Response to the letter regarding the poisoning in the elderly during the pandemic

Puiguriguer-Ferrando, Jordi; Caballero-Bermejo, Antonio

doi:10.1016/j.rceng.2023.02.005

array:23 ["pii" => "S2254887423000279" "issn" => "22548874" "doi" => "10.1016/j.rceng.2023.02.005" "estado" => "S300" "fechaPublicacion" => "2023-04-01" "aid" => "2086" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "copyrightAnyo" => "2023" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2023;223:252-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0014256523000164" "issn" => "00142565" "doi" => "10.1016/j.rce.2023.01.005" "estado" => "S300" "fechaPublicacion" => "2023-04-01" "aid" => "2086" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2023;223:252-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "Correspondencia" "titulo" => "Réplica a la carta sobre las intoxicaciones en la tercera edad durante la pandemia" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "252" "paginaFinal" => "253" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Response to the letter regarding the poisoning in the elderly during the pandemic" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 801 "Ancho" => 1405 "Tamanyo" => 81793 ] ] "descripcion" => array:1 [ "es" => "Comparativa entre las intoxicaciones suicidas de los grupos menores de 18años con los mayores de 65años en tres períodos de tiempo (p<0,01)." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Puiguriguer-Ferrando, A.F. Caballero-Bermejo" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Puiguriguer-Ferrando" ] 1 => array:2 [ "nombre" => "A.F." "apellidos" => "Caballero-Bermejo" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2254887423000279" "doi" => "10.1016/j.rceng.2023.02.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887423000279?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256523000164?idApp=WRCEE" "url" => "/00142565/0000022300000004/v2_202304071825/S0014256523000164/v2_202304071825/es/main.assets" ] ] "itemAnterior" => array:19 [ "pii" => "S2254887423000292" "issn" => "22548874" "doi" => "10.1016/j.rceng.2023.02.007" "estado" => "S300" "fechaPublicacion" => "2023-04-01" "aid" => "2085" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2023;223:250-1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "Correspondence" "titulo" => "Notes on acute poisoning treated in an emergency department" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "250" "paginaFinal" => "251" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Apuntes sobre las intoxicaciones agudas atendidas en un servicio de urgencias" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "B. Espinosa, G. Burillo-Putze, C. Fernández" "autores" => array:3 [ 0 => array:2 [ "nombre" => "B." "apellidos" => "Espinosa" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Burillo-Putze" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Fernández" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256523000152" "doi" => "10.1016/j.rce.2023.01.004" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256523000152?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887423000292?idApp=WRCEE" "url" => "/22548874/0000022300000004/v2_202304080632/S2254887423000292/v2_202304080632/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "Correspondence" "titulo" => "Response to the letter regarding the poisoning in the elderly during the pandemic" "tieneTextoCompleto" => true "saludo" => "Dear Director," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "252" "paginaFinal" => "253" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Jordi Puiguriguer-Ferrando, Antonio Caballero-Bermejo" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Jordi" "apellidos" => "Puiguriguer-Ferrando" "email" => array:1 [ 0 => "jordi.puiguriguer@ssib.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Antonio" "apellidos" => "Caballero-Bermejo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad de Toxicología Clínica, Servicio de Urgencias, Hospital Universitario Son Espases, Palma de Mallorca, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Farmacología Clínica, Hospital Universitario Puerta de Hierro, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana, Majadahonda (Madrid), Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Réplica a la carta sobre las intoxicaciones en la tercera edad durante la pandemia" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 801 "Ancho" => 1405 "Tamanyo" => 72895 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Comparison between suicidal poisonings in groups younger than 18 years of age to those older than 65 years in three time periods (p<0.01)." ] ] ] "textoCompleto" => "We are grateful for the interest shown by members of the Emergency Department and Elder Needs (EDEN)<a class="elsevierStyleCrossRef" href="#bib0005">1</a> group in our article Acute poisoning among patients attended to in an emergency department: From the pre-pandemic period to the new normality,<a class="elsevierStyleCrossRef" href="#bib0010">2</a> their comments in the letter to the director, and the opportunity for this reply.We agree with them on the biases and limitations of both works, given that none of them intended to specifically analyze suicide committed by any means in this age range and in no case were victims not attended to in emergency departments included.The work by Espinosa et al.,<a class="elsevierStyleCrossRef" href="#bib0005">1</a> in addition to its multicenter nature, contributes a notably superior sample to ours; this provides more consistent results, such as the stable incidence in poisonings for any reason during the prepandemic and pandemic periods, in contrary to the data provided by the Spanish Suicide Observatory.<a class="elsevierStyleCrossRef" href="#bib0015">3</a> We also agree with other results from the EDEN group: an overall decrease in the number of recreational drug poisonings during the pandemic, an increase in the mean age of poisoned individuals, and a progressive rise in suicidal poisonings.As an additional strength, we would like to highlight the significance provided by EDEN in conducting this population analysis in those over 65 years of age. This age group has specific epidemiological and clinical characteristics that differ from the rest of the population, as do other populations (such as children and adolescents), in whom notable differences were detected during this same period.<a class="elsevierStyleCrossRef" href="#bib0020">4</a>Reinforcing these results, we would like to contribute the conclusions of a recently published subgroup analysis of those older than 65 years of age in our study population (n=65, 6.43%).<a class="elsevierStyleCrossRef" href="#bib0025">5</a> These results lend strength to the stability found over the three periods analyzed, with no significant increase in suicidal poisonings following lockdown, which did occur in those younger than 15 years of age (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).<elsevierMultimedia ident="fig0005"></elsevierMultimedia>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 801 "Ancho" => 1405 "Tamanyo" => 72895 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Comparison between suicidal poisonings in groups younger than 18 years of age to those older than 65 years in three time periods (p<0.01)." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Apuntes sobre las intoxicaciones agudas atendidas en un Servicio de Urgencias" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "B. Espinosa" 1 => "G. Burillo-Putze" 2 => "C. Fernández" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Rev Clin Esp" "fecha" => "2023" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intoxicaciones agudas atendidas en un servicio de urgencia: de la prepandemia a la nueva normalidad" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A.F. Caballero-Bermejo" 1 => "J. Ortega-Pérez" 2 => "G. Frontera-Juan" 3 => "C. Homar-Amengual" 4 => "B. Barceló-Martín" 5 => "J. Puiguriguer-Ferrando" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rce.2022.02.003" "Revista" => array:6 [ "tituloSerie" => "Rev Clin Esp." "fecha" => "2022" "volumen" => "222" "paginaInicial" => "406" "paginaFinal" => "411" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/35570179" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Observatorio del Suicidio en España. Estadísticas 2020. [Accessed 16 Jan. 2023]. Available at: <a target="_blank" href="http://file:///C:/Users/52781978Z/Downloads/Observatorio%20del%20Suicidio%20en%20Espa%C3%B1a-2020-Informe-Final.pdf">file:///C:/Users/52781978Z/Downloads/Observatorio%20del%20Suicidio%20en%20Espa%C3%B1a-2020-Informe-Final.pdf</a>." ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hospital encounters for pediatric ingestions before and during the COVID-19 pandemic" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B.R.E. Schultz" 1 => "J.A. Hoffmann" 2 => "C. Clancy" 3 => "S. Ramgopal" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/15563650.2021.1925687" "Revista" => array:6 [ "tituloSerie" => "Clin Toxicol." "fecha" => "2022" "volumen" => "60" "numero" => "2" "paginaInicial" => "269" "paginaFinal" => "271" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Influencia de la pandemia en las intoxicaciones en la tercera edad" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Puiguriguer" 1 => "S. Miralles" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:5 [ "editores" => "C.Orte Socias" "titulo" => "Anuaride l’envelliment. Illes Balears 2022" "paginaInicial" => "47" "paginaFinal" => "60" "serieFecha" => "2022" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022300000004/v2_202304080632/S2254887423000279/v2_202304080632/en/main.assets" "Apartado" => array:4 [ "identificador" => "71813" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Correspondence" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022300000004/v2_202304080632/S2254887423000279/v2_202304080632/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887423000279?idApp=WRCEE"]

Revista Clínica Española (English Edition)

ISSN: 2254-8874

Revista Clínica Española published its first issue in 1940 and is the body of expression of the Spanish Society of Internal Medicine (SEMI).
The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Revista Clínica Española is subject to a thorough double blind review of the received articles written in Spanish or English. Ten issues are published each year, including mostly originals, reviews and consensus documents.

Indexed in:

Current Contents / Clinical Medicine , JCR / SCI-Expanded, Index Medicus / Medline y Excerpta Medica / EMBASE

Subscribe:

Impact factor

The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.

© Clarivate Analytics, Journal Citation Reports 2022

Impact factor 2023

2.3

Citescore

CiteScore measures average citations received per document published.

Citescore 2023

0.7

SJR

SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

SJR 2023

0.162

SNIP

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

SNIP 2023

0.211

View more metrics

Open Access Option

Journal Information

Previous article | Next article

Vol. 223. Issue 4.

Pages 252-253 (April 2023)

Lee este artículo en Español

Export reference

Download PDF

Article

These are the options to access the full texts of the publication Revista Clínica Española (English Edition)

Member of the society

Subscriber

Contact

Member

Si es usted socio de FESEMI siga los siguientes pasos:

Diríjase desde aquí a la web de la >>>FESEMI<<< e inicie sesión mediante el formulario que se encuentra en la barra superior, pulsando sobre el candado.