Canadian Hospitals Injury Reporting and Prevention Program, British Columbia Children's Hospital, Vancouver, British Columbia, Canada.
BC Injury Research and Prevention Unit, British Columbia Children's Hospital, Vancouver, British Columbia, Canada.
Health Promot Chronic Dis Prev Can. 2020 Jun;40(5-6):193-200. doi: 10.24095/hpcdp.40.5/6.08.
This study describes the events and circumstances preceding children aged 16 years or younger being treated for cannabis poisoining in the emergency department (ED) of a Canadian pediatric hospital.
We extracted cannabis poisoning treated in the ED at British Columbia Children's Hospital (BCCH) between 1 January, 2016 and 31 December, 2018, from the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) database. The poisonings were distinguished by the inadvertent or intentional ingestion of cannabis. We reviewed the hospital's electronic health information system and the patients' health records to obtain additional information on the context, including spatial and temporal characteristics.
Of the 911 poisonings treated at BCCH, 114 were related to intentional cannabis use (12.5%). Fewer than 10 poisonings resulted from inadvertent ingestions by children and the median age for these was 3 years. All inadvertent ingestion occurred at home and involved cannabis belonging to the patient's family. The vast majority of poisonings resulted from the intentional use of cannabis only (28.9%) or cannabis use with other psychoactive substances (co-ingestions; 71.1%). The median patient age was 15 years. Most patients reported consuming cannabis through inhalation with peers. Cannabis and co-ingestion poisonings were more often reported on weekdays than weekends. The consumption of cannabis leading to poisoning more often occurred in private residences. Patients with cannabis poisoning more often sought medical treatment themselves or were helped by their family.
The characteristics of cannabis poisonings among children are described for the three-year period prior to recreational cannabis legalization in Canada in order to set a baseline for future comparisons. Implications for improving injury prevention initiatives and policies are discussed.
本研究描述了加拿大一家儿童医院急诊科（ED）收治的 16 岁及以下儿童因大麻中毒的事件和情况。
我们从加拿大医院伤害报告和预防计划（CHIRPP）数据库中提取了不列颠哥伦比亚省儿童医院（BCCH）在 2016 年 1 月 1 日至 2018 年 12 月 31 日期间治疗的意外或故意摄入大麻引起的中毒病例。这些中毒病例通过无意中或故意摄入大麻来区分。我们查阅了医院的电子健康信息系统和患者的健康记录，以获取有关背景的其他信息，包括时空特征。
在 BCCH 接受治疗的 911 例中毒病例中，114 例与故意使用大麻有关（12.5%）。儿童意外摄入导致的中毒病例少于 10 例，中位年龄为 3 岁。所有意外摄入均发生在家中，涉及患者家庭拥有的大麻。绝大多数中毒病例是由于故意使用大麻（28.9%）或大麻与其他精神活性物质共同使用（共同摄入；71.1%）引起的。中位患者年龄为 15 岁。大多数患者报告与同伴一起通过吸入方式使用大麻。大麻和共同摄入中毒病例更常报告于工作日而非周末。导致中毒的大麻消费更常发生在私人住宅。寻求医疗治疗的大麻中毒患者更多是自己或家人帮助。
本研究描述了在加拿大娱乐用大麻合法化之前的三年期间儿童大麻中毒的特征，为未来的比较设定了基线。讨论了改进伤害预防措施和政策的意义。
