A Nationwide Population-Based Study of Corrosive Ingestion in Taiwan: Incidence, Gender Differences, and Mortality

Corrosive injury results from the intake of corrosive-acid-based chemicals. However, this phenomenon is limited to a small number of cases and cannot be extrapolated to the epidemiology of corrosive injuries in actual situations. This study focuses on the annual incidence of corrosive injury and its...

Full description

Saved in:
Bibliographic Details
Main Authors: Chuan-Mei Chen, Yueh-Chin Chung, Li-Hung Tsai, Yi-Chen Tung, Horng-Mo Lee, Mei-Ling Lin, Hsin-Li Liu, Woung-Ru Tang
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2016/7905425
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849304975413346304
author Chuan-Mei Chen
Yueh-Chin Chung
Li-Hung Tsai
Yi-Chen Tung
Horng-Mo Lee
Mei-Ling Lin
Hsin-Li Liu
Woung-Ru Tang
author_facet Chuan-Mei Chen
Yueh-Chin Chung
Li-Hung Tsai
Yi-Chen Tung
Horng-Mo Lee
Mei-Ling Lin
Hsin-Li Liu
Woung-Ru Tang
author_sort Chuan-Mei Chen
collection DOAJ
description Corrosive injury results from the intake of corrosive-acid-based chemicals. However, this phenomenon is limited to a small number of cases and cannot be extrapolated to the epidemiology of corrosive injuries in actual situations. This study focuses on the annual incidence of corrosive injury and its connection to gender, risk factors, and in-hospital mortality. All patients with corrosive injury (ICD-9 947.0–947.3) were identified using a nationwide inpatient sample from 1996 until 2010. Chi-squared tests and multivariate logistic regression were used to examine risk factors of gender differences and in-hospital mortality of corrosive injury. Young adults comprised the majority of patients (71.2%), and mean age was 44.6 ± 20.9 years. Women showed a higher incidence rate of corrosive injuries, age, suicide, psychiatric disorder, and systemic complications compared with men (p<0.001). The present study demonstrated that age (OR = 10.93; 95% CI 5.37–22.27), systemic complications (OR = 5.43; 95% CI 4.61–6.41), malignant neoplasms (OR = 2.23; 95% CI 1.37–3.62), gastrointestinal complications (OR = 2.02; 95% CI 1.63–2.51), chronic disease (OR = 1.30; 95% CI 1.08–1.56), and suicide (OR = 1.23; 95% CI 1.05–1.44) were strongly associated with in-hospital mortality. Educational programs may be helpful for reducing the incidence of ingestion of corrosive chemicals.
format Article
id doaj-art-3fb092bfcd764898b202adf2044158da
institution Kabale University
issn 1687-6121
1687-630X
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Gastroenterology Research and Practice
spelling doaj-art-3fb092bfcd764898b202adf2044158da2025-08-20T03:55:36ZengWileyGastroenterology Research and Practice1687-61211687-630X2016-01-01201610.1155/2016/79054257905425A Nationwide Population-Based Study of Corrosive Ingestion in Taiwan: Incidence, Gender Differences, and MortalityChuan-Mei Chen0Yueh-Chin Chung1Li-Hung Tsai2Yi-Chen Tung3Horng-Mo Lee4Mei-Ling Lin5Hsin-Li Liu6Woung-Ru Tang7School of Nursing, College of Medicine, Chang Gung University, No. 259, Wenhua 1st Road, Guishan District, Taoyuan City 33302, TaiwanDepartment of Nursing, Central Taiwan University of Science and Technology, Taichung, TaiwanDepartment of Nursing, Chang Gung University of Science and Technology, Taoyuan, TaiwanDepartment of Nursing, Central Taiwan University of Science and Technology, Taichung, TaiwanSchool of Medical Laboratory Sciences and Biotechnology, Taipei Medical University, Taipei, TaiwanDepartment of Nursing, Central Taiwan University of Science and Technology, Taichung, TaiwanDepartment of Nursing, Central Taiwan University of Science and Technology, Taichung, TaiwanSchool of Nursing, College of Medicine, Chang Gung University, No. 259, Wenhua 1st Road, Guishan District, Taoyuan City 33302, TaiwanCorrosive injury results from the intake of corrosive-acid-based chemicals. However, this phenomenon is limited to a small number of cases and cannot be extrapolated to the epidemiology of corrosive injuries in actual situations. This study focuses on the annual incidence of corrosive injury and its connection to gender, risk factors, and in-hospital mortality. All patients with corrosive injury (ICD-9 947.0–947.3) were identified using a nationwide inpatient sample from 1996 until 2010. Chi-squared tests and multivariate logistic regression were used to examine risk factors of gender differences and in-hospital mortality of corrosive injury. Young adults comprised the majority of patients (71.2%), and mean age was 44.6 ± 20.9 years. Women showed a higher incidence rate of corrosive injuries, age, suicide, psychiatric disorder, and systemic complications compared with men (p<0.001). The present study demonstrated that age (OR = 10.93; 95% CI 5.37–22.27), systemic complications (OR = 5.43; 95% CI 4.61–6.41), malignant neoplasms (OR = 2.23; 95% CI 1.37–3.62), gastrointestinal complications (OR = 2.02; 95% CI 1.63–2.51), chronic disease (OR = 1.30; 95% CI 1.08–1.56), and suicide (OR = 1.23; 95% CI 1.05–1.44) were strongly associated with in-hospital mortality. Educational programs may be helpful for reducing the incidence of ingestion of corrosive chemicals.http://dx.doi.org/10.1155/2016/7905425
spellingShingle Chuan-Mei Chen
Yueh-Chin Chung
Li-Hung Tsai
Yi-Chen Tung
Horng-Mo Lee
Mei-Ling Lin
Hsin-Li Liu
Woung-Ru Tang
A Nationwide Population-Based Study of Corrosive Ingestion in Taiwan: Incidence, Gender Differences, and Mortality
Gastroenterology Research and Practice
title A Nationwide Population-Based Study of Corrosive Ingestion in Taiwan: Incidence, Gender Differences, and Mortality
title_full A Nationwide Population-Based Study of Corrosive Ingestion in Taiwan: Incidence, Gender Differences, and Mortality
title_fullStr A Nationwide Population-Based Study of Corrosive Ingestion in Taiwan: Incidence, Gender Differences, and Mortality
title_full_unstemmed A Nationwide Population-Based Study of Corrosive Ingestion in Taiwan: Incidence, Gender Differences, and Mortality
title_short A Nationwide Population-Based Study of Corrosive Ingestion in Taiwan: Incidence, Gender Differences, and Mortality
title_sort nationwide population based study of corrosive ingestion in taiwan incidence gender differences and mortality
url http://dx.doi.org/10.1155/2016/7905425
work_keys_str_mv AT chuanmeichen anationwidepopulationbasedstudyofcorrosiveingestionintaiwanincidencegenderdifferencesandmortality
AT yuehchinchung anationwidepopulationbasedstudyofcorrosiveingestionintaiwanincidencegenderdifferencesandmortality
AT lihungtsai anationwidepopulationbasedstudyofcorrosiveingestionintaiwanincidencegenderdifferencesandmortality
AT yichentung anationwidepopulationbasedstudyofcorrosiveingestionintaiwanincidencegenderdifferencesandmortality
AT horngmolee anationwidepopulationbasedstudyofcorrosiveingestionintaiwanincidencegenderdifferencesandmortality
AT meilinglin anationwidepopulationbasedstudyofcorrosiveingestionintaiwanincidencegenderdifferencesandmortality
AT hsinliliu anationwidepopulationbasedstudyofcorrosiveingestionintaiwanincidencegenderdifferencesandmortality
AT woungrutang anationwidepopulationbasedstudyofcorrosiveingestionintaiwanincidencegenderdifferencesandmortality
AT chuanmeichen nationwidepopulationbasedstudyofcorrosiveingestionintaiwanincidencegenderdifferencesandmortality
AT yuehchinchung nationwidepopulationbasedstudyofcorrosiveingestionintaiwanincidencegenderdifferencesandmortality
AT lihungtsai nationwidepopulationbasedstudyofcorrosiveingestionintaiwanincidencegenderdifferencesandmortality
AT yichentung nationwidepopulationbasedstudyofcorrosiveingestionintaiwanincidencegenderdifferencesandmortality
AT horngmolee nationwidepopulationbasedstudyofcorrosiveingestionintaiwanincidencegenderdifferencesandmortality
AT meilinglin nationwidepopulationbasedstudyofcorrosiveingestionintaiwanincidencegenderdifferencesandmortality
AT hsinliliu nationwidepopulationbasedstudyofcorrosiveingestionintaiwanincidencegenderdifferencesandmortality
AT woungrutang nationwidepopulationbasedstudyofcorrosiveingestionintaiwanincidencegenderdifferencesandmortality