CLINICAL FEATURES OF EXCITED DELIRIUM SYNDROME IN ACUTE POISONINGS

Đỗ Đình Lượng1,2,, Đặng Thị Xuân3, Nguyễn Văn Tuấn1,4, Hà Trần Hưng1,3
1 Hanoi Medical University
2 Vinh Phuc General Hospital
3 Poison Control Center
4 National Mental Health Institute

Main Article Content

Abstract

Objectives: to describe the clinical characteristics of acute delirium agitation in acute poisoned patients at Vietnam Poison Control Center, Bach Mai Hospital. Methods: A prospective observational study included 48 patients with acute delirium due to acute poisoning at the Poison Control Center from January 2020 to October 2021. Results: most of the study patients were male (72.9%), in the age group of 18-19 years old (64.6%), and unemployed (71.7. %). The rate of severe agitation was 100%. The common symptoms were: not afraid of pain (50%), rapid breathing (97.7%), sweating (70.8%), not following orders (83.3%), increase in muscle strength (81.3%), loss of fatigue (77.1%), increase in body temperature (85.4%), inappropriate clothing (54.6), delusions of harm (54.3%), delusions of jealousy (2.2%), panic attacks of pride (2.3%), no delusions (41.3%), patients have hallucinations 43.8%, hallucinations visual acuity 25.0% without hallucinogenic disorder 31.2%, mean systolic blood pressure was 135.0 ± 10.6, mean heart rate was 120.4 ± 13.9. Conclusion: Agitated delirium syndrome in acute poisoned patients was a clinical emergency with severe agitation, many serious signs such as hyperthermia, increased muscle tone, convulsions, etc. required prompt identified and treated.

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References

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