Silver Elizabeth, Oller Lisa K, White Kathy, Coons Doyle M, Thornton Stephen L
University of Kansas Health System, Kansas City, KS Kansas Poison Control Center.
Kans J Med. 2021 Apr 19;14(1):87-94. doi: 10.17161/kjm.vol1414886. eCollection 2021.
This is the 2019 Annual Report of the Kansas Poison Control Center (KSPCC) at The University of Kansas Health System. The KSPCC is one of 55 certified poison control centers in the United States and serves the state of Kansas 24-hours a day, 365 days a year with certified specialists in poison information and clinical and medical toxicologists. The KSPCC receives calls from the public, law enforcement, health care professionals, and public health agencies. All calls to the KSPCC are recorded electronically in the Toxicall® data management system and uploaded in near real-time to the National Poison Data System (NPDS) which is the data repository for all poison control centers in the United States.
All encounters reported to the KSPCC from January 1, 2019 through December 31, 2019 were analyzed. Data recorded for each exposure includes caller location, age, weight, gender, exposure substance, nature of exposure, route of exposure, interventions, medical outcome, disposition, and location of care. Encounters were classified as human exposure, animal exposure, confirmed non-exposure, or information call (no exposure reported).
The KSPCC logged 20,589 total encounters in 2019, including 19,406 human exposure cases. The KSPCC received calls from every county in Kansas. A slim majority of human exposure cases (50.5%, n = 9,790) were female. Approximately 61% (n = 11,876) of human exposures involved a child (defined as 19 years of age or less). Most encounters occurred at a residence (91.6%, n = 17,780) and most cases (64.9%, n = 12,599) originated from a residence. The majority of human exposures (85.5%, n = 16,589) were acute cases (exposures occurring over 8 hours or less). Ingestion was the most common route of exposure documented (85.3%, n = 16,548). The most commonly reported substance in pediatric (children ≤ 5) encounters was cosmetics/personal care products (n = 959) followed closely by household cleaning products (n = 943). For adult encounters, analgesics (n = 1,296) and sedative/hypnotics/antipsychotics (n = 1,084) were the most frequently involved substances. Unintentional exposures were the most common reason for exposures (75.4%, n = 14,634). Most encounters (65.9%, n = 12,780) were managed in a non-healthcare facility (i.e., a residence). Among human exposures, 14,591 involved exposures to pharmaceutical agents while 9,439 involved exposure to non-pharmaceuticals. Medical outcomes were 26.4% (n = 5,116) no effect, 18.8% (n = 3,652) minor effect, 9.3% (n = 1,813) moderate effect, and 3.1% (n = 603) major effects. There were 14 deaths in 2019 reported to the KSPCC. Cases from healthcare facilities and cases with moderate or major medical outcomes increased in 2019 compared to 2018. The number of deaths reported to the KSPCC increased in 2019 to 14 from 7 in 2018.
The results of the 2019 Kansas Poison Control Center's annual report demonstrated that cases were received from the entire state of Kansas totaling over 19,400 human exposures per year. While pediatric exposures remained the most common encounter, there continued a trend of increasing number of cases from healthcare facilities and for cases with serious outcomes. The experience of the KSPCC is comparable to national data. This report supported the continued value of the KSPCC to both public and acute health care in the state of Kansas.
这是堪萨斯大学健康系统堪萨斯州中毒控制中心（KSPCC）的2019年度报告。KSPCC是美国55家获得认证的中毒控制中心之一，由中毒信息认证专家以及临床和医学毒理学家全年无休、每天24小时为堪萨斯州提供服务。KSPCC接到来自公众、执法部门、医疗保健专业人员和公共卫生机构的电话。所有打到KSPCC的电话都通过电子方式记录在Toxicall®数据管理系统中，并几乎实时上传到国家中毒数据系统（NPDS），该系统是美国所有中毒控制中心的数据存储库。
对2019年1月1日至2019年12月31日期间向KSPCC报告的所有接触事件进行分析。为每次接触记录的数据包括来电者位置、年龄、体重、性别、接触物质、接触性质、接触途径、干预措施、医疗结果、处置情况和护理地点。接触事件分为人类接触、动物接触、确认未接触或信息咨询电话（未报告接触情况）。
KSPCC在2019年共记录了20,589次接触事件，其中包括19,406例人类接触病例。KSPCC接到了堪萨斯州每个县的电话。人类接触病例中略多数（50.5%，n = 9,790）为女性。约61%（n = 11,876）的人类接触涉及儿童（定义为19岁及以下）。大多数接触事件发生在住所（91.6%，n = 17,780），大多数病例（64.9%，n = 12,599）源于住所。大多数人类接触（85.5%，n = 16,589）为急性病例（接触发生在8小时或更短时间内）。摄入是记录到的最常见接触途径（85.3%，n = 16,548）。儿科（5岁及以下儿童）接触事件中最常报告的物质是化妆品/个人护理产品（n = 959），紧随其后的是家用清洁产品（n = 943）。对于成人接触事件，镇痛药（n = 1,296）和镇静剂/催眠药/抗精神病药（n = 1,084）是最常涉及的物质。无意接触是接触的最常见原因（75.4%，n = 14,634）。大多数接触事件（65.9%，n = 12,780）在非医疗机构（即住所）进行处理。在人类接触事件中，14,591例涉及接触药剂，9,439例涉及接触非药剂。医疗结果为26.4%（n = 5,116）无影响，18.8%（n = 3,652）有轻微影响，9.3%（n = 1,813）有中度影响，3.1%（n = 603）有重大影响。2019年向KSPCC报告了14例死亡病例。与2018年相比，2019年来自医疗机构的病例以及有中度或重大医疗结果的病例有所增加。2019年向KSPCC报告的死亡病例数从2018年的7例增加到14例。
2019年堪萨斯州中毒控制中心年度报告的结果表明，每年从堪萨斯州全州收到的病例总数超过19,400例人类接触。虽然儿科接触仍然是最常见的接触事件，但来自医疗机构的病例数量以及有严重后果的病例数量仍呈上升趋势。KSPCC的经验与全国数据相当。本报告支持了KSPCC对堪萨斯州公共卫生和急性医疗保健的持续价值。
