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Pediatric Emergency Department Management in Acute Poisoning—A 2-Year Retrospective Study

(1) Background: Poisonings in children are common reasons for addressing ED and can potentially have serious complications. Our research aims to review risk factors leading to poisoning in children. (2) Methods: A retrospective review of all pediatric poisoning cases addressing the Children’s emerge...

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Autores principales: Corlade-Andrei, Mihaela, Nedelea, Paul Lucian, Ionescu, Theodora Daniela, Rosu, Tamara Solange, Hauta, Alexandra, Grigorasi, Gabriela Raluca, Blaga, Teofil, Sova, Ivona, Popa, Ovidiu Tudor, Cimpoesu, Diana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9861028/
https://www.ncbi.nlm.nih.gov/pubmed/36675767
http://dx.doi.org/10.3390/jpm13010106
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author Corlade-Andrei, Mihaela
Nedelea, Paul Lucian
Ionescu, Theodora Daniela
Rosu, Tamara Solange
Hauta, Alexandra
Grigorasi, Gabriela Raluca
Blaga, Teofil
Sova, Ivona
Popa, Ovidiu Tudor
Cimpoesu, Diana
author_facet Corlade-Andrei, Mihaela
Nedelea, Paul Lucian
Ionescu, Theodora Daniela
Rosu, Tamara Solange
Hauta, Alexandra
Grigorasi, Gabriela Raluca
Blaga, Teofil
Sova, Ivona
Popa, Ovidiu Tudor
Cimpoesu, Diana
author_sort Corlade-Andrei, Mihaela
collection PubMed
description (1) Background: Poisonings in children are common reasons for addressing ED and can potentially have serious complications. Our research aims to review risk factors leading to poisoning in children. (2) Methods: A retrospective review of all pediatric poisoning cases addressing the Children’s emergency department of St Mary Hospital over a two-year period was performed. (3) Results: We collected data on 797 children admitted for acute poisoning. The highest incidence identified was in the 12–18 and 1–3-year-old age groups. The distribution of voluntary versus unintentional poisonings was relatively balanced: 50.19% versus 47.43% (for some cases the type of intoxication remained unknown). Exposure to the toxic substance by ingestion was significant compared to the other routes, with an incidence of 87.1%. Acute poisoning happened at home in 70.4% of cases. A known risk factor before reaching the ED was present in 13.04%. (4) Conclusions: Our study showed a greater risk for acute poisoning in children between 1–3 years of age, and adolescents over 12 years. Identifying and documenting epidemiological aspects and other variables is important for establishing preventive measures and for therapeutic conduct. Adequate risk stratification and preventive measures involving closer supervision of minors or cognitive-behavioral programs can prevent voluntary intoxication.
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spelling pubmed-98610282023-01-22 Pediatric Emergency Department Management in Acute Poisoning—A 2-Year Retrospective Study Corlade-Andrei, Mihaela Nedelea, Paul Lucian Ionescu, Theodora Daniela Rosu, Tamara Solange Hauta, Alexandra Grigorasi, Gabriela Raluca Blaga, Teofil Sova, Ivona Popa, Ovidiu Tudor Cimpoesu, Diana J Pers Med Article (1) Background: Poisonings in children are common reasons for addressing ED and can potentially have serious complications. Our research aims to review risk factors leading to poisoning in children. (2) Methods: A retrospective review of all pediatric poisoning cases addressing the Children’s emergency department of St Mary Hospital over a two-year period was performed. (3) Results: We collected data on 797 children admitted for acute poisoning. The highest incidence identified was in the 12–18 and 1–3-year-old age groups. The distribution of voluntary versus unintentional poisonings was relatively balanced: 50.19% versus 47.43% (for some cases the type of intoxication remained unknown). Exposure to the toxic substance by ingestion was significant compared to the other routes, with an incidence of 87.1%. Acute poisoning happened at home in 70.4% of cases. A known risk factor before reaching the ED was present in 13.04%. (4) Conclusions: Our study showed a greater risk for acute poisoning in children between 1–3 years of age, and adolescents over 12 years. Identifying and documenting epidemiological aspects and other variables is important for establishing preventive measures and for therapeutic conduct. Adequate risk stratification and preventive measures involving closer supervision of minors or cognitive-behavioral programs can prevent voluntary intoxication. MDPI 2023-01-03 /pmc/articles/PMC9861028/ /pubmed/36675767 http://dx.doi.org/10.3390/jpm13010106 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Corlade-Andrei, Mihaela
Nedelea, Paul Lucian
Ionescu, Theodora Daniela
Rosu, Tamara Solange
Hauta, Alexandra
Grigorasi, Gabriela Raluca
Blaga, Teofil
Sova, Ivona
Popa, Ovidiu Tudor
Cimpoesu, Diana
Pediatric Emergency Department Management in Acute Poisoning—A 2-Year Retrospective Study
title Pediatric Emergency Department Management in Acute Poisoning—A 2-Year Retrospective Study
title_full Pediatric Emergency Department Management in Acute Poisoning—A 2-Year Retrospective Study
title_fullStr Pediatric Emergency Department Management in Acute Poisoning—A 2-Year Retrospective Study
title_full_unstemmed Pediatric Emergency Department Management in Acute Poisoning—A 2-Year Retrospective Study
title_short Pediatric Emergency Department Management in Acute Poisoning—A 2-Year Retrospective Study
title_sort pediatric emergency department management in acute poisoning—a 2-year retrospective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9861028/
https://www.ncbi.nlm.nih.gov/pubmed/36675767
http://dx.doi.org/10.3390/jpm13010106
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