Unitypoint Health, Des Moines, IA 50309, USA.
Iowa Methodist Internal Medicine Residency Program, Des Moines, IA 50309, USA.
J Public Health (Oxf). 2022 Dec 1;44(4):918-925. doi: 10.1093/pubmed/fdab339.
Pediatric ingestion of toxic substances is a complicated cause of morbidity. Currently, there is limited literature on toxic ingestions resulting in pediatric intensive care unit (PICU) admissions.
A retrospective study was conducted to quantify the number and financial costs of admissions for toxic ingestion. Secondary objectives were to determine common types of ingestions and interventions as well as examine the relationship between intentional ingestion status and patient age. Data were obtained from a retrospective review of records from April 2016 through August 2018 from a PICU located in the Midwestern USA.
There were 360 unique patient encounters used in primary analyses. Intentional ingestion and suicidal ideation documented in 72% and 54% of patients, respectively.Patients younger than nine had an 87% (95% confidence interval: 80%, 92%) lower risk for intentional ingestion. The median lengths of stay were 1.0 (interquartile range [IQR]: 1.0, 1.0) days with a median cost of $2498 (IQR: $1870, $3592) USD. There was no patient mortality identified in the sample.
The types of ingestions appeared to match those of the National Poison Control Database. Lengths of stay were short and had a non-nominal cost. A greater age was associated with an increased risk of intentional ingestions.
儿科摄入有毒物质是导致发病率的复杂原因。目前，关于导致儿科重症监护病房（PICU）收治的有毒物质摄入的文献有限。
进行了一项回顾性研究，以量化有毒物质摄入导致的入院人数和医疗费用。次要目标是确定常见的摄入类型和干预措施，并研究有意摄入状态与患者年龄之间的关系。数据来自位于美国中西部的一家 PICU 从 2016 年 4 月至 2018 年 8 月的记录回顾。
主要分析中使用了 360 个独特的患者就诊记录。72%的患者记录有故意摄入，54%的患者记录有自杀意念。年龄小于 9 岁的患者，故意摄入的风险降低 87%（95%置信区间：80%，92%）。中位住院时间为 1.0 天（四分位距 [IQR]：1.0，1.0），中位费用为 2498 美元（IQR：1870 美元，3592 美元）。在样本中未发现患者死亡。
摄入的类型似乎与国家毒物控制数据库中的类型相匹配。住院时间短，费用非名义。年龄越大，故意摄入的风险越高。
