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Oral Health Assessment by Lay Personnel for Older Adults
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Poisoning among the elderly.

J Puiguriguer Ferrando1, S Miralles Corrales2, G Frontera Juan3

  • 1Servicio de Urgencias y Unidad de Toxicología Clínica, Hospital Universitario son Espases, Palma de Mallorca, Palma de Mallorca, España.

Revista Clinica Espanola
|November 1, 2020
PubMed
Summary
This summary is machine-generated.

Elderly poisonings are a significant public health issue, with alcohol and drugs being common causes. Physicians need heightened awareness for complex poisoning cases in older adults.

Keywords:
ElderlyEmergency DepartmentGeriatricsGeriatríaIntoxicacionesPoisoningServicio de UrgenciasTercera edad

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Area of Science:

  • Geriatric Medicine
  • Toxicology
  • Public Health

Background:

  • Poisonings represent a substantial public health concern, particularly among the elderly population.
  • Understanding the epidemiology of poisonings in this demographic is crucial for targeted interventions.

Purpose of the Study:

  • To analyze the epidemiological characteristics of poisonings in individuals aged 65 and older.
  • To identify common agents, circumstances, and outcomes associated with elderly poisonings.

Main Methods:

  • A retrospective cohort study was conducted from 2011 to 2019 at a university hospital.
  • Data analyzed included demographics, poison type, intent (suicidal/accidental), hospitalization, and mortality.
  • Statistical analysis assessed factors associated with hospital admission and death.

Main Results:

  • Out of 14,300 poisonings, 880 (6.1%) occurred in individuals over 65. Alcohol (51.6%), drugs (29.5%), and household products (12.8%) were the most frequent causes.
  • Hospital admission was linked to metformin, digoxin, lithium, and increasing age. Mortality was associated with caustic ingestion and metformin-related drug poisonings.
  • Alcohol intoxication was more common in younger elderly men, while drug or suicidal poisonings predominated in older women.

Conclusions:

  • Poisonings in the elderly are a notable public health problem requiring medical attention.
  • Healthcare providers should maintain a high index of suspicion for poisonings in elderly patients presenting with complex conditions.