Acker Amy, Norris Mark L, Coo Helen, Santos Alexandre, Allain Dominic, Dow Kimberly
Department of Pediatrics, Queen's University, Kingston, Ontario.
Department of Pediatrics, University of Ottawa, Children's Hospital of Eastern Ontario, Ottawa, Ontario.
Paediatr Child Health. 2019 Nov 19;26(2):e82-e88. doi: 10.1093/pch/pxz152. eCollection 2021 Apr-May.
To obtain data on Canadian youth, aged 11 to 15 years, presenting to paediatric emergency departments, with severe alcohol intoxication and to describe demographics, presentations to hospital, concurrent substance use, comorbidities, and short-term outcomes of admission to emergency departments.
Between March 2013 and February 2015, through the established methodology of the Canadian Paediatric Surveillance Program, Canadian paediatricians and paediatric subspecialists were surveyed monthly to identify cases of young adolescents presenting to paediatric emergency departments across Canada with severe alcohol intoxication. Those that identified cases were subsequently sent a detailed questionnaire. The detailed questionnaires were then screened to ensure the reported cases met the study's inclusion criteria.
A total of 39 cases (18 females and 21 males) were included in the final analysis. Overall, results indicate over 90% of presenting youth had consumed spirits, 39% had concurrent substance use and 46% experienced serious medical morbidity. Almost two-thirds of youth were admitted to hospital for a period ranging from 10 hours to 5 days; 12 youth required intubation. Follow-up referrals were provided to two-thirds of youth, with variable supports given. No statistically significant differences between sexes were noted for blood alcohol level or concurrent substance use.
Although rates of alcohol use in adolescents have been steadily decreasing, results from this surveillance study suggest that severe intoxication arising from the use of alcohol alone, and with concurrent substance use, results in significant immediate health consequences in young adolescents. Results from this study also highlight characteristics of patients, initial treatments and initial referrals across Canadian paediatric healthcare facilities, the results of which highlight variability and may aid in the guidance of a future longitudinal study, prevention strategies, and public health messaging.
获取11至15岁加拿大青少年因严重酒精中毒前往儿科急诊科就诊的数据，并描述其人口统计学特征、就医情况、同时使用的其他物质、合并症以及急诊科收治后的短期转归。
2013年3月至2015年2月期间，通过加拿大儿科监测项目既定的方法，每月对加拿大儿科医生和儿科专科医生进行调查，以确定全加拿大因严重酒精中毒前往儿科急诊科就诊的青少年病例。确定病例的医生随后会收到一份详细问卷。接着对详细问卷进行筛选，以确保报告的病例符合研究纳入标准。
最终分析纳入了39例病例（18例女性和21例男性）。总体而言，结果显示超过90%的就诊青少年饮用了烈酒，39%同时使用了其他物质，46%出现了严重的医疗并发症。近三分之二的青少年住院10小时至5天不等；12名青少年需要插管。三分之二的青少年获得了随访转诊，并给予了不同的支持。在血液酒精水平或同时使用其他物质方面，未发现性别间存在统计学显著差异。
尽管青少年饮酒率一直在稳步下降，但这项监测研究结果表明，仅酒精使用以及同时使用其他物质导致的严重中毒，会给青少年带来重大的直接健康后果。本研究结果还突出了加拿大儿科医疗机构中患者的特征、初始治疗和初始转诊情况，其结果显示了变异性，可能有助于指导未来的纵向研究、预防策略和公共卫生宣传。
