Comparison of medical history based diagnosis and urine test using ultra-performance liquid chromatography-tandem mass spectrometry in drug overdose
نویسندگان
چکیده
Purpose: In patients with acute drug overdose, identification of drugs ingested is crucial to make a precise diagnosis. most cases, the diagnoses are made on medical history and physical examination findings. This study was undertaken determine concordance diagnosis basis patient by comparing it urine toxicology analysis. Methods: retrospective intoxicated over 18 years old who presented emergency center from 2017 2019. Specimens were tested using ultra-performance liquid chromatography-tandem mass spectrometry (UPLC-TMS). The test results compared information obtained patients. Diagnostic concordances for detection in calculated. Logistic regression analysis used examine association between clinical characteristics diagnostic discrepancy. Results: Totally, 370 included Overall, 66 types detected UPLC-TMS. frequently zolpidem (104, 27.8%), citalopram (70, 18.7%), paracetamol (66, 17.6%). mean 52.7%. There statistically significant discrepancies underlying depression multiple drugs. Conclusion: ED alone often inaccurate. It essential perform tests such as UPLC-TMS confirmatory instrument improve accuracy evaluating intoxication.
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ژورنال
عنوان ژورنال: ?????????
سال: 2022
ISSN: ['1450-9148', '2406-1263']
DOI: https://doi.org/10.22537/jksct.2022.20.1.1