2000 - 2011年英格兰学龄前儿童非故意中毒的住院情况

Hospital admissions for unintentional poisoning in preschool children in England; 2000-2011.

作者信息

Mbeledogu Cordelle N A, Cecil Elizabeth V, Millett Christopher, Saxena Sonia

机构信息

Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, UK.

出版信息

Arch Dis Child. 2015 Feb;100(2):180-2. doi: 10.1136/archdischild-2013-305298. Epub 2014 Aug 28.

DOI:10.1136/archdischild-2013-305298

PMID:25169824

Abstract

We conducted a population based time-trend analysis of all unplanned admissions to National Health Service hospitals for poisoning in preschool children (aged <5 years) in England, between 2000 and 2011. Hospital admission rates for poisoning (medicinal and non-medicinal) decreased overall from 179 per 100 000 in 2000 to 139 per 100 000 in 2011 (rate ratio 0.77, 95% CI 0.74 to 0.81). The relative risk of hospital admission from the most deprived quintile compared with the least deprived quintile reduced from 2.37 (95% CI 2.15 to 2.60) in 2001 to 1.54 (95% CI 1.40 to 1.70) in 2011. Poisoning admissions in preschool children have decreased by 23% over the past decade. Although social gradients have narrowed, those from the most deprived areas are at higher risk of poisoning, and may benefit from targeted schemes of home safety education in deprived areas.

摘要

我们对2000年至2011年间英格兰国立医疗服务体系（NHS）医院收治的所有5岁以下学龄前儿童中毒非计划入院病例进行了基于人群的时间趋势分析。中毒（药物性和非药物性）的医院入院率总体上从2000年的每10万人179例降至2011年的每10万人139例（率比0.77，95%置信区间0.74至0.81）。与最不贫困的五分位数相比，最贫困五分位数的医院入院相对风险从2001年的2.37（95%置信区间2.15至2.60）降至2011年的1.54（95%置信区间1.40至1.70）。在过去十年中，学龄前儿童中毒入院病例减少了23%。尽管社会差距有所缩小，但来自最贫困地区的儿童中毒风险更高，可能会从贫困地区有针对性的家庭安全教育计划中受益。