Clinical spectrum of acute poisoning in children admitted to the pediatric emergency department
Background: Pediatric poisoning is a common emergency worldwide. Routine surveillance is required for public health authorities and physicians to update strategies for prevention and management of pediatric poisoning. This study investigated the epidemiology of poisoning among children admitted to a...
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Elsevier
2019-02-01
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| Series: | Pediatrics and Neonatology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957217302954 |
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| author | Jung Lee Nai-Chia Fan Tsung-Chieh Yao Shao-Hsuan Hsia En-Pei Lee Jing-Long Huang Han-Ping Wu |
| author_facet | Jung Lee Nai-Chia Fan Tsung-Chieh Yao Shao-Hsuan Hsia En-Pei Lee Jing-Long Huang Han-Ping Wu |
| author_sort | Jung Lee |
| collection | DOAJ |
| description | Background: Pediatric poisoning is a common emergency worldwide. Routine surveillance is required for public health authorities and physicians to update strategies for prevention and management of pediatric poisoning. This study investigated the epidemiology of poisoning among children admitted to an emergency department (ED). Methods: This was a retrospective descriptive study. Data were collected from patients under 18 years old (y/o) presenting with poisoning at the largest ED in North Taiwan from 2011 to 2015. Results: Five-year records of 590 patients—309 (52.3%) boys and 281 (47.7%) girls—were analyzed. The mean age was 5.07 y/o (Standard Deviation [SD] = 5.02 years), and 94.7% of events occurred at home. Incidence was highest from 6 p.m. to 12 a.m. (42.2%, n = 249). Most patients younger than 11 y/o were male, but this gender distribution was reversed in adolescents (11–17 y/o). Pharmaceutical ingestion (41.4%, n = 244) was the leading cause of poisoning; pesticide was the most common non-pharmaceutical poison ingested (9.5%, n = 55). Carbon monoxide (CO) intoxication (87.6%, n = 99) and snakebite (75%, n = 9) were the common causes of inhalation (n = 113) and venom (n = 12) poisoning, respectively. The mean duration of the ED stay was 5.45 h (SD = 7.39 h), and 101 cases (17.2%), including 21 cases (3.6%) requiring intensive care, were admitted to the hospital. All patients survived. Conclusion: Most poisonings occurred in young children, at home, by unintentional ingestion of a single substance, from 6 p.m. to 12 a.m. Female adolescents were the common intentional poisoning patients and pharmaceutical ingestion was the leading cause of poisoning. This kind of information enables ED physicians to improve preparations for pediatric poisoning cases and allows public health authorities to sharpen the focus of poisoning prevention efforts. Key Words: children, emergency department, intentional, poisoning, toxicology |
| format | Article |
| id | doaj-art-d67d51a5271f47608c2f26e42281ea77 |
| institution | OA Journals |
| issn | 1875-9572 |
| language | English |
| publishDate | 2019-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj-art-d67d51a5271f47608c2f26e42281ea772025-08-20T02:15:42ZengElsevierPediatrics and Neonatology1875-95722019-02-01601596710.1016/j.pedneo.2018.04.001Clinical spectrum of acute poisoning in children admitted to the pediatric emergency departmentJung Lee0Nai-Chia Fan1Tsung-Chieh Yao2Shao-Hsuan Hsia3En-Pei Lee4Jing-Long Huang5Han-Ping Wu6Division of Pediatric General Medicine, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, Kweishan, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, TaiwanDivision of Pediatric General Medicine, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, Kweishan, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, TaiwanCollege of Medicine, Chang Gung University, Taoyuan, Taiwan; Division of Pediatric Allergy, Asthma, and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, Kweishan, Taoyuan, TaiwanCollege of Medicine, Chang Gung University, Taoyuan, Taiwan; Division of Pediatric Critical Care Medicine, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, Kweishan, Taoyuan, TaiwanDivision of Pediatric General Medicine, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, Kweishan, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan; Division of Pediatric Critical Care Medicine, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, Kweishan, Taoyuan, TaiwanCollege of Medicine, Chang Gung University, Taoyuan, Taiwan; Division of Pediatric Allergy, Asthma, and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, Kweishan, Taoyuan, Taiwan; Corresponding author. Division of Pediatric Allery, Asthma, and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, No. 5, Fu-Hsin Street, Kweishan, Taoyuan, Taiwan. Fax: +886 3 3288957.Division of Pediatric General Medicine, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, Kweishan, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan; Corresponding author. Division of Pediatric General Medicine, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, No. 5, Fu-Hsin Street, Kweishan, Taoyuan, Taiwan. Fax: +886 3 3288957.Background: Pediatric poisoning is a common emergency worldwide. Routine surveillance is required for public health authorities and physicians to update strategies for prevention and management of pediatric poisoning. This study investigated the epidemiology of poisoning among children admitted to an emergency department (ED). Methods: This was a retrospective descriptive study. Data were collected from patients under 18 years old (y/o) presenting with poisoning at the largest ED in North Taiwan from 2011 to 2015. Results: Five-year records of 590 patients—309 (52.3%) boys and 281 (47.7%) girls—were analyzed. The mean age was 5.07 y/o (Standard Deviation [SD] = 5.02 years), and 94.7% of events occurred at home. Incidence was highest from 6 p.m. to 12 a.m. (42.2%, n = 249). Most patients younger than 11 y/o were male, but this gender distribution was reversed in adolescents (11–17 y/o). Pharmaceutical ingestion (41.4%, n = 244) was the leading cause of poisoning; pesticide was the most common non-pharmaceutical poison ingested (9.5%, n = 55). Carbon monoxide (CO) intoxication (87.6%, n = 99) and snakebite (75%, n = 9) were the common causes of inhalation (n = 113) and venom (n = 12) poisoning, respectively. The mean duration of the ED stay was 5.45 h (SD = 7.39 h), and 101 cases (17.2%), including 21 cases (3.6%) requiring intensive care, were admitted to the hospital. All patients survived. Conclusion: Most poisonings occurred in young children, at home, by unintentional ingestion of a single substance, from 6 p.m. to 12 a.m. Female adolescents were the common intentional poisoning patients and pharmaceutical ingestion was the leading cause of poisoning. This kind of information enables ED physicians to improve preparations for pediatric poisoning cases and allows public health authorities to sharpen the focus of poisoning prevention efforts. Key Words: children, emergency department, intentional, poisoning, toxicologyhttp://www.sciencedirect.com/science/article/pii/S1875957217302954 |
| spellingShingle | Jung Lee Nai-Chia Fan Tsung-Chieh Yao Shao-Hsuan Hsia En-Pei Lee Jing-Long Huang Han-Ping Wu Clinical spectrum of acute poisoning in children admitted to the pediatric emergency department Pediatrics and Neonatology |
| title | Clinical spectrum of acute poisoning in children admitted to the pediatric emergency department |
| title_full | Clinical spectrum of acute poisoning in children admitted to the pediatric emergency department |
| title_fullStr | Clinical spectrum of acute poisoning in children admitted to the pediatric emergency department |
| title_full_unstemmed | Clinical spectrum of acute poisoning in children admitted to the pediatric emergency department |
| title_short | Clinical spectrum of acute poisoning in children admitted to the pediatric emergency department |
| title_sort | clinical spectrum of acute poisoning in children admitted to the pediatric emergency department |
| url | http://www.sciencedirect.com/science/article/pii/S1875957217302954 |
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