Research Article

Impact of Amending the Acetylcysteine Marketing Authorisation on Treatment of Paracetamol Overdose

Table 1

Clinical characteristics, laboratory findings, and overdose patterns presented as median (interquartile range), and proportions.

CharacteristicSept. 2011–Aug. 2012Sept. 2012–Apr. 2013

Number483302
Females311 (64.4%)193 (63.6%)
Age (years)24 (18–44)24 (17–43)
Weight (kg)69 (60–82)70 (60–84)
Paracetamol dose (grams)10.0 (6.0–16.0)9.5 (5.0–16.0)
Paracetamol dose (mg/kg)176 (123–259)174 (104–287)
Interval overdose to level (hours)4.4 (4.0–6.0)4.7 (4.0–6.1)
Paracetamol level (mg/L)61 (33–98)59 (32–104)
Equivalent 4-hour level (mg/L)60 (27–122)59 (18–111)
Overdose pattern
 Single time-point ingestion, <15 hours
  Above “200-line”22 (4.6%)12 (4.0%)
  Between “200-line” and “100-line”76 (15.7%)45 (14.9%)
  Below “100-line”208 (43.1%)135 (44.7%)
 Nomogram not applicable
  Staggered ingestion (>1 hour)100 (20.7%)59 (19.5%)
  Late presentation (>15 hours)23 (4.8%)13 (4.3%)
  Time of ingestion uncertain18 (3.7%)13 (4.3%)
  Level not checked 36 (7.5%)25 (8.3%)