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Epidemiol Health > Accepted Articles
Epidemiology and Health 2019;e2019016.
DOI: https://doi.org/10.4178/epih.e2019016    [Accepted] Published online April 23, 2019.
Risk Factors Contributing to the Incidence and Mortality of Acute Childhood Poisoning in Emergency Department: a Hospital base Case-Control Study, Iran
Hamideh Feiz Disfani1  , Mostafa Kamandi2  , Seyed Mohammad Mousavi1  , Sayyed Majid Sadrzadeh1  , Roohie Farzaneh1  , Najme Doolabi1  , Kazem Rahmani3 
1Department of Emergency Medicine, Mashhad University of Medical sciences, Mashhad, Iran
2Department of Internal Medicine, Mashhad University of Medical sciences, Mashhad, Iran
3Department of epidemiology, School of public health, Iran university of medical sciences, Tehran, Iran
Correspondence  Najme Doolabi ,Tel: +989156473293, Email: drnajdoolabi@gmail.com
Received: February 7, 2019  Accepted after revision: April 23, 2019
Abstract
Objectives:
Considering that poisoning is one of the most important and preventable factors in hospitalization and death of children in emergency departments, this study was carried out to investigate the risk factors contributing to the incidence and mortality of acute childhood poisoning.
Method:
This is a Hospital base Case-Control Study conducted on 243 cases and 489 controls. The subjects were included in the study in two groups (case and control) based on the daily admission to the emergency departments of the respective hospitals according to the inclusion and exclusion criteria.
Results:
Regarding the poisoning type, 87.65% of the subjects had gastrointestinal poisoning, and drug poisoning was also the most common cause of poisoning in children (49.79%). The results of multiple logistic regression showed that having a history of poisoning (OR = 10.44, P <0.01) and availability of poisonous substances (OR = 8.88, P <0.01) were among the most important causes of childhood poisoning. Besides, respiratory poisoning (OR = 6.72, P = 0.017) and the presence of addiction in the family (OR = 4.54, P <0.03) were considered the most important causes of mortality among the children with poisoning.
Conclusion:
The results of this study showed that factors such as addiction and diseases or psychological disorders in family members, the history of poisoning and the availability of poisonous substances to children were effective in the incidence of childhood poisoning and the resulting mortality.
Keywords: poisoning; children; mortality; emergency department


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