新冠疫情期间美国青少年中毒急救中心暴露事件呼叫
Adolescent US Poison Center Exposure Calls During the COVID-19 Pandemic.
机构信息
University of Colorado Anschutz Medical Campus, Aurora, Colorado.
University of Colorado Anschutz Medical Campus, Aurora, Colorado; Department of Pediatrics, Section of Emergency Medicine, Children's Hospital Colorado, Aurora, Colorado.
出版信息
J Adolesc Health. 2022 Dec;71(6):764-767. doi: 10.1016/j.jadohealth.2022.07.014. Epub 2022 Sep 8.
PURPOSE
The objective of this study was to evaluate trends and characteristics in adolescent poison center (PC) exposure calls before and during the COVID-19 pandemic.
METHODS
A retrospective review of PC calls for adolescents aged 13-17 years from January 1, 2018 through June 30, 2021.
RESULTS
During the pandemic, US PCs had a higher proportion of adolescent exposure calls managed in a healthcare facility (71.9% vs. 67.4%) and hospital admissions (27.2% vs. 25.7%) than prior to the pandemic. There was a higher proportion with suicide intent (55.8% vs. 48.8%), moderate/major clinical effects (22.8% vs. 20.1%), and deaths (0.07% vs. 0.05%). Monthly calls significantly increased from 30 calls/month to 204 calls/month (p < .001). The slope of hospital admissions significantly increased (0.19% per month, p < .001) during the pandemic.
DISCUSSION
During the COVID-19 pandemic, US PCs observed an increase in adolescent suicidal intent exposure calls with more severe outcomes, hospitalizations, and deaths.
目的
本研究旨在评估 COVID-19 大流行前后青少年中毒中心（PC）暴露电话的趋势和特征。
方法
回顾性分析 2018 年 1 月 1 日至 2021 年 6 月 30 日期间，年龄在 13-17 岁的青少年拨打 PC 的电话。
结果
在大流行期间，与大流行前相比，美国青少年暴露电话中有更高比例（71.9% vs. 67.4%）在医疗机构和医院就诊（27.2% vs. 25.7%）。有自杀意图的比例更高（55.8% vs. 48.8%）、中度/重度临床影响的比例更高（22.8% vs. 20.1%）和死亡率更高（0.07% vs. 0.05%）。每月电话量显著增加，从每月 30 次增加到每月 204 次（p <.001）。大流行期间，医院就诊的斜率显著增加（每月 0.19%，p <.001）。
讨论
在 COVID-19 大流行期间，美国青少年 PC 观察到自杀意图暴露电话增加，且结果更严重，住院和死亡人数也有所增加。
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