Mushroom Intoxication in Türkiye: A Nationwide Cohort Study Based on Demographic Trends, Seasonal Variations, and the Impact of Climate Change on Incidence

Background/Aims: Mushroom intoxication poses a considerable public health risk due to its potential for severe toxicity and fatality. This study aims to investigate demographic trends, diagnostic locations, and mortality rates of patients with mushroom intoxication. Materials and Methods: This re...

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Main Authors: Dilara Turan Gökçe, Derya Arı, Naim Ata, Hale Gökcan, Ramazan İdilman, Mustafa Mahir Ülgü, Murat Harputluoglu, Mesut Akarsu, Zeki Karasu, Mustafa Okan Ayvalı, Şuayip Birinci, Meral Akdoğan Kayhan
Format: Article
Language:English
Published: AVES 2025-01-01
Series:The Turkish Journal of Gastroenterology
Online Access:https://www.turkjgastroenterol.org/en/mushroom-intoxication-in-turkiye-a-nationwide-cohort-study-based-on-demographic-trends-seasonal-variations-and-the-impact-of-climate-change-on-incidence-137285
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author Dilara Turan Gökçe
Derya Arı
Naim Ata
Hale Gökcan
Ramazan İdilman
Mustafa Mahir Ülgü
Murat Harputluoglu
Mesut Akarsu
Zeki Karasu
Mustafa Okan Ayvalı
Şuayip Birinci
Meral Akdoğan Kayhan
author_facet Dilara Turan Gökçe
Derya Arı
Naim Ata
Hale Gökcan
Ramazan İdilman
Mustafa Mahir Ülgü
Murat Harputluoglu
Mesut Akarsu
Zeki Karasu
Mustafa Okan Ayvalı
Şuayip Birinci
Meral Akdoğan Kayhan
author_sort Dilara Turan Gökçe
collection DOAJ
description Background/Aims: Mushroom intoxication poses a considerable public health risk due to its potential for severe toxicity and fatality. This study aims to investigate demographic trends, diagnostic locations, and mortality rates of patients with mushroom intoxication. Materials and Methods: This retrospective cohort study utilized data from the National Electronic Database of the Turkish Ministry of Health. The study focused on patients without chronic liver disease or prior liver transplantation presenting with mushroom intoxication between 2018 and 2023. Demographic information, diagnostic locations, and mortality rates were analyzed, considering a six-year period to ensure even seasonal distribution. Results: Among 30459 individuals admitted with mushroom intoxication, 44.75% were male, with a mean age of 45.84 years. The Black Sea, Marmara, and Central Anatolia regions had the highest number of cases, with specific cities like Tokat, Bolu, Yozgat, and Kastamonu having the highest rates per 100,000 population in 2022. Mushroom intoxication predominantly occurred in May, June, October, and November. Hospitalization occurred in 8.9% of cases, with a 6.6% mortality rate within 90 days and 1.3% progressing to liver transplantation. Notably, mushroom intoxication cases increased by 130% in the first half of 2023, particularly in May and June, correlating with increased rainfall. Conclusion: Mushroom intoxication is a serious public health issue, with morbidity and mortality influenced by climate factors. The study highlights a significant increase in cases in the first half of 2023, potentially linked to heightened rainfall and climate change.
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series The Turkish Journal of Gastroenterology
spelling doaj-art-ef4fbfe86c88451c8d13fec7015fe3772025-01-10T11:53:14ZengAVESThe Turkish Journal of Gastroenterology2148-56072025-01-01361616610.5152/tjg.2024.24368Mushroom Intoxication in Türkiye: A Nationwide Cohort Study Based on Demographic Trends, Seasonal Variations, and the Impact of Climate Change on IncidenceDilara Turan Gökçe0Derya Arı1Naim Ata2Hale Gökcan3Ramazan İdilman4Mustafa Mahir Ülgü5Murat Harputluoglu6Mesut Akarsu7Zeki Karasu8Mustafa Okan Ayvalı9Şuayip Birinci10Meral Akdoğan Kayhan11Department of Gastroenterology, Ankara Bilkent City Hospital, Ankara, TürkiyeDepartment of Gastroenterology, Ankara Bilkent City Hospital, Ankara, TürkiyeGeneral Directorate of Information Systems, Ministry of Health, Ankara, TürkiyeDepartment of Gastroenterology, Ankara University School of Medicine, Ankara, TürkiyeDepartment of Gastroenterology, Ankara University School of Medicine, Ankara, TürkiyeGeneral Directorate of Information Systems, Ministry of Health, Ankara, TürkiyeDepartment of Gastroenterology, Inonu University Medical Faculty of Liver Transplant Institute, Malatya, TürkiyeDepartment of Gastroenterology, Dokuz Eylül University Hospital, İzmir, TürkiyeDepartment of Gastroenterology, Ege University School of Medicine, İzmir, TürkiyeGeneral Directorate of Information Systems, Ministry of Health, Ankara, TürkiyeDeputy Minister of Health, Ministry of Health, Ankara, TürkiyeDepartment of Gastroenterology, Ankara Bilkent City Hospital, Ankara, TürkiyeBackground/Aims: Mushroom intoxication poses a considerable public health risk due to its potential for severe toxicity and fatality. This study aims to investigate demographic trends, diagnostic locations, and mortality rates of patients with mushroom intoxication. Materials and Methods: This retrospective cohort study utilized data from the National Electronic Database of the Turkish Ministry of Health. The study focused on patients without chronic liver disease or prior liver transplantation presenting with mushroom intoxication between 2018 and 2023. Demographic information, diagnostic locations, and mortality rates were analyzed, considering a six-year period to ensure even seasonal distribution. Results: Among 30459 individuals admitted with mushroom intoxication, 44.75% were male, with a mean age of 45.84 years. The Black Sea, Marmara, and Central Anatolia regions had the highest number of cases, with specific cities like Tokat, Bolu, Yozgat, and Kastamonu having the highest rates per 100,000 population in 2022. Mushroom intoxication predominantly occurred in May, June, October, and November. Hospitalization occurred in 8.9% of cases, with a 6.6% mortality rate within 90 days and 1.3% progressing to liver transplantation. Notably, mushroom intoxication cases increased by 130% in the first half of 2023, particularly in May and June, correlating with increased rainfall. Conclusion: Mushroom intoxication is a serious public health issue, with morbidity and mortality influenced by climate factors. The study highlights a significant increase in cases in the first half of 2023, potentially linked to heightened rainfall and climate change.https://www.turkjgastroenterol.org/en/mushroom-intoxication-in-turkiye-a-nationwide-cohort-study-based-on-demographic-trends-seasonal-variations-and-the-impact-of-climate-change-on-incidence-137285
spellingShingle Dilara Turan Gökçe
Derya Arı
Naim Ata
Hale Gökcan
Ramazan İdilman
Mustafa Mahir Ülgü
Murat Harputluoglu
Mesut Akarsu
Zeki Karasu
Mustafa Okan Ayvalı
Şuayip Birinci
Meral Akdoğan Kayhan
Mushroom Intoxication in Türkiye: A Nationwide Cohort Study Based on Demographic Trends, Seasonal Variations, and the Impact of Climate Change on Incidence
The Turkish Journal of Gastroenterology
title Mushroom Intoxication in Türkiye: A Nationwide Cohort Study Based on Demographic Trends, Seasonal Variations, and the Impact of Climate Change on Incidence
title_full Mushroom Intoxication in Türkiye: A Nationwide Cohort Study Based on Demographic Trends, Seasonal Variations, and the Impact of Climate Change on Incidence
title_fullStr Mushroom Intoxication in Türkiye: A Nationwide Cohort Study Based on Demographic Trends, Seasonal Variations, and the Impact of Climate Change on Incidence
title_full_unstemmed Mushroom Intoxication in Türkiye: A Nationwide Cohort Study Based on Demographic Trends, Seasonal Variations, and the Impact of Climate Change on Incidence
title_short Mushroom Intoxication in Türkiye: A Nationwide Cohort Study Based on Demographic Trends, Seasonal Variations, and the Impact of Climate Change on Incidence
title_sort mushroom intoxication in turkiye a nationwide cohort study based on demographic trends seasonal variations and the impact of climate change on incidence
url https://www.turkjgastroenterol.org/en/mushroom-intoxication-in-turkiye-a-nationwide-cohort-study-based-on-demographic-trends-seasonal-variations-and-the-impact-of-climate-change-on-incidence-137285
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