A Retrospective Investigation of Poisoning Cases Presented to the Pediatric Emergency Department of Başkent University Ankara Hospital Between 2012 and 2017

Günay, Aylin; Uğurlu, Ziyafet; Ceylan, Aysun; Ayten, Nebahat

doi:10.4274/cayd.galenos.2018.64935

Cited by 5 publications

(6 citation statements)

References 7 publications

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“…Previous studies have reported that 66%-96% of poisonings occur at home 6 , 15 - 21 , and this rate was found to be 97.6% in the current study. This high rate may be related to the high number of isolations during the COVID-19 pandemic and the fact that families spent more time at home.…”

Section: Discussionsupporting

confidence: 64%

“…Studies have shown that 65.7%-98.6% of poisonings occurred orally (via the digestive system). 8 , 15 , 21 In the current study, the most common route of exposure was also the digestive system at the rate of 85.4%, which could be related to the high number of patients younger than 5 years and the fact that this age group puts objects in their mouth for identification.…”

Section: Discussionmentioning

confidence: 65%

“…It has been reported that accidental poisoning is especially common in boys younger than 5 years of age, and poisoning due to attempted suicide is more common in girls aged >12 years. 12 - 15 Güngörer and Kökten Yıldırım 11 stated that 62.2% of the girls in that study took drugs for a suicide attempt. The frequency of accidental poisoning in boys younger than 5 years of age may be due to the fact that boys are more mobile with greater motor skills, they are curious, they have less ability to control and protect themselves at that age than other age groups, they cannot distinguish between medicine and food, and they tend to identify and categorize every substance they find by putting it in their mouths.…”

Section: Discussionmentioning

confidence: 95%

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Childhood Poisoning During the COVID-19 Pandemic

Salman¹,

Salman²,

Akçam³

2023

Turk Arch Pediatr

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Objective: To determine changes caused by the effect of the COVID-19 pandemic by examining the children admitted to our hospital because of poisoning during the pandemic and comparing these with data from a study conducted in the pre-pandemic period. Materials and Methods: A retrospective examination was made of children who were admitted to our pediatric emergency department with poisoning between March 2020 and March 2022. Results: Of the 82 (0.7%) patients admitted to the emergency department, 42 (51.2%) were girls, the mean age was 6.43 ± 5.62 years, and the majority of children (59.8%) were under 5 years of age. The poisonings were determined to be accidental in 85.4% of cases, 13.4% were suicide attempts, and 1.2% were iatrogenic. Poisonings occurred most frequently (97.6%) at home and most frequently (85.4%) by digestive tract. The most common causative agent (68%) was non-pharmacological agents. Caustic-corrosive substances were determined in 39% of cases, medical drugs in 32%, toxic gases in 11%, alcohol (hand sanitizers) in 8.5%, insecticide-pesticide in 6.1%, food in 1.2%, and animal bites in 1.2%. Compared to the study conducted in our hospital in 2013-2014, the difference in terms of factors causing poisoning was statistically significant ( P < .001). Of the current study cases, 14 (17.1%) were followed up in the intensive care unit, and no mortality developed. Conclusions: The period of the COVID-19 pandemic was seen to cause an increase in poisoning rates with caustic-corrosive substances, alcohol (hand disinfectants), and toxic gases. Families should be made aware of this issue and take special precautions.

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Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 95%

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Childhood Poisoning During the COVID-19 Pandemic

Salman¹,

Salman²,

Akçam³

2023

Turk Arch Pediatr

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“…The reason why poisoning was found more common under the age of five is that children are at risk for childhood accidents as a result of their constant interaction and exploration process with the environment at this age (24). When the gender distribution of the poisoning cases was evaluated in age groups, the study of Günay et al reported the male gender as more common in the 0-13 age group and female gender as more common in the 13-18 age group (25). It was determined in our study that the male gender (337/260) was more common in the 0-10 age group, and the female gender (168/90) in the 10-18 age group.…”

Section: Discussionmentioning

confidence: 99%

Selçuk Üniversitesi Tıp Fakültesi Çocuk Acil Polikliniğine Başvuran Travma Dışı Adli Olguların İncelenmesi

ŞEN

Yorulmaz

2022

Genel Tıp Dergisi

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Objective:The aim of this study is to reveal the demographic epidemiological characteristics of pediatric forensic cases admitted to the emergency department of a medical school hospital, to determine the reasons for admission, admission times, hospitalization and death rates. Material and Method: 1104 pediatric forensic cases who applied to Selcuk University Medical Faculty Hospital Pediatric Emergency Unit between 2016 and 2019 and patients up to 18 years old were analyzed retrospectively. Data on demographic characteristics, including age and gender, reasons for referral, time of presentation, hospitalization period, need for intensive care and mortality rates were determined. Results: Of the patients, 538 (48.7%) were female and 566 (51.3%) were male. While the mean of boy was 57.86 months, the mean age of the girls was 81.43 months. When the mean age according to gender was analyzed statistically, a significant difference was found (p:0.001). The number of patients in the 0-6 age group (n=731, 66.2%) was higher than the others. Summer was the season in which applications were most frequently observed. The most frequently admittance time zone was between 16:00-23:59. The most common reason for admission was poisoning (n=855, 77.1%), followed by foreign body in the digestive tract (n=112, 10.5%). Conclusion:In our study, the majority of forensic cases are forensic cases caused by accident in the 0-6 age group. It has been observed that these cases can be prevented by taking careful measures. Therefore, medicines and cleaning products should be kept out of reach of children. It was thought that giving importance to security measures at home and providing training on this could reduce the frequency of poisoning.

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“…7 Studies have shown that poisoning is most common in children under the age of five. 5,8 According to the data of the Turkish Statistical Institute, injuries due to external factors and poisoning are responsible for 29.5% of the deaths in children under the age of 18 in Turkey. 9 The causes and types of poisoning vary according to age, gender, season, socioeconomic status, and geographical region.…”

Section: Introductionmentioning

confidence: 99%

Poisonings in childhood: A 5-year experience of a tertiary city hospital in İstanbul

Köle¹,

Erkin²,

Erdem³

et al. 2023

Trends in Pediatrics

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Objective: Poisoning is a substantial public health problem preventable with basic precautions. This study aims to contribute to the literature by analyzing the demographic variables, epidemiological characteristics, and prognosis of children brought to the pediatric emergency department of our center due to poisoning in the last five years. Methods:We retrospectively evaluated the medical records of 1928 patients who were under-18 years old and admitted with acute intoxication diagnosis to our tertiary hospital's pediatric emergency department in Istanbul between 2016 and 2021. Patients were divided into two groups by poisoning factors: drug and non-drug substances. Results:We included all 1928 patients (55.1% male, 44.9% female). The median age was 30 (20-49) months, and 85.5% (n=1650) of patients were under 72 months old. There was a male gender dominance (62.4%) among patients aged 3-6, all of whom had accidental poisoning (100%). Poisonings among patients older than 12years of age were more common in girls (59.8%) and were mainly suicidal attempts (65.2%). We detected drug exposure in 58.9% (n=1047) of patients; the most common drugs were analgesics (13.5%, n=269), psychotropics (6.2%, n=102), and hormone preparations (4.5%, n=86). We also detected non-drug exposure in 41.1% (n=792) of patients; the most common non-drug substances were corrosive-caustic substances (14.6%, n=284), and detergent poisonings (5.5%, n=106). None of the patients died. Conclusion:Patients in the under 6 years old group admitted due to poisoning were predominantly male, and all cases were accidental. Whereas poisonings above the age of 12 were more common in girls and were usually due to suicide. Our study also showed that poisonings in children passed with milder symptoms, and we discharged most of the children after a short observation without the need for hospitalization. Well-balanced clinical management may prevent unnecessary hospitalization and unnecessary medical interventions.

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A Retrospective Investigation of Poisoning Cases Presented to the Pediatric Emergency Department of Başkent University Ankara Hospital Between 2012 and 2017

Cited by 5 publications

References 7 publications

Childhood Poisoning During the COVID-19 Pandemic

Childhood Poisoning During the COVID-19 Pandemic

Selçuk Üniversitesi Tıp Fakültesi Çocuk Acil Polikliniğine Başvuran Travma Dışı Adli Olguların İncelenmesi

Poisonings in childhood: A 5-year experience of a tertiary city hospital in İstanbul

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