Katner Adrienne, Peak Kate, Sun Mei-Hung, Badakhsh Roshan, Woods Adrienne, Soileau Shannon, Dugas Dianne
Louisiana Department of Health and Hospitals, Office of Public Health, Section of Environmental Epidemiology and Toxicology, USA.
J La State Med Soc. 2012 Nov-Dec;164(6):306-10.
Carbon monoxide (CO) poisoning is preventable, yet it remains one of the most common causes of poisoning in the United States. This analysis was performed to estimate the number of emergency department (ED) visits in 2010 in Louisiana for all-cause (fire-related, non-fire, and unknown) unintentional CO poisoning. Results demonstrate approximately 1,696,746 total ED visits occurred in 2010. Among these, an estimated 116 individuals were diagnosed with CO poisoning (68 CO cases per million ED visits; 26.2 CO cases per million population). Emergency Department visits for CO poisoning occurred most frequently in the winter months. Caddo, Jefferson, and Orleans parishes had the highest numbers of CO poisonings in 2010. The most common symptoms included headache, hypertension, nausea, and dizziness. The ED database presented more cases of the most common CO poisoning cases (non-fatal) than previously used surveillance databases. This study demonstrated the utility and importance of ED data as a surveillance tool.
一氧化碳（CO）中毒是可以预防的，但它仍是美国最常见的中毒原因之一。进行这项分析是为了估算2010年路易斯安那州因各种原因（与火灾相关、非火灾及不明原因）导致的非故意一氧化碳中毒而前往急诊科（ED）就诊的人数。结果显示，2010年急诊科总就诊人次约为1,696,746。其中，估计有116人被诊断为一氧化碳中毒（每百万次急诊科就诊中有68例一氧化碳中毒病例；每百万人口中有26.2例一氧化碳中毒病例）。一氧化碳中毒导致的急诊科就诊在冬季最为频繁。2010年，卡多、杰斐逊和奥尔良教区的一氧化碳中毒病例数最多。最常见的症状包括头痛、高血压、恶心和头晕。与之前使用的监测数据库相比，急诊科数据库呈现出更多最常见的一氧化碳中毒病例（非致命）。这项研究证明了急诊科数据作为一种监测工具的实用性和重要性。
