Pediatric Poisonings and Risk Markers for Hospital Admission in a Major Emergency Department in Romania

Details

• Personal Author:
  Chereches RM ; Nour D ; Oprescu F ; Peek-Asa, Corinne ; Wallis A ; Young T ; Chereches RM ; Nour D ; Oprescu F ; Peek-Asa, Corinne ; Wallis A ; Young T
• Description:
  To identify the prevalence, characteristics, and risk markers for childhood poisonings treated in the emergency department of a large Romanian hospital. Trauma registry data using ICD-10 codes and case summaries were studied to identify poisonings among children aged 0-18. Multivariate logistic regression identified factors associated with hospital admission. Between 1999 and 2003, 1,173 pediatric trauma cases were seen in the emergency department; 437 (37.3%) were treated for poisoning, including medication (35%), alcohol (26%), chemical products (19%), and carbon monoxide (14%). Half of all poisonings were unintentional, primarily affecting children < 10 years. Half were intentional, mainly affecting children 10-18. Females were three times more likely than males to have documented suicidal intent (P < .0001). Over 30% of suicide attempts were among children ages 10-14 (P < .0001). We report significantly increased adjusted odds ratios (P < .05) of hospital admission for children 10-18, and for chemical substance poisoning, and suicidal intent. Pediatric poisoning is a serious public health issue in Romania, and we suggest these findings are relevant across other eastern European countries with limited resources. Poisonings result in morbidity and hospital admissions, yet there are few prevention resources available. Health education programs and consumer product safety policies are needed in Romania and eastern Europe. [Description provided by NIOSH]
• Subjects:
  Carbon Monoxide Case Reports Emergency Responders Morbidity Occupational Health Poisoning Risk Assessment Risk Factors Safety Suicide
• Keywords:
  Alcohols Author Keywords: Injury Carbon Monoxide Carbon Monoxide Poisoning Case Studies Chemicals Children Data Processing Emergency Treatment Hospital Admissions Injuries Medical Records Medicinal Chemicals Morbidity Rates Pediatric Care Poisonings Poisons Recording Systems Regression Analysis Risk Factors Trauma

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• ISSN:
  1092-7875
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article ; Journal Article
• Place as Subject:
  Iowa ; OSHA Region 7
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• Pages in Document:
  495-500
• Volume:
  16
• Issue:
  2
• NIOSHTIC Number:
  nn:20062416
• Citation:
  Matern Child Health J 2012 Feb; 16(2):495-500
• Contact Point Address:
  Anne Wallis, Department of Epidemiology, College of Public Health, University of Iowa, 200 Hawkins Drive, SE226-GH, Iowa City, IA 52242, USA
• Email:
  anne-wallis@uiowa.edu
• CAS Registry Number:
  Carbon monoxide (CAS RN 630-08-0) ; Carbon monoxide (CAS RN 630-08-0)
• Federal Fiscal Year:
  2012
• Performing Organization:
  University of Iowa
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Maternal and Child Health Journal
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:811e0133dd383770a10e17ade17b28900f2f3a354120d1306a55a46cb37edf171a5d673df8f35a4b3e14dd4a1c12c1c88fd0585502efd90f052f747bcf481ab9
• Download URL:
  https://stacks.cdc.gov/view/cdc/225670/cdc_225670_DS1.pdf
• File Type:
  [PDF - 159.37 KB ]