Poisons Information, Norwegian Directorate of Health, PO Box 7000, St Olavs plass, Oslo, 0130 Norway.
Clin Toxicol (Phila). 2012 Mar;50(3):210-4. doi: 10.3109/15563650.2012.660697.
To map mortality and morbidity of poisonings in Denmark, Finland, Iceland, Norway and Sweden in 2007 and undertake a comparison with a corresponding study in 2002.
Morbidity was as for 2002 defined as acute poisoning (ICD-10 codes, main and subsidiary diagnoses) treated in hospitals. The figures were extracted from the National Patient/Hospital Registers. Deaths recorded as acute poisoning (using corresponding ICD-10 codes) were collected from the National Cause of Death Registers.
Annual mortality of acute poisonings per 100,000 inhabitants (rate) for 2007 was 22.4 in Finland, an important increase from 16.7 per 100,000 in 2002. The increase was mainly due to a change in coding of alcohol, but also represented a slight increase in fatal alcohol intoxications per se. The poisoning death rate in the other Nordic countries varied between 8-13 and was at the same level as for 2002. The morbidity rates for 2007 between 158-285 per 100,000 inhabitants represented a slight increase compared to 2002 figures.
The increase in poisoning death rate for alcohol, and thus total rate in Finland in 2007 compared to 2002, has further increased the gap to the other Nordic countries. Poisoning morbidity rates in the Nordic countries are of the same level, but the variability shown indicates that more harmonization and collaboration is needed to increase the data quality.
绘制 2007 年丹麦、芬兰、冰岛、挪威和瑞典的中毒死亡率和发病率图,并与 2002 年的相应研究进行比较。
发病率沿用 2002 年的定义,即医院治疗的急性中毒(ICD-10 编码,主要和次要诊断)。这些数字是从国家患者/医院登记处提取的。记录为急性中毒(使用相应的 ICD-10 编码)的死亡病例是从国家死因登记处收集的。
2007 年每 10 万居民的急性中毒年死亡率(比率)为 22.4,在芬兰这一数字比 2002 年的 16.7 有显著增加。这种增加主要是由于编码方式的改变,但也反映了酒精中毒致死率的轻微增加。其他北欧国家的中毒死亡率在 8-13 之间,与 2002 年的水平相同。2007 年的发病率为每 10 万人 158-285 人,与 2002 年的数据相比略有增加。
2007 年芬兰因酒精导致的中毒死亡率上升,进而导致总死亡率与 2002 年相比进一步拉大了与其他北欧国家的差距。北欧国家的中毒发病率处于同一水平,但显示出的可变性表明,需要进一步协调和合作,以提高数据质量。