Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 3 de 3
Filter
Add more filters










Database
Language
Publication year range
1.
Chest ; 158(3): e103-e106, 2020 09.
Article in English | MEDLINE | ID: mdl-32892884

ABSTRACT

CASE PRESENTATION: A 35-year-old woman with no known medical history presented to the ED with complaints of progressive dyspnea for several months. The patient also reported episodic cough with yellow to green sputum production. She denied fever, chills, weight loss, or hemoptysis. She also denied any history of previous lung diseases in her family. She denied any history of tobacco or recreational drug use or any exposures. She was originally from El Salvador and immigrated to the United States approximately 3 years earlier. She was evaluated in El Salvador at age 15 for "lung issues" but had never received a formal diagnosis.


Subject(s)
Calcinosis/diagnosis , Genetic Diseases, Inborn/diagnosis , Lung Diseases/diagnosis , Adult , Biopsy , Cough/diagnosis , Diagnosis, Differential , Diagnostic Imaging , Disease Progression , Dyspnea/diagnosis , Female , Humans
3.
J Trauma Nurs ; 25(2): 87-91, 2018.
Article in English | MEDLINE | ID: mdl-29521774

ABSTRACT

Toxic exposures with serious outcomes have increased over the last decade. Limited data exists on the pattern and outcomes of overdose-exposure patients requiring intensive care unit (ICU) admission. The primary objective of this study was to characterize the causes, treatments, and outcomes of toxic exposures in a mid-sized Midwestern health system. The secondary objective was to report cumulative economic costs associated with these patients. Data were obtained from medical records of patients 18 years or older with a diagnosis code of overdose admitted to the ICU at 2 teaching hospitals between August 1, 2012, and July 31, 2014. There were 470 (10%) of the 4,495 total ICU admissions that met inclusion criteria during the study period. Average patient age was 39 (SD = 14.2) years, with 64% females. Intentional overdose exposure was the cause of 87% of admissions. The majority (70%) of exposures involved multiple pharmacological agents, including ethanol. Most patients did not require therapeutic maneuvers, nor used decontamination methods. Primary substance classes included analgesics, benzodiazepines, ethanol, selective serotonin reuptake inhibitor antidepressants, and methamphetamine. Two hundred sixty-five (56%) patients were ICU to direct home discharges, whereas 198 (42%) were transferred to a lower level of care. The mortality rate in the sample was 1%. Average hospital charges per admission were $20,375 and average ICU charges were $5,284, which summed to more than $2 million in total charges. Causes, treatments, and outcomes of toxic exposures admitted to the ICU in a mid-sized Midwestern city reveal a potential ICU burden. Financial health care costs associated with these toxic exposures were substantial. Greater public health efforts are needed to attempt to minimize preventable admissions and better understand antecedents.


Subject(s)
Drug Overdose/epidemiology , Intensive Care Units/statistics & numerical data , Patient Admission/statistics & numerical data , Substance-Related Disorders/epidemiology , Adult , Age Factors , Cohort Studies , Databases, Factual , Drug Overdose/diagnosis , Drug Overdose/therapy , Female , Health Care Costs , Hospitals, Teaching , Humans , Incidence , Intensive Care Units/economics , Male , Middle Aged , Midwestern United States , Retrospective Studies , Risk Assessment , Sex Factors , Substance-Related Disorders/diagnosis , Substance-Related Disorders/therapy , Urban Population , Young Adult
SELECTION OF CITATIONS
SEARCH DETAIL
...