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

Florin I Oprescu; C Peek-Asa; A Wallis; T Young; D Nour; R M Chereches

doi:10.1007/s10995-011-0742-8

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

Journal article

Open access

Peer reviewed

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

Florin I Oprescu, C Peek-Asa, A Wallis, T Young, D Nour and R M Chereches

Maternal and Child Health Journal, Vol.16(2), pp.495-500

2012

DOI: https://doi.org/10.1007/s10995-011-0742-8

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Abstract

injury

trauma

pediatric care

poisonings

hospital admissions

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.

Details

Title: Pediatric Poisonings and Risk Markers for Hospital Admission in a Major Emergency Department in Romania
Authors: Florin I Oprescu (Author) - University of Iowa
C Peek-Asa (Author) - University of Iowa, United States
A Wallis (Author) - University of Iowa, United States
T Young (Author) - University of Iowa, United States
D Nour (Author) - Children's Emergency Hospital, Cluj-Napoca, Romania
R M Chereches (Author) - Babes-Bolyai University, Romania
Publication details: Maternal and Child Health Journal, Vol.16(2), pp.495-500
Publisher: Springer New York LLC
Date published: 2012
DOI: 10.1007/s10995-011-0742-8
ISSN: 1092-7875
Copyright note: Copyright © 2012 Springer New York LLC. The author's accepted version is reproduced here in accordance with the publisher's copyright policy. The final publication is available at Springer via http://dx.doi.org/10.1007/s10995-011-0742-8
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; Engage Research Lab; School of Health and Behavioural Sciences - Legacy; School of Health - Public Health
Language: English
Record Identifier: 99449992002621
Output Type: Journal article

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Web Of Science research areas: Public, Environmental & Occupational Health

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