Age group characteristics of children who visited the emergency department with acute poisoning by ingestion
Pediatric Emergency Medicine Journal
; : 5-12, 2018.
Article
em Ko
| WPRIM
| ID: wpr-741803
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
To investigate the age group characteristics of children who visited the emergency department with acute poisoning by ingestion.METHODS:
We reviewed children under 19 years who visited the emergency department for acute poisoning by ingestion from 2012 to 2017. The children were divided into 3 age groups; infants (0-1 years), preschoolers (2-5 years), and schoolers (6-18 years). Clinical characteristics, intentional ingestion, involved substances (drugs, household products, artificial substances, and pesticides), decontamination and antidote therapy, and outcomes of the 3 age groups were compared. We also performed multivariable logistic regression analysis to identify factors associated with hospitalization.RESULTS:
A total of 622 children with acute poisoning by ingestion were analyzed. Their annual proportions to overall pediatric emergency patients ranged from 0.3% to 0.4%. Age distribution showed bimodal peaks at 0-2 years and 15-17 years. The infants showed lower frequency of girls, intentional ingestion, ingestion of drugs, performance of decontamination and antidote therapy, and hospitalization than 2 older groups (P < 0.001). Most decontamination, antidote therapy, and hospitalization occurred in the schoolers (P < 0.001). The most frequently reported substances were household cleaning substances in the infants (18.2%), antihistamines in the preschoolers (15.8%), and analgesics in the schoolers (37.5%). The factors associated with hospitalization were intentional ingestion (adjusted odds ratio [aOR], 7.08; 95% confidence interval [CI], 2.85-17.61; P = 0.001) and schoolers (aOR, 2.33; 95% CI, 1.10-7.53; P = 0.031; compared with infants). Only 1 in-hospital mortality was found in a boy aged 2 years who ingested methomyl.CONCLUSION:
Infants may experience non-intentional ingestion, ingestion of non-pharmacologic substances (especially household cleaning substances), discharge without decontamination and antidote therapy more frequently than older children. Thus, we need age group-specific, preventive and therapeutic plans for children with acute poisoning.Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Intoxicação
/
Modelos Logísticos
/
Razão de Chances
/
Descontaminação
/
Características da Família
/
Epidemiologia
/
Mortalidade Hospitalar
/
Distribuição por Idade
/
Ingestão de Alimentos
/
Emergências
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Child
/
Female
/
Humans
/
Infant
/
Male
Idioma:
Ko
Revista:
Pediatric Emergency Medicine Journal
Ano de publicação:
2018
Tipo de documento:
Article