Sandvik Hogne, Hunskår Steinar
Tidsskr Nor Laegeforen. 2017 Jun 26;137(12-13):876-880. doi: 10.4045/tidsskr.16.0720. Print 2017 Jun 27.
Poisonings constitute a serious health problem in Norway. The objective of the study was to analyse cases of poisoning reported to out-of-hours services and any changes that may have occurred over a ten-year period.
The material consists of reimbursement claims from all doctors on out-of-hours duty in Norway in the period 2006 – 15. Poisonings were defined as ICPC diagnostic codes A84 (poisoning by medical agent), A86 (toxic effect non-medicinal substance) or P16 (acute alcohol abuse).
The contact rate due to poisonings increased from 221 per 100 000 inhabitants in 2006 to 297 per 100 000 inhabitants in 2015. For the age group 1 – 2 years, the contact rate per 100 000 inhabitants dropped from 469 to 223, for the age group 15 – 25 it rose from 523 to 719, and for the age group 53 – 59 it rose from 178 to 339. The highest contact rate was found among women aged 15 – 25 (785 per 100 000 inhabitants). This group also had the highest contact rate caused by poisoning by a medical agent (238 per 100 000 inhabitants). In the age group 15 – 25 years, altogether 63% of the poisonings occurred during the night.
The frequency of contact with out-of-hours services because of poisoning is generally increasing, although a strong decline is observed among small children. Adolescents, and young women in particular, stand out in suffering frequent cases of poisoning.
中毒在挪威是一个严重的健康问题。本研究的目的是分析报告给非工作时间服务机构的中毒病例以及十年间可能发生的任何变化。
材料包括2006年至2015年期间挪威所有非工作时间值班医生的报销申请。中毒被定义为国际初级保健分类（ICPC）诊断代码A84（药物中毒）、A86（非药用物质的毒性作用）或P16（急性酒精滥用）。
中毒导致的就诊率从2006年的每10万居民221例增加到2015年的每10万居民297例。1至2岁年龄组每10万居民的就诊率从469例降至223例，15至25岁年龄组从523例升至719例，53至59岁年龄组从178例升至339例。15至25岁的女性就诊率最高（每10万居民785例）。该组因药物中毒导致的就诊率也最高（每10万居民238例）。在15至25岁年龄组中，总共63%的中毒事件发生在夜间。
因中毒与非工作时间服务机构接触的频率总体上在增加，尽管幼儿中的发生率大幅下降。青少年，尤其是年轻女性，中毒事件频发。
