Andrew Erik, Irestedt Birgitta, Hurri Tommi, Jacobsen Peter, Gudjonsdottir Gudborg
Poisons Information, Directorate of Health and Social Affairs, Oslo, Norway.
Clin Toxicol (Phila). 2008 Apr;46(4):310-3. doi: 10.1080/15563650701378712.
To map and compare mortality and morbidity of poisonings in Denmark, Finland, Iceland, Norway, and Sweden in 2002 and to establish a common understanding of methods and procedures among the National Poisons Information Centres (NPIC) in order to create a Nordic toxico-epidemiological platform.
Morbidity was for this study defined as acute poisonings treated in hospitals given the ICD-10 codes T36-T65 and F10-F19. The figures were extracted from the National Patient/Hospital Registers. Acute poisonings listed as main as well as side diagnoses were included. Deaths recorded as acute poisoning (using the same ICD-10 codes) were collected from the National Death Cause Registers.
Annual mortality of acute poisonings per 100,000 inhabitants (rate) was 16.6 in Finland and between 8.6 and 11.1 in the other Nordic countries. Morbidity rates varied between 150 and 255 per 100,000 inhabitants.
The death rate due to acute poisoning was 50% higher in Finland compared to the rate in the other Nordic countries. The variable data between countries obtained for morbidity of acute poisonings need further elucidations to verify if the differences are real and not only due to heterogeneous procedures and practice for data collection and recording.
绘制并比较2002年丹麦、芬兰、冰岛、挪威和瑞典中毒的死亡率和发病率,在各国国家中毒信息中心(NPIC)之间就方法和程序达成共识,以创建一个北欧毒物流行病学平台。
本研究将发病率定义为医院治疗的急性中毒病例,采用国际疾病分类第十版(ICD - 10)编码T36 - T65和F10 - F19。数据从国家患者/医院登记册中提取。纳入列为主要诊断以及次要诊断的急性中毒病例。从国家死因登记册收集记录为急性中毒(使用相同ICD - 10编码)的死亡病例。
每10万居民中急性中毒的年死亡率(比率)在芬兰为16.6,在其他北欧国家为8.6至11.1。发病率为每10万居民150至255例。
与其他北欧国家相比,芬兰急性中毒死亡率高出50%。各国急性中毒发病率数据存在差异,需要进一步阐明以核实差异是否真实存在,而非仅仅是由于数据收集和记录程序及做法的差异。