MORTALITY AT FIRST DAY OF ADMISSION IN ACUTE CHEMICAL POISONING

K.K. ILYASHENKO, G.N. SUKHODOLOVA, M.M. POTSKHVERIYA, M.V. BELOVA, A.E. KLYUYEV

Abstract

Objective. To identify the factors that affect the first day mortality rate due to most common acute chemical poisonings.Methods. The study is based on the analysis of medical records of 84 patients who died in Sklifosovsky Research Institute of Emergency Medicine due to acute chemical poisoning at first day of hospitalization for the period of 2014-2018Results. The first day mortality for this period was from 0.26 to 0.44% with a total mortality rate of 1.73 to 2.83%.К.К. Ильяшенко, Г.Н. Суходолова, М.М. Поцхверия, М.В.Белова, А.Е. Клюев     13Shoshilinch tibbiyot axborotnomasi, 2020, 13-tom, 5-sonThere are cases of absence or incomplete reflection of data on examination and treatment in the documentation of paramedic and emergency medical system, which can have a negative impact on hospital stage mortality at the day of admission. The main factors determining first day mortality in the hospital, especially within the first 6 hours, is the severity of poisoning, which can quickly lead to vital organ failure. The death in the following hours depends on non-modifiable factors such as old age, comorbidities, and the severity of the condition at the time of first contact with a medical professional. Conclusion. The quality of care for prehospital emergency aid, the timeliness of treatment and diagnostic measures according to the severity of patients, organizational measures related to the timely and appropriate transfer of patients from other departments and hospitals are important modifiable factors.