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一家三级护理医院收治儿童的急性中毒情况:一项描述性横断面研究。

Acute Poisoning among Children Admitted in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.

作者信息

Aryal Surabhi, Karki Susmin, Lamichhane Machhindra

机构信息

Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.

Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2024 Feb 29;62(271):160-164. doi: 10.31729/jnma.8482.

Abstract

INTRODUCTION

Acute poisoning is one of the critical causes of hospital admission in children worldwide. Understanding the clinico-demographic profile of childhood poisoning will help in developing targeted prevention strategies. This study aimed to find the prevalence of acute poisoning cases among children admitted to a tertiary care hospital.

METHODS

A descriptive cross-sectional study was done among 4972 children admitted in the pediatric ward, High Dependency Care Unit, and Pediatric Intensive Care Unit of a tertiary care hospital in Nepal. The data were collected from the hospital records from over three years between 1 January 2020 and 31 December 2022 after receiving ethical approval from the Institutional Review Committee. A convenience sampling method was used. Data related to the clinical and demographic data were collected from the patients with acute poisoning and analyzed. Point estimate at 95% Confidence Interval was calculated.

RESULTS

Out of 4972 paediatric cases admitted to the hospital, acute poisoning was seen in 57 (1.14%) (0.81-1.39, 95% Confidence Interval) patients. Out of these acute poisoning cases, 31 (54.39%) were accidental. The mean age was 10.10±5.40 years with 35 (61.40%) patients from the adolescent age group.

CONCLUSIONS

This study conducted in a Nepalese tertiary care hospital identifies acute poisoning as a notable concern among pediatric admissions.

摘要

引言

急性中毒是全球儿童住院治疗的关键原因之一。了解儿童中毒的临床人口统计学特征将有助于制定有针对性的预防策略。本研究旨在找出一家三级护理医院收治的儿童中急性中毒病例的患病率。

方法

在尼泊尔一家三级护理医院的儿科病房、高依赖护理单元和儿科重症监护病房收治的4972名儿童中开展了一项描述性横断面研究。在获得机构审查委员会的伦理批准后,从2020年1月1日至2022年12月31日这三年多的医院记录中收集数据。采用便利抽样方法。收集急性中毒患者的临床和人口统计学数据并进行分析。计算95%置信区间的点估计值。

结果

在该医院收治的4972例儿科病例中,57例(1.14%)(0.81-1.39,95%置信区间)患者出现急性中毒。在这些急性中毒病例中,31例(54.39%)为意外中毒。平均年龄为10.10±5.40岁,其中35例(61.40%)患者来自青少年年龄组。

结论

在尼泊尔一家三级护理医院开展的这项研究表明,急性中毒是儿科住院患者中一个值得关注的问题。

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