&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">In terms of patient destination after ED treatment&#44; this study revealed that&#44; in less than 12&#8239;h&#44; most patients were discharged to their home &#40;65&#46;65&#37;&#41;&#44; a rate much higher than that recorded by other authors &#40;53&#44;50&#37;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> and 58&#46;84&#37;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a>&#41;&#46; The small number of intensive care admissions is shared with other studies&#44;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;12&#44;15</span></a> which could be related to the early care administered to patients &#40;&#60;12&#8239;h&#41;&#46; The low mortality rate &#40;0&#46;08&#37;&#41; has also been noted in other studies &#40;0&#46;15&#37;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> and 0&#46;19&#37;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a>&#41;&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">In terms of differences by sex&#44; this study&#8217;s data indicate that men have a higher prevalence of poisoning than women &#40;55&#46;77&#37; vs&#46; 44&#46;23&#37;&#41;&#46; These data are consistent with that of other studies&#44; such as the one conducted by Carpintero et al&#46; in La Rioja &#40;Spain&#41; in 1998<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> but differ from those of the study by Gonz&#225;lez-Fern&#225;ndez et al&#46; in Asturias &#40;Spain&#41; in 2007<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> in which the differences were greater &#40;66&#46;80&#37; vs&#46; 33&#46;20&#37;&#41; and those of the recently published study by Puiguriguer-Ferrando et al&#46; in the Balearic Islands in which the rates were similar &#40;50&#46;64&#37; vs&#46; 49&#46;36&#37;&#41;&#46; The results also revealed that alcohol&#44; benzodiazepines&#44; insect bites and illicit drugs &#40;cocaine and cannabis<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">17</span></a>&#41; are the toxins of highest prevalence for both sexes&#44; although men have more recurrences with alcohol&#44; while women have more with benzodiazepines&#46; Burillo<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a> reached the same conclusions regarding recurrence&#44; which can occur given the ease in obtaining this type of toxin &#40;alcohol and drugs<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">18</span></a>&#41;&#44; which increases the possibilities of another acute poisoning&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Conclusions</span><p id="par0110" class="elsevierStylePara elsevierViewall">The number of treated acute poisoning cases depends on the hospital location&#44; such that the urban hospital had the highest prevalence&#44; while the rural hospital recorded the lowest number of cases&#46; This situation is also revealed by the seasonal nature of poisonings&#44; especially in the hospital located in the highly touristic area during the summer&#44; which is therefore subject to significant population variations throughout the year and&#44; conversely&#44; in those that experience a vacation exodus&#46; Alcohol is the main cause of poisonings in all of the hospitals analyzed&#46; Males had a higher number of poisonings than females &#40;in all age ranges&#41;&#44; with alcohol once again the main cause&#46; For women 46 years or older&#44; voluntary poisonings with benzodiazepines exceed the alcohol poisonings&#46; A significant number of patients presented previous poisonings&#44; especially men due to alcohol and women due to benzodiazepines&#46; Cocaine was the most consumed illicit drug&#46; These types of events were mostly treated by hospital EDs&#44; and most patients were discharged within the first 12&#8239;h&#46; Finally&#44; the considerable social roots of alcohol consumption for all major age groups should therefore impel us to seek measures to reduce this type of consumption&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Conflicts of interest</span><p id="par0115" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
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    "fechaRecibido" => "2019-06-07"
    "fechaAceptado" => "2019-07-23"
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          "clase" => "keyword"
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            1 => "Toxic"
            2 => "Epidemiology"
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          "palabras" => array:4 [
            0 => "Intoxicaci&#243;n"
            1 => "T&#243;xico"
            2 => "Epidemiolog&#237;a"
            3 => "Urgencias"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To assess the characteristics of acute poisoning cases treated in hospital emergency departments over 5 years&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Retrospective study of acute poisoning cases treated in 3 hospitals between 2013 and 2017 and an analysis of the demographic characteristics&#44; types of poisoning&#44; seasonal variations&#44; care received and recurrence&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Some 0&#46;51&#37; of all cases treated in the 3 hospitals corresponded to acute poisoning&#46; The percentages varied by hospital location &#40;0&#46;91&#37; urban&#44; 0&#46;37&#37; coastal and 0&#46;22&#37; rural&#41;&#46; Cases of alcohol poisoning had a seasonal character&#44; increasing during the summer on the coast &#40;p&#8239;&#60;&#8239;&#46;05&#41;&#46; There were differences in the type of poisoning &#40;p&#8239;&#60;&#8239;&#46;05&#41; for patients 31 years of age and older in the 3 hospitals&#46; Alcohol represented the largest number of cases in patients 31 years of age and older&#44; except in the rural area where most cases were due to voluntary poisoning in attempted suicide&#46; Men had a higher prevalence of poisoning than women &#40;55&#46;77&#37; vs&#46; 44&#46;23&#37;&#41; for all cases&#46; Alcohol poisoning was in first place for men 30&#8211;75 years&#44; and voluntary poisoning for attempted suicide was first for women&#44; except for those 30&#8211;46 years of age for whom alcohol was also number one&#46; The large number of cases of recurrence were due to alcohol in men &#40;791 cases&#41; and to benzodiazepines in women &#40;528 cases&#41;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The number of cases and the type of poisoning varied according to hospital location&#44; season&#44; patient sex and patient age&#46;</p></span>"
        "secciones" => array:4 [
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        "titulo" => "Resumen"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Evaluar las caracter&#237;sticas de las intoxicaciones agudas atendidas en urgencias hospitalarias durante cinco a&#241;os&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todo</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de las intoxicaciones agudas asistidas en tres hospitales entre 2013 y 2017 y an&#225;lisis de las caracter&#237;sticas demogr&#225;ficas&#44; tipos de intoxicaci&#243;n&#44; variaciones estacionales&#44; asistencia recibida y reincidencia&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">El 0&#44;51&#37; de los casos atendidos en los tres hospitales se correspondieron a intoxicaciones agudas&#46; Los porcentajes var&#237;an seg&#250;n la localizaci&#243;n del hospital &#40;0&#44;91&#37; urbano&#44; 0&#44;37&#37; en zona de costa y 0&#44;22&#37; rural&#46; Las intoxicaciones alcoh&#243;licas presentan cierto car&#225;cter estacional&#44; aumentando en &#233;poca estival en la costa &#40;<span class="elsevierStyleItalic">p</span>&#8239;&#60;&#8239;0&#44;05&#41;&#46; A partir de los 31 a&#241;os de edad existen diferencias en cuanto al tipo de intoxicaci&#243;n &#40;<span class="elsevierStyleItalic">p</span>&#8239;&#60;&#8239;0&#44;05&#41; en los 3 hospitales&#46; El alcohol siempre representa el mayor n&#250;mero de casos a partir de los 31 a&#241;os&#44; excepto en la zona rural que son las intoxicaciones voluntarias con fines autol&#237;ticos&#46; Los hombres muestran mayor prevalencia que las mujeres &#40;55&#44;77&#37; vs 44&#44;23&#37;&#41; para el conjunto de los casos&#46; Las intoxicaciones alcoh&#243;licas est&#225;n en primer lugar en hombres de 30 a 75 a&#241;os y las voluntarias con fines autol&#237;ticos en mujeres&#44; excepto de 30 a 46 a&#241;os que tambi&#233;n es por alcohol&#46; El mayor n&#250;mero de casos reincidentes se producen por el alcohol en hombres &#40;791 casos&#41; y por benzodiacepinas en mujeres &#40;528 casos&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">El n&#250;mero y el tipo de intoxicaci&#243;n var&#237;a en funci&#243;n de la ubicaci&#243;n del hospital&#44; la &#233;poca del a&#241;o&#44; el sexo y la edad de los pacientes&#46;</p></span>"
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">360&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">&#46;559&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;121&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Plants&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">na&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Gases&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">111&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;102&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Medication ns&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;092&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Morphine&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;960&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Benzodiazepines&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">168&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">209&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">282&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">528&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1187&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Antidepressants&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">47&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">131&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;955&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Antihypertensives&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;769&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Paracetamol&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">36&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;995&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Insulin&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;411&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Anticoagulants&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">135&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">148&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">289&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Analgesics&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">2013&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1975&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">5870&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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Journal Information
Vol. 220. Issue 4.
Pages 236-243 (May 2020)
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Vol. 220. Issue 4.
Pages 236-243 (May 2020)
Original article
Prevalence of acute poisoning treated in 3 hospitals in Southeast Spain
Prevalencia de las intoxicaciones agudas asistidas en 3 hospitales del sureste español
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M. Baezaa,b, A. Muñoz-Ortegac, N. Velab,
Corresponding author
nvela@ucam.edu

Corresponding author.
a Programa de doctorado en Ciencias de la Salud, Universidad Católica de Murcia (UCAM), Murcia, Spain
b Facultad de Ciencias de la Salud, Universidad Católica de Murcia (UCAM), Murcia, Spain
c Facultad de C.C. Politécnicas, Universidad Católica de Murcia (UCAM), Murcia, Spain
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Statistics
Figures (2)
Tables (3)
Table 1. Number of emergencies treated (absolute values) and cases of acute poisoning (absolute and relative values) in the 3 hospitals during the 5 years of sampling.
Table 2. Distribution by sex, recurrence and type of toxin during the 5 years of sampling.
Table 3. Patient origin, duration of contact with the toxin and destination after emergency department care during the 5 years of sampling.
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Abstract
Objective

To assess the characteristics of acute poisoning cases treated in hospital emergency departments over 5 years.

Methods

Retrospective study of acute poisoning cases treated in 3 hospitals between 2013 and 2017 and an analysis of the demographic characteristics, types of poisoning, seasonal variations, care received and recurrence.

Results

Some 0.51% of all cases treated in the 3 hospitals corresponded to acute poisoning. The percentages varied by hospital location (0.91% urban, 0.37% coastal and 0.22% rural). Cases of alcohol poisoning had a seasonal character, increasing during the summer on the coast (p < .05). There were differences in the type of poisoning (p < .05) for patients 31 years of age and older in the 3 hospitals. Alcohol represented the largest number of cases in patients 31 years of age and older, except in the rural area where most cases were due to voluntary poisoning in attempted suicide. Men had a higher prevalence of poisoning than women (55.77% vs. 44.23%) for all cases. Alcohol poisoning was in first place for men 30–75 years, and voluntary poisoning for attempted suicide was first for women, except for those 30–46 years of age for whom alcohol was also number one. The large number of cases of recurrence were due to alcohol in men (791 cases) and to benzodiazepines in women (528 cases).

Conclusions

The number of cases and the type of poisoning varied according to hospital location, season, patient sex and patient age.

Keywords:
Poisoning
Toxic
Epidemiology
Emergency
Resumen
Objetivo

Evaluar las características de las intoxicaciones agudas atendidas en urgencias hospitalarias durante cinco años.

Método

Estudio retrospectivo de las intoxicaciones agudas asistidas en tres hospitales entre 2013 y 2017 y análisis de las características demográficas, tipos de intoxicación, variaciones estacionales, asistencia recibida y reincidencia.

Resultados

El 0,51% de los casos atendidos en los tres hospitales se correspondieron a intoxicaciones agudas. Los porcentajes varían según la localización del hospital (0,91% urbano, 0,37% en zona de costa y 0,22% rural. Las intoxicaciones alcohólicas presentan cierto carácter estacional, aumentando en época estival en la costa (p < 0,05). A partir de los 31 años de edad existen diferencias en cuanto al tipo de intoxicación (p < 0,05) en los 3 hospitales. El alcohol siempre representa el mayor número de casos a partir de los 31 años, excepto en la zona rural que son las intoxicaciones voluntarias con fines autolíticos. Los hombres muestran mayor prevalencia que las mujeres (55,77% vs 44,23%) para el conjunto de los casos. Las intoxicaciones alcohólicas están en primer lugar en hombres de 30 a 75 años y las voluntarias con fines autolíticos en mujeres, excepto de 30 a 46 años que también es por alcohol. El mayor número de casos reincidentes se producen por el alcohol en hombres (791 casos) y por benzodiacepinas en mujeres (528 casos).

Conclusiones

El número y el tipo de intoxicación varía en función de la ubicación del hospital, la época del año, el sexo y la edad de los pacientes.

Palabras clave:
Intoxicación
Tóxico
Epidemiología
Urgencias

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