Evaluation of forensic cases in the pediatric intensive care unit

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dc.authoridAyhan Yaman / 0000-0002-5651-1286en_US
dc.authoridSinem Polat / 0000-0002-9160-0831
dc.authorscopusidAyhan Yaman / 55697653700
dc.authorscopusidSinem Polat / 57219222449
dc.authorwosidAyhan Yaman / AAO-2530-2020
dc.authorwosidSinem Polat / DMU-3770-2022
dc.contributor.authorPolat, Sinem
dc.contributor.authorTerece, Cem
dc.contributor.authorYaman, Ayhan
dc.contributor.authorGürpınar, Kağan
dc.date.accessioned2021-04-27T08:17:45Z
dc.date.available2021-04-27T08:17:45Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Hastaneen_US
dc.description.abstractObjectives: Traffic accidents, falls, assaults, occupational accidents, intoxications, burns, electric shock, lightning strike, all cases of asphyxia, penetrating and firearm injuries, suspected or definite cases of sexual abuse, and suicide attempts should be evaluated in the forensic category. In this study, we aimed to present our intensive care experiences in forensic cases. Methods: We retrospectively evaluated forensic cases admitted to our Pediatric Intensive Care Unit between 1 February 2017 and 1 September 2018. Results: This study included 153 children, 65 (42.5%) boys and 88 (57.5%) girls. The forensic causes of hospitalizations in the intensive care unit included drug intoxication with a rate of 54.9%, followed by suicide attempts with 24.2%, falling from a high place with 5.2%, child abuse with 5.2%, pedestrian (out-of-vehicle) traffic accidents with 2.6%, drowning in water with 2.6%, road (in-vehicle) traffic accidents with 2%, electric shocks with 2%, and CO (carbon monoxide) poisoning with 1.3%. The drug intoxication was caused by drugs prescribed to the mother and the child with a rate of 40.6% and 27.1%, respectively. Analgesic anti-inflammatory drugs (33.1%) and antidepressant drugs (22.3%) were identified as major causes of intoxication. In addition, paracetamol was the most common cause of intoxication, with a rate of 21.9% among all intoxication cases and 72.5% in the analgesic group. Amitriptyline was the most common agent in the antidepressant group (59.2%). The admission rate to the intensive care unit between 08:00 and 14:00 was 35.1% for suicide attempts and 16.4% for non-suicide attempts, with a statistically significant difference (p=0.025; p<0.05, respectively). Conclusion: Drug intoxications had the highest rate of forensic cases followed in our pediatric intensive care unit. The majority of these intoxications (69.4%) arose from accidental drug ingestion. Therefore, we believe that there may be a significant decrease in the number of hospitalizations of forensic cases associated with drug intoxications in pediatric intensive care units by preventing children's access to drugs.en_US
dc.identifier.citationPolat, S., Terece, C., Yaman, A., & Gurpinar, K. Evaluation of Forensic Cases in the Pediatric Intensive Care Unit. The Medical Bulletin of Sisli Etfal Hospital, 55(1), 122-127.en_US
dc.identifier.doi10.14744/SEMB.2019.73693en_US
dc.identifier.endpage127en_US
dc.identifier.issn1302-7123en_US
dc.identifier.issn1308-5123en_US
dc.identifier.issue1en_US
dc.identifier.pmid33935546en_US
dc.identifier.startpage122en_US
dc.identifier.trdizinid512219en_US
dc.identifier.urihttps://doi.org/10.14744/SEMB.2019.73693
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1712
dc.identifier.volume55en_US
dc.identifier.wosWOS:000631645700018en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorPolat, Sinem
dc.institutionauthorYaman, Ayhan
dc.language.isoenen_US
dc.publisherKARE PUBLen_US
dc.relation.ispartofMEDICAL BULLETIN OF SISLI ETFAL HOSPITALen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDrug Intoxicationen_US
dc.subjectForensic Caseen_US
dc.subjectPediatric Intensive Care Uniten_US
dc.subjectSuicideen_US
dc.titleEvaluation of forensic cases in the pediatric intensive care uniten_US
dc.typeArticleen_US

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