Mowry James B
Indiana Poison Center, Indiana University Health, Lebanon, Indiana, USA.
Clin Toxicol (Phila). 2024 Dec;62(12):787-792. doi: 10.1080/15563650.2024.2429442. Epub 2024 Dec 24.
The 41st National Poison Data System Annual Report from America's Poison Centers is published in this issue of This Commentary focuses on comparing the different poisoning-related surveillance systems in the United States while highlighting some of the strengths and weaknesses of the National Poison Data System. It also reviews the process underlying the fatality review section of the Annual Report.
In order to place the data reported by the National Poison Data System in context, the National Poison Data System was compared to other available poisoning surveillance systems in the United States: the American College of Medical Toxicology's Toxicology Investigators Consortium (ToxIC) Registry, the Centers for Disease Control and Prevention Injury Prevention and Control Web-based Injury Statistics Query and Reporting System (WISQARS) which partners with the Consumer Products Safety Commission's National Electronic Injury Surveillance System - All Injury Program (NEISS-AIP), and the Centers for Disease Control and Prevention Wide-ranging ONline Data for Epidemiologic Research (CDC WONDER) database. Differences exist in the scope and focus of these databases, including the underlying population base and sources of reporting, use of statistical sampling, type of medical outcomes reported, type and number of products/substances reportable, granularity of product/substances reported, case volumes, timeliness of reporting and surveillance activities.
The National Poison Data System mortality data may vary from data collected by other sources but has some characteristics that render it unique, including the publication of narratives of selected fatalities. Each direct death undergoes a rigorous review by medical and clinical toxicologists at the regional poison center and by America's Poison Centers Fatality Review Committee. This review process is outlined in detail and compared to other poisoning mortality reporting systems.
National Poison Data System data from poison centers in the United States provide a unique perspective of the epidemiology of poisoning that is distinct but complementary to other poisoning surveillance systems in the United States. The National Poison Data System conducts a rigorous fatality review process that incorporates a variety of inputs that provide additional verification of the poisoning fatalities reported to it. The availability of and routine publication of fatality narratives is a unique feature of the National Poison Data System.
本期发表了美国毒物控制中心的第41份《国家毒物数据系统年度报告》。本评论重点比较了美国不同的中毒相关监测系统，同时突出了国家毒物数据系统的一些优缺点。它还回顾了年度报告中死亡审查部分的基本流程。
为了将国家毒物数据系统报告的数据置于背景中，将国家毒物数据系统与美国其他可用的中毒监测系统进行了比较：美国医学毒理学学院的毒理学调查员联盟（ToxIC）登记处、疾病控制和预防中心伤害预防与控制基于网络的伤害统计查询与报告系统（WISQARS），该系统与消费品安全委员会的国家电子伤害监测系统 - 所有伤害项目（NEISS - AIP）合作，以及疾病控制和预防中心广泛的在线流行病学研究数据（CDC WONDER）数据库。这些数据库在范围和重点上存在差异，包括潜在的人群基础和报告来源、统计抽样的使用、报告的医疗结果类型、可报告产品/物质的类型和数量、报告的产品/物质的粒度、病例数量、报告的及时性和监测活动。
国家毒物数据系统的死亡率数据可能与其他来源收集的数据有所不同，但具有一些使其独特的特征，包括公布选定死亡案例的叙述。每例直接死亡都要经过地区毒物中心的医学和临床毒理学家以及美国毒物控制中心死亡审查委员会的严格审查。详细概述了这一审查过程，并与其他中毒死亡率报告系统进行了比较。
来自美国毒物中心的国家毒物数据系统数据提供了中毒流行病学的独特视角，与美国其他中毒监测系统不同但互补。国家毒物数据系统进行严格的死亡审查过程，纳入了各种输入信息，对报告给它的中毒死亡案例提供了额外的核实验证。死亡案例叙述的可得性和定期公布是国家毒物数据系统的一个独特特征。
