Circulatory Shock among Hospitalized Patients for Salicylate Intoxication
Background: This study aimed to evaluate the risk factors for circulatory shock and its impact on outcomes in patients hospitalized for salicylate intoxication. Methods: We used the National Inpatient Sample to identify patients hospitalized primarily for salicylate intoxication from 2003–2014. Circ...
Main Authors: | , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2021-01-01
|
Series: | Diseases |
Subjects: | |
Online Access: | https://www.mdpi.com/2079-9721/9/1/7 |
_version_ | 1797412753270374400 |
---|---|
author | Tananchai Petnak Charat Thongprayoon Wisit Kaewput Fawad Qureshi Boonphiphop Boonpheng Saraschandra Vallabhajosyula Tarun Bathini Michael A. Mao Ploypin Lertjitbanjong Wisit Cheungpasitporn |
author_facet | Tananchai Petnak Charat Thongprayoon Wisit Kaewput Fawad Qureshi Boonphiphop Boonpheng Saraschandra Vallabhajosyula Tarun Bathini Michael A. Mao Ploypin Lertjitbanjong Wisit Cheungpasitporn |
author_sort | Tananchai Petnak |
collection | DOAJ |
description | Background: This study aimed to evaluate the risk factors for circulatory shock and its impact on outcomes in patients hospitalized for salicylate intoxication. Methods: We used the National Inpatient Sample to identify patients hospitalized primarily for salicylate intoxication from 2003–2014. Circulatory shock was identified based on hospital diagnosis code for any type of shock or hypotension. We compared clinical characteristics, in-hospital treatments, outcomes, and resource use between patients with and without circulatory shock associated with salicylate intoxication. Results: Of 13,805 hospital admissions for salicylate intoxication, circulatory shock developed in 484 (4%) admissions. Risk factors for development of circulatory shock included older age, female sex, concurrent psychotropic medication overdose, anemia, congestive heart failure, volume depletion, rhabdomyolysis, seizure, gastrointestinal bleeding, and sepsis. Circulatory shock was significantly associated with increased odds of any organ failure and in-hospital mortality. Length of hospital stay and hospitalization cost was significantly higher in patients with circulatory shock. Conclusion: Approximately 4% of patients admitted for salicylate intoxication developed circulatory shock. Circulatory shock was associated with worse clinical outcomes and increased resource use. |
first_indexed | 2024-03-09T05:07:51Z |
format | Article |
id | doaj.art-30d8465d114d4416af98d9b9017cbbe4 |
institution | Directory Open Access Journal |
issn | 2079-9721 |
language | English |
last_indexed | 2024-03-09T05:07:51Z |
publishDate | 2021-01-01 |
publisher | MDPI AG |
record_format | Article |
series | Diseases |
spelling | doaj.art-30d8465d114d4416af98d9b9017cbbe42023-12-03T12:52:42ZengMDPI AGDiseases2079-97212021-01-0191710.3390/diseases9010007Circulatory Shock among Hospitalized Patients for Salicylate IntoxicationTananchai Petnak0Charat Thongprayoon1Wisit Kaewput2Fawad Qureshi3Boonphiphop Boonpheng4Saraschandra Vallabhajosyula5Tarun Bathini6Michael A. Mao7Ploypin Lertjitbanjong8Wisit Cheungpasitporn9Division of Pulmonary and Pulmonary Critical Care Medicine, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, ThailandDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN 55905, USADepartment of Military and Community Medicine, Phramongkutklao College of Medicine, Bangkok 10400, ThailandDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN 55905, USADepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USASection of Interventional Cardiology, Division of Cardiovascular Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, GA 30322, USADepartment of Internal Medicine, University of Arizona, Tucson, AZ 85724, USADivision of Nephrology and Hypertension, Mayo Clinic, Jacksonville, FL 32224, USADivision of Pulmonary, Critical Care and Sleep Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USADivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN 55905, USABackground: This study aimed to evaluate the risk factors for circulatory shock and its impact on outcomes in patients hospitalized for salicylate intoxication. Methods: We used the National Inpatient Sample to identify patients hospitalized primarily for salicylate intoxication from 2003–2014. Circulatory shock was identified based on hospital diagnosis code for any type of shock or hypotension. We compared clinical characteristics, in-hospital treatments, outcomes, and resource use between patients with and without circulatory shock associated with salicylate intoxication. Results: Of 13,805 hospital admissions for salicylate intoxication, circulatory shock developed in 484 (4%) admissions. Risk factors for development of circulatory shock included older age, female sex, concurrent psychotropic medication overdose, anemia, congestive heart failure, volume depletion, rhabdomyolysis, seizure, gastrointestinal bleeding, and sepsis. Circulatory shock was significantly associated with increased odds of any organ failure and in-hospital mortality. Length of hospital stay and hospitalization cost was significantly higher in patients with circulatory shock. Conclusion: Approximately 4% of patients admitted for salicylate intoxication developed circulatory shock. Circulatory shock was associated with worse clinical outcomes and increased resource use.https://www.mdpi.com/2079-9721/9/1/7salicylate intoxicationsalicylatecirculatory shockepidemiologyoutcomeshospitalization |
spellingShingle | Tananchai Petnak Charat Thongprayoon Wisit Kaewput Fawad Qureshi Boonphiphop Boonpheng Saraschandra Vallabhajosyula Tarun Bathini Michael A. Mao Ploypin Lertjitbanjong Wisit Cheungpasitporn Circulatory Shock among Hospitalized Patients for Salicylate Intoxication Diseases salicylate intoxication salicylate circulatory shock epidemiology outcomes hospitalization |
title | Circulatory Shock among Hospitalized Patients for Salicylate Intoxication |
title_full | Circulatory Shock among Hospitalized Patients for Salicylate Intoxication |
title_fullStr | Circulatory Shock among Hospitalized Patients for Salicylate Intoxication |
title_full_unstemmed | Circulatory Shock among Hospitalized Patients for Salicylate Intoxication |
title_short | Circulatory Shock among Hospitalized Patients for Salicylate Intoxication |
title_sort | circulatory shock among hospitalized patients for salicylate intoxication |
topic | salicylate intoxication salicylate circulatory shock epidemiology outcomes hospitalization |
url | https://www.mdpi.com/2079-9721/9/1/7 |
work_keys_str_mv | AT tananchaipetnak circulatoryshockamonghospitalizedpatientsforsalicylateintoxication AT charatthongprayoon circulatoryshockamonghospitalizedpatientsforsalicylateintoxication AT wisitkaewput circulatoryshockamonghospitalizedpatientsforsalicylateintoxication AT fawadqureshi circulatoryshockamonghospitalizedpatientsforsalicylateintoxication AT boonphiphopboonpheng circulatoryshockamonghospitalizedpatientsforsalicylateintoxication AT saraschandravallabhajosyula circulatoryshockamonghospitalizedpatientsforsalicylateintoxication AT tarunbathini circulatoryshockamonghospitalizedpatientsforsalicylateintoxication AT michaelamao circulatoryshockamonghospitalizedpatientsforsalicylateintoxication AT ploypinlertjitbanjong circulatoryshockamonghospitalizedpatientsforsalicylateintoxication AT wisitcheungpasitporn circulatoryshockamonghospitalizedpatientsforsalicylateintoxication |