Patterns of hospital transfer for self-poisoned patients in rural Sri Lanka: implications for estimating the incidence of self-poisoning in the developing world.

Bulletin of the World Health Organization
Michael EddlestonDavid Gunnell

Abstract

Most data on self-poisoning in rural Asia have come from secondary hospitals. We aimed to: assess how transfers from primary to secondary hospitals affected estimates of case-fatality ratio (CFR); determine whether there was referral bias according to gender or poison; and estimate the annual incidence of all self-poisoning, and of fatal self-poisoning, in a rural developing-world setting. Self-poisoning patients admitted to Anuradhapura General Hospital, Sri Lanka, were reviewed on admission from 1 July to 31 December 2002. We audited medical notes of self-poisoning patients admitted to 17 of the 34 surrounding peripheral hospitals for the same period. A total of 742 patients were admitted with self-poisoning to the secondary hospital; 81 died (CFR 10.9%). 483 patients were admitted to 17 surrounding peripheral hospitals. Six patients (1.2%) died in peripheral hospitals, 249 were discharged home, and 228 were transferred to the secondary hospital. There was no effect of gender or age on likelihood of transfer; however, patients who had ingested oleander or paraquat were more likely to be transferred than were patients who had taken organophosphorus pesticides or other poisons. Estimated annual incidences of self-poisoning and ...Continue Reading

Citations

Nov 20, 2012·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·P SiriwardhanaR Abeyasinge
Nov 10, 2006·International Journal of Epidemiology·Michael Eddleston, Flemming Konradsen
Mar 6, 2008·QJM : Monthly Journal of the Association of Physicians·J O J DaviesN A Buckley
Mar 25, 2006·Science·Michael Eddleston, David Gunnell
Oct 5, 2006·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·M EddlestonF Konradsen
Dec 25, 2007·BMC Public Health·David GunnellFlemming Konradsen
Jan 25, 2008·BMC Public Health·Celie ManuelFlemming Konradsen
Sep 18, 2012·Journal of Occupational Medicine and Toxicology·Uditha Dassanayake, Christeine Ariaranee Gnanathasan
Nov 5, 2010·PLoS Medicine·Andrew H DawsonNicholas A Buckley
Mar 28, 2008·Bulletin of the World Health Organization·Josef G ThundiyilJenny Pronczuk
Apr 21, 2009·Bulletin of the World Health Organization·Kanchana WickramasingheFlemming Konradsen
Jun 13, 2012·Bulletin of the World Health Organization·L SenarathnaA H Dawson
Jun 6, 2013·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Manjula WeerasingheFlemming Konradsen
Oct 2, 2008·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Varuni de Silva, Athula Ratnayake
Aug 11, 2011·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Neil R M Jayasinghe, John H Foster
Feb 21, 2009·QJM : Monthly Journal of the Association of Physicians·L SenarathnaN A Buckley
Jun 6, 2009·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·I B GawarammanaA H Dawson
Feb 11, 2012·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Yousun KoWon Jin Lee
Mar 1, 2012·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Michael EddlestonNick A Buckley
Aug 12, 2009·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Shukry ZawahirIndika Gawarammana
Oct 24, 2008·Journal of Clinical Epidemiology·Allan CarléTorben Jørgensen
Jun 6, 2009·Tropical Medicine & International Health : TM & IH·Anuradha BoseFlemming Konradsen
Feb 26, 2015·Wilderness & Environmental Medicine·Kasun FernandoSenanayake A M Kularatne
Jun 3, 2016·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Thomas LambMichael Eddleston
Jun 2, 2012·PloS One·Sudheera S Jayasinghe, Kithsiri D Pathirana
Dec 3, 2016·Environmental Health : a Global Access Science Source·Elikana E LekeiLeslie London
Jul 12, 2017·International Journal of Emergency Medicine·Kavinda Chandimal DayasiriChamilka Y Jayasinghe
Aug 25, 2009·The International Journal of Social Psychiatry·Ruwan Ratnayake, Paul Links
Jan 27, 2018·International Journal of Environmental Research and Public Health·Lushan V HettiarachchiRohan Borschmann
Jan 20, 2018·International Journal of Pediatrics·M B Kavinda Chandimal DayasiriChamilka Y Jayasinghe
Oct 25, 2017·Tropical Medicine & International Health : TM & IH·Vasundhara VermaFlemming Konradsen
Apr 6, 2017·International Journal of Pediatrics·M B Kavinda Chandimal DayasiriChamilka Y Jayasinghe
Feb 19, 2016·Experimental and Therapeutic Medicine·Jieru WangJing Sun
Dec 14, 2018·BMC Public Health·Godakanda Arachchige Maneesha PrasadiAndrew Hamilton Dawson
Sep 19, 2019·Biomédica : revista del Instituto Nacional de Salud·Pablo Chaparro-NarváezCarlos Castañeda-Orjuela
Mar 9, 2021·African Journal of Emergency Medicine : Revue Africaine De La Médecine D'urgence·Shahed OmarAyesha B Khan
Apr 27, 2021·The Lancet Global Health·Nicholas A BuckleyAndrew H Dawson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.