Compliance to whole bowel irrigation recommendations: a single poison center study
AbstractIntroduction: Whole Bowel Irrigation (WBI) is used as a method of gastrointestinal decontamination for poisoned patients and may have low compliance when recommended by poison centers (PC). We set out to determine WBI compliance and analyze trends and possible associations between WBI compli...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Toxicology Communications |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/24734306.2022.2137922 |
| _version_ | 1797372275290275840 |
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| author | Kyle Suen Andres Guzman Soto Daniel Nogee Patrick Filkins Connor Walsh Joseph Carpenter |
| author_facet | Kyle Suen Andres Guzman Soto Daniel Nogee Patrick Filkins Connor Walsh Joseph Carpenter |
| author_sort | Kyle Suen |
| collection | DOAJ |
| description | AbstractIntroduction: Whole Bowel Irrigation (WBI) is used as a method of gastrointestinal decontamination for poisoned patients and may have low compliance when recommended by poison centers (PC). We set out to determine WBI compliance and analyze trends and possible associations between WBI compliance and clinical outcomes. Methods: We conducted a single-center retrospective chart review of PC data from 1/1/2011 to 12/31/2019 and included cases in which WBI was recommended. We collected demographic data, exposure history, therapies recommended and performed, and clinical outcomes. Compliance rate was calculated. Chi-squared and Mann-Whitney U tests were performed to look for differences in compliance based on case characteristics such as compliance rate by year, compliance based medication ingested and presence of intubation. We also looked for a possible association between WBI compliance and clinical outcome. Results: Four hundred and eighty-three cases met inclusion criteria. Fifty-five percent of patients were male and the median age was 32.5 years. Compliance to WBI recommendations was 58.2%. There was no significant difference in compliance when comparing by age, gender, medication ingested, or year. There was no association between compliance to WBI and clinical outcomes. Conclusions: We calculated a compliance rate of 58% when WBI was recommended. Compliance to WBI does not appear to be associated with changes in clinical outcome. |
| first_indexed | 2024-03-08T18:33:27Z |
| format | Article |
| id | doaj.art-37889bb639f34654878226eda1f5dbbd |
| institution | Directory Open Access Journal |
| issn | 2473-4306 |
| language | English |
| last_indexed | 2024-03-08T18:33:27Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Toxicology Communications |
| spelling | doaj.art-37889bb639f34654878226eda1f5dbbd2023-12-29T17:11:44ZengTaylor & Francis GroupToxicology Communications2473-43062023-12-01711710.1080/24734306.2022.2137922Compliance to whole bowel irrigation recommendations: a single poison center studyKyle Suen0Andres Guzman Soto1Daniel Nogee2Patrick Filkins3Connor Walsh4Joseph Carpenter5Department of Emergency Medicine, Section of Medical Toxicology, Emory University School of MedicineDepartment of Emergency Medicine, Section of Medical Toxicology, Emory University School of MedicineDepartment of Emergency Medicine, Section of Medical Toxicology, Emory University School of MedicineGeorgia Poison CenterGeorgia Poison CenterDepartment of Emergency Medicine, Section of Medical Toxicology, Emory University School of MedicineAbstractIntroduction: Whole Bowel Irrigation (WBI) is used as a method of gastrointestinal decontamination for poisoned patients and may have low compliance when recommended by poison centers (PC). We set out to determine WBI compliance and analyze trends and possible associations between WBI compliance and clinical outcomes. Methods: We conducted a single-center retrospective chart review of PC data from 1/1/2011 to 12/31/2019 and included cases in which WBI was recommended. We collected demographic data, exposure history, therapies recommended and performed, and clinical outcomes. Compliance rate was calculated. Chi-squared and Mann-Whitney U tests were performed to look for differences in compliance based on case characteristics such as compliance rate by year, compliance based medication ingested and presence of intubation. We also looked for a possible association between WBI compliance and clinical outcome. Results: Four hundred and eighty-three cases met inclusion criteria. Fifty-five percent of patients were male and the median age was 32.5 years. Compliance to WBI recommendations was 58.2%. There was no significant difference in compliance when comparing by age, gender, medication ingested, or year. There was no association between compliance to WBI and clinical outcomes. Conclusions: We calculated a compliance rate of 58% when WBI was recommended. Compliance to WBI does not appear to be associated with changes in clinical outcome.https://www.tandfonline.com/doi/10.1080/24734306.2022.2137922Gastrointestinal decontaminationwhole bowel irrigationpoison center |
| spellingShingle | Kyle Suen Andres Guzman Soto Daniel Nogee Patrick Filkins Connor Walsh Joseph Carpenter Compliance to whole bowel irrigation recommendations: a single poison center study Toxicology Communications Gastrointestinal decontamination whole bowel irrigation poison center |
| title | Compliance to whole bowel irrigation recommendations: a single poison center study |
| title_full | Compliance to whole bowel irrigation recommendations: a single poison center study |
| title_fullStr | Compliance to whole bowel irrigation recommendations: a single poison center study |
| title_full_unstemmed | Compliance to whole bowel irrigation recommendations: a single poison center study |
| title_short | Compliance to whole bowel irrigation recommendations: a single poison center study |
| title_sort | compliance to whole bowel irrigation recommendations a single poison center study |
| topic | Gastrointestinal decontamination whole bowel irrigation poison center |
| url | https://www.tandfonline.com/doi/10.1080/24734306.2022.2137922 |
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