Age group characteristics of children who visited the emergency department with acute poisoning by ingestion
Pediatric Emergency Medicine Journal
;
: 5-12, 2018.
Article
in Korean
| WPRIM
| ID: wpr-741803
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Poisoning
/
Logistic Models
/
Odds Ratio
/
Decontamination
/
Family Characteristics
/
Epidemiology
/
Hospital Mortality
/
Age Distribution
/
Eating
/
Emergencies
Type of study:
Etiology study
/
Prognostic study
/
Risk factors
Limits:
Adolescent
/
Child
/
Female
/
Humans
/
Infant
/
Male
Language:
Korean
Journal:
Pediatric Emergency Medicine Journal
Year:
2018
Type:
Article
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