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Elderly people are exposed to poisons more than younger patients and they metabolize many drugs differently. Aim of the study: to evaluate poisoning in elderly patients. Subjects and Methods: A retrospective study was done on 255 elderly poisoned cases (≥ 60 years old) admitted to MPCC within the period from January 2012 to December 2014.The cases were evaluated and they were further statistically analyzed. Results: Out of 6556 acutely poisoned cases throughout the period of study, 3.9% elderly cases were included. 83.5% of cases were in the age group 60-<65 years. Males outnumbered females (62.4%). More than half of the cases (57.6%) were from urban areas. Housewives were the commonest (32.9%) followed by farmers (28.2%). Suicidal attempts were more in retired and free laborers groups 60% and 100% respectively, accidental exposures were 79.2% in farmers while 6.7% of manual workers and 4.2% of farmers were exposed to homicide. Organophosphate was the commonest poisoning substance among farmers (87.5%), while retired, drivers and unemployed were commonly intoxicated by drugs (40%, 40% and 50%respectively). Cases with metabolic acidosis were intoxicated by corrosives & organophosphate 33.3% for each one. Low cholinesterase level was found in 39 cases of organophosphate poisoning. Methanol level was elevated in three cases of alcohol poisoning and Toxi-lab was positive in three cases of drug poisoning. ECG was done for 25 cases, 24% of them showed bradycardia and 16% showed tachycardia. Thirty six cases underwent X-ray, 11.2% & 8.3% showed increased broncho-vascular marking and alveolar opacities respectively. Mortality rate constituted 9.4% of cases. Logistic regression analysis cleared that PH was the most predictor affecting the outcome followed by hypoxia. Conclusion and recommendation: PH, hypoxia and coma were the risk factors in the outcome. Proper evaluation and continuous monitoring of elderly poisoned cases are required to decrease the mortality rates among these patients.

the egyptian journal of forensic sciences and applied toxicology/theegyptian journal of forensic sciences and applied toxicology

RETROSPECTIVE STUDY OF ACUTE POISONING IN ELDERLY CASES ADMITTED TO MENOUFIA POISONING CONTROL CENTER (MPCC), MENOUFIA UNIVERSITY HOSPITALS FROM 2012 TO 2014