Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada.
Department of Pediatric Emergency Medicine, Max Rady College of Medicine, Winnipeg, University of Manitoba, MB, Canada.
J Child Health Care. 2024 Mar;28(1):196-214. doi: 10.1177/13674935221099158. Epub 2022 May 9.
Little is understood about the unintended consequences of cannabis liberalization on children. Subsequently, this scoping review aimed to map and identify evidence related to acute cannabis intoxication in children. We searched three medical literature databases from inception until October 2019. We identified 4644 information sources and included 158 which were mapped by topic area relating to 1) public health implications and considerations; 2) clinical management; and 3) experiences and information needs of HCPs and families. Public health implications were addressed by 129 (82%) and often reported an increased incidence of acute pediatric cannabis intoxications. Clinical information was reported in 116 (73%) and included information on signs and symptoms ( = 106, 92%), clinical management processes ( = 60, 52%), and treatment recommendations ( = 42, 36%). Few sources addressed the experiences or information needs of either HCPs ( = 5, <1%) treating children for acute cannabis intoxication or families ( = 1, <1%) seeking care. Increasing incidence of acute cannabis intoxications concurrent with liberalization of cannabis legislation is clear, however, evidence around clinical management is limited. Additionally, further research exploring HCPs and families experiences and information needs around cannabis intoxication is warranted.
对于大麻合法化对儿童产生的意外后果,人们知之甚少。因此,本范围综述旨在绘制并确定与儿童急性大麻中毒相关的证据。我们从创建到 2019 年 10 月,在三个医学文献数据库中进行了搜索。我们共识别出 4644 个信息源,并纳入了 158 个信息源,这些信息源按主题领域进行了映射,涉及 1)公共卫生影响和考虑因素;2)临床管理;3)卫生保健提供者和家庭的经验和信息需求。有 129 个(82%)公共卫生影响方面的信息源和 116 个(73%)临床信息源分别报道了急性儿科大麻中毒的发病率增加。临床信息在 106 个(92%)信息源中进行了报道,包括症状和体征(=106,92%)、临床管理流程(=60,52%)和治疗建议(=42,36%)。只有少数信息源涉及治疗儿童急性大麻中毒的卫生保健提供者(=5,<1%)或寻求护理的家庭(=1,<1%)的经验或信息需求。随着大麻立法的自由化,急性大麻中毒的发病率不断上升,这一点是明确的,但关于临床管理的证据有限。此外,有必要进一步研究探索卫生保健提供者和家庭在大麻中毒方面的经验和信息需求。