Factors that affect mortality in local patients who ingested common household cleansing products and required intubation. Issue 6 (November 2020)

• Record Type: Journal Article
• Authors: Shan, Liu; Kwan Leong, Au Yeung; Choi Kin Man, David; Chi Keung, Chan
• Is Part Of: Hong Kong journal of emergency medicine. Volume 27:Issue 6(2020)
• Page Start: 334
• Page End: 343
• Publication Date: 2020-11
• Subjects: Bleaching agents -- chloroxylenol -- intubation; Emergency medicine -- Periodicals; 616.02505
• DOI: 10.1177/1024907919872044
• Languages: English
• ISSNs: 2309-5407

Abstract

Introduction: Ingestion of common household cleansing products resulting in a need for intubation is not uncommon in Hong Kong. The objective of this study was to determine the factors that affect the mortality in this group of patients. Methods: This was a retrospective cohort study conducted in the Hong Kong Poison Information Centre, encompassing data from all Accident and Emergency Departments in Hong Kong over the period of 1 January 2008 to 31 January 2019. This study was conducted by recruiting all patients who had ingested common household cleansing products and required intubation in the same hospital admission. The outcome was death. The study aimed to look at risk factors associated with mortality. Results: Seventy-seven patients were included in the final analysis. The median age was 53 years. The mortality rate was 21%. Univariate analysis (at p < 0.05) indicated that (1) older age, (2) ingestion to intubation time more than 12 h, (3) not admitted to intensive care unit, (4) complication of chest infection, (5) complication of fast atrial fibrillation, and (6) complication of acute kidney injury were factors associated with higher mortality rate. Among these, older age and development of acute kidney injury were statistically significant (p < 0.05) on multivariate analysis. Conclusion: Among patients who ingested household cleansing products and required intubation, older age and development of acute kidney injury were factors strongly associated with mortality.