Epidemiology and Health

Original Articles

Risk factors contributing to the incidence and mortality of acute childhood poisoning in emergency department patients in Iran: a hospital-based case-control study: Hamideh Feiz Disfani, Mostafa Kamandi, Seyed Mohammad Mousavi, Sayyed Majid Sadrzadeh, Roohie Farzaneh, Najme Doolabi, Kazem Rahmani; Epidemiol Health. 2019;41:e2019016. Published online April 23, 2019; DOI: https://doi.org/10.4178/epih.e2019016

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Abstract

OBJECTIVES
Since poisoning is one of the most important preventable factors contributing to the hospitalization and death of children who present to emergency departments, this study was carried out to investigate the risk factors contributing to the incidence and mortality of acute childhood poisoning.

METHODS

This hospital-based case-control study included 243 cases and 489 controls, drawn from daily admissions to the emergency departments of the included hospitals according to the inclusion and exclusion criteria.

RESULTS

Gastrointestinal poisoning was the most common poisoning type, found in 87.7% of subjects, and medications were the most common cause of poisoning (49.8%). Multiple logistic regression analysis showed that a history of poisoning (odds ratio [OR], 10.44; 95% confidence interval [CI], 5.58 to 19.51; p<0.001) and the availability of poisonous substances (OR, 8.88; 95% CI, 5.41 to 14.56; p<0.001) were among the most important predictors of childhood poisoning. Respiratory poisoning (OR, 6.72; 95% CI, 1.40 to 32.07; p<0.05) and the presence of addiction in the family (OR, 4.54; 95% CI, 1.10 to 18.68; p<0.05) were the most important predictors of mortality among children with poisoning.

CONCLUSIONS

Addiction and the presence of physical or psychological disorders in family members, a history of poisoning, and the availability of poisonous substances were significantly associated with the incidence of childhood poisoning and resultant mortality.

Summary

Citations

Citations to this article as recorded by

Analysis of notified drug poisoning among children in Santa Catarina state, 2016–2020
Karoliny Brock, Gabriel Oscar Cremona Parma, Alessandra de Sá Soares, Fabiana Schuelter-Trevisol
Revista Paulista de Pediatria.2024;[Epub] CrossRef
Poisoning in children and adolescents in Kermanshah city, Iran
Mitra Hemmati, Mohamad Reza Tohidi, Ali Mohammadi, Firozeh Jahanpour, Bahareh Andayeshgar, Sahar Fallah
BMC Pediatrics.2024;[Epub] CrossRef
Determination of risk factors associated with unintentional injury in children: Case‐control study
Raziye Celen, Tuba Ozaydin, Alaaddin Yorulmaz
Public Health Nursing.2023; 40(2): 250. CrossRef
Initial clinical and laboratory parameters triaging non-pharmaceutical acute pediatric poisoned patients for potential adverse outcomes: a three-year retrospective study
Ghada N El-Sarnagawy, Mona M Ghonem, Nadia E Helal
Toxicology Research.2023;[Epub] CrossRef
Knowledge, Attitude, and Practice of Nurses Toward the Initial Managements of Acute Poisoning in Public Hospitals of Bahir Dar City, Northwest Ethiopia 2022: Cross-Sectional Study
Ousman Adal, Yigremew Hiamanot, Abdulkadir Zakir, Redeat Regassa, Asnake Gashaw
SAGE Open Nursing.2023; 9: 237796082311573. CrossRef
Data Infrastructure for a Poisoning Registry with Designing Data Elements and a Minimum Data Set
Azam Sabahi, Farkhondeh Asadi, Shahin Shadnia, Reza Rabiei, Azamossadat Hosseini
Shiraz E-Medical Journal.2022;[Epub] CrossRef
Fatal Outcome in Acutely Poisoned Children With Hospitalization
Narges Gholami, Rebecca McDonald, Fariba Farnaghi, Maryam Hosseini Yazdi, Nasim Zamani, Hossein Hassanian-Moghaddam
Pediatric Emergency Care.2022; 38(2): e659. CrossRef
Poisoning-related emergency department visits: the experience of a Saudi high-volume toxicology center
Mohammad Ali Alghafees, Abdullah Abdulmomen, Mahmoud Eid, Ghadah Ibrahim Alhussin, Mohammed Qasem Alosaimi, Ghadah Saad Alduhaimi, Mohammed Talal Albogami, Mohammed Alhelail
Annals of Saudi Medicine.2022; 42(1): 36. CrossRef
Características de los pacientes pediátricos que ingresan a terapia intensiva por intoxicaciones graves
Lucina Gordillo-Rodríguez, Lucía Escobedo-Berumen, Mario Enrique Rendón-Macías, Diego Garay-Carmona, Andrés Blanco-Montero, Paloma Vizcarra-Alvarado, Isabel Bernárdez-Zapata, José Iglesias-Leboreiro
Revista Mexicana de Pediatría.2022; 89(1): 12. CrossRef
Evaluation of Clinical, Socioeconomic, and Demographic Factors in Different Poisoning Agents in Pediatric Population
Noor Mohammad Noori, Tahereh Boryri, Alireza Teimouri, Sahar Safapour Moghadam
International Journal of High Risk Behaviors and Addiction.2022;[Epub] CrossRef
Toxicologic Exposures in California Emergency Departments in 2011 and Its Risk Factors
Shahram Loftipour, Connie Au, Soheil Saadat, Tim Bruckner, Parvati Singh, Bharath Chakravarthy
Western Journal of Emergency Medicine.2021; 22(5): 1139. CrossRef
Characterization of Acute Poisoning in Hospitalized Children in Southwest China
Zhu Li, Li Xiao, Lin Yang, Shaojun Li, Liping Tan
Frontiers in Pediatrics.2021;[Epub] CrossRef
Clinical profile of poisoning due to various poisons in children of age 0–12 years
Diganta Saikia, RK Sharma, KoleV Janardhan
Journal of Family Medicine and Primary Care.2020; 9(5): 2291. CrossRef

Admission route and use of invasive procedures during hospitalization for acute myocardial infarction: analysis of 2007-2011 National Health Insurance database: Hyungseon Yeom, Dae Ryong Kang, Seong Kyung Cho, Seung Won Lee, Dong-Ho Shin, Hyeon Chang Kim; Epidemiol Health. 2015;37:e2015022. Published online May 1, 2015; DOI: https://doi.org/10.4178/epih/e2015022

17,198 View
182 Download
7 Web of Science
8 Crossref

Abstract Summary PDF

Abstract

OBJECTIVES
The goal of this study was to investigate trends in admission to the emergency department and the use of invasive or surgical procedures during hospitalization for acute myocardial infarction (AMI) in Korea.

METHODS

The National Health Insurance (NHI) claims database between 2007 and 2011 was used. We identified all admission claims that included codes from the tenth revision of the International Classification of Diseases beginning with I21 as the primary or secondary diagnosis. Information about the admission route, admission date, discharge date, and whether coronary artery angiography, angioplasty, or bypass surgery was performed was also obtained from the NHI database.

RESULTS

Of the 513,886 relevant admission claims over the five years encompassed by this study, 295,001 discrete episodes of admission for AMI were identified by analyzing the date and length of each admission and the interval between admissions. The number of AMI admissions gradually decreased from 66,883 in 2007 to 47,656 in 2011. The number and proportion of admissions through the emergency department also decreased from 38,118 (57.0%) in 2007 to 24,001 (50.4%) in 2011. However, during the same period, admissions in which invasive or surgical procedures were performed increased from 15,342 (22.9%) to 17,505 (36.7%).

CONCLUSIONS

The reported numbers of emergency department visits and admissions for AMI decreased from 2007 to 2011. However, only a small portion of the patients underwent invasive or surgical procedures during hospitalization, although the number of admissions involving invasive or surgical procedures has increased. These findings suggest that simply counting the number of admission claims cannot provide valid information on trends in AMI occurrence.

Summary

Korean summary
급성심근경색 환자의 급성기 의료이용행태를 조사하기 위해 2007년부터 2011년까지 급성심근경색증 진단명(ICD-10 코드 I21.x)을 포함하는 입원 청구자료 513,886건을 분석하였다. 총 295,001건의 독립된 입원 에피소드를 추출하여 분석한 결과, 5년동안 전체 입원건수와 응급실 경유 입원건수는 감소한 반면, 진단 또는 치료 목적의 침습적 시술을 동반한 입원은 증가하였다. 건강보험청구자료를 이용하여 급성심근경색증 발생 규모를 파악할 때, 진단명만으로는 정확한 추계가 어려우며 관련 시술 등의 의료이용 정보를 추가하는 것이 필요할 것이다.

Citations

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Frontiers in Pharmacology.2023;[Epub] CrossRef
Effect of Sodium-Glucose Cotransporter Inhibitors on Major Adverse Cardiovascular Events and Hospitalization for Heart Failure in Patients With Type 2 Diabetes Mellitus and Atrial Fibrillation
Chang Hee Kwon, Ye-Jee Kim, Min-Ju Kim, Myung-Jin Cha, Min Soo Cho, Gi-Byoung Nam, Kee-Joon Choi, Jun Kim
The American Journal of Cardiology.2022; 178: 35. CrossRef
Using real-world data for supporting regulatory decision making: Comparison of cardiovascular and safety outcomes of an empagliflozin randomized clinical trial versus real-world data
Ha Young Jang, In-Wha Kim, Jung Mi Oh
Frontiers in Pharmacology.2022;[Epub] CrossRef
Epidemiology of cardiovascular disease and its risk factors in Korea
Hyeon Chang Kim
Global Health & Medicine.2021; 3(3): 134. CrossRef
Major Adverse Cardiovascular Events in Antidepressant Users Within Patients With Ischemic Heart Diseases
Jae Hyun Kim, Yun-Kyoung Song, Ha Young Jang, Ju-Young Shin, Hae-Young Lee, Yong Min Ahn, Jung Mi Oh, In-Wha Kim
Journal of Clinical Psychopharmacology.2020; 40(5): 475. CrossRef
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Young Soo Kim, Dong-Hee Lee, Hiun Suk Chae, Kyungdo Han
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