Costs of Poisoning in the United States and Savings From Poison Control Centers: A Benefit-Cost Analysis

Miller, Ted R.; Lestina, Diane C.

doi:10.1016/s0196-0644(97)70275-0

Cited by 131 publications

(84 citation statements)

References 5 publications

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“…Our results are consistent with prior studies that demonstrate that poisoning-related visits are a small, but important demographic of patients evaluated in the ED; however, the proportion of ED visits involving poisoning significantly increased in recent years [12]. While other studies have found that poisoningrelated visits to the ED tend to be common in a bimodal distribution involving pediatric patients and older, middleaged patients, we demonstrate the most dramatic increases in visits from adult patients aged 50-59 years while exposures in pediatric patients had decreased [12]. The decrease in pediatric visits related to poisoning exposures may be attributed, in part, to improve public awareness of the risk of pediatric poisoning, access to poison information services, and improved poison prevention efforts.…”

Section: Discussionsupporting

confidence: 92%

“…The decrease in pediatric visits related to poisoning exposures may be attributed, in part, to improve public awareness of the risk of pediatric poisoning, access to poison information services, and improved poison prevention efforts. Regional poison centers are a good example of an effective method to reduce hospital visits and healthcare costs [12][13][14]. In addition, the impact of previously enacted legislation mandating child-resistant packaging for hazardous household products and prescription drugs and the more recent labeling changes for pediatric over the counter cough and cold medications are also important methods of prevention that may help explain the fall in pediatric visits [15][16][17].…”

Section: Discussionmentioning

confidence: 99%

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Trends in Emergency Department Resource Utilization for Poisoning-Related Visits, 2003–2011

et al. 2016

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In recent years, there has been an increase in poisoning-related emergency department (ED) visits. This study examines trends in ED resource utilization for poisoning-related visits over time. A retrospective review of data from the National Hospital Ambulatory Medical Care Survey, 2003-2011, was conducted. All ED visits with a reason for visit or ICD-9 code related to poisoning were included. We examined the number of ED visits and resources used including diagnostic studies and procedures performed, medications provided, admission rates, and length of stay. The proportion of visits involving resource use was tabulated and trends analyzed using survey-weighted logistic regression, grouping into 2-year periods to ensure adequate sample size. Of an estimated 843 million ED visits between 2003 and 2011, 8 million (0.9 %) were related to poisoning. Visits increased from 1.8 million (0.8 %) visits in [2003][2004] to 2.9 million (1.1 %) visits in 2010-2011, p = 0.001. Use of laboratory studies, EKGs, plain radiographs, and procedures remained stable across the study period. CT use was more than doubled, increasing from 5.2 to 13.7 % of visits, p = 0.001. ED length of stay increased by 35.5 % from 254 to 344 min, p = 0.001. Admission rates increased by 45.3 %, from 15.0 to 21.8 %, p = 0.046. Over the entire study period, 52.0 % of poisoned patients arrived via ambulance, and 3.0 % of patients had been discharged from the hospital within the previous 7 days. Poisoning-related ED visits increased over the 8-year study period; poisonings are resource-intensive visits and require increasingly longer lengths of ED stay or hospital admission.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Trends in Emergency Department Resource Utilization for Poisoning-Related Visits, 2003–2011

et al. 2016

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“…A host of studies and reports have found that PCCs reduce the expense of poisoning on the health-care system [3][4][5][6][7][8][9][10][11]. These estimates have come from a wide range of evidence including modeling and natural experiments in which services were disrupted or toll-free lines added [6,12,13].…”

Section: Introductionmentioning

confidence: 99%

“…These estimates have come from a wide range of evidence including modeling and natural experiments in which services were disrupted or toll-free lines added [6,12,13]. For the most part, they have shown reduced total poisoning expenses based on reduced referrals to EDs and provider offices by the use of PCC management in which patients are observed at home [3,5,[8][9][10][11]. In addition, hospital length of stay (LOS) has been shown to be reduced if a PCC is actively involved in management of the hospitalized poisoned patient [3,14].…”

Section: Introductionmentioning

confidence: 99%

“…For the most part, they have shown reduced total poisoning expenses based on reduced referrals to EDs and provider offices by the use of PCC management in which patients are observed at home [3,5,[8][9][10][11]. In addition, hospital length of stay (LOS) has been shown to be reduced if a PCC is actively involved in management of the hospitalized poisoned patient [3,14]. There has been an assumption that PCCs reduce poisoning hospitalization rates.…”

Section: Introductionmentioning

confidence: 99%

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Poisoning hospitalization correlates with poison center call frequency

et al. 2008

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Introduction: Poison Control Centers (PCCs) have been shown to reduce health expenditures by reducing emergency department and clinic visits. The effect or association of PCC call frequency on acute hospitalization rates for poisonings has not been studied extensively.Methods: All nonfederal hospital discharges for acute poisoning principal diagnosis codes (960-979, 980-989, 9956X, 3030, and 005) in California between October 1999 and June 2002 were examined. Approximately 3.3% of the discharges had county/hospital information suppressed in the public-use database because of confidentiality criteria and were excluded from the analysis. U.S. Census Bureau population estimates for appropriate years by counties were also obtained. The 58 California counties were condensed to 48 counties and 3 "small-county" geographic groupings. Exposure calls by counties/groupings to the California Poison Control System (CPCS) for the same period were tabulated.

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Evolving Trends and Treatment Advances in Pediatric Poisoning

Liebelt¹

1999

JAMA

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Costs of Poisoning in the United States and Savings From Poison Control Centers: A Benefit-Cost Analysis

Cited by 131 publications

References 5 publications

Trends in Emergency Department Resource Utilization for Poisoning-Related Visits, 2003–2011

Trends in Emergency Department Resource Utilization for Poisoning-Related Visits, 2003–2011

Poisoning hospitalization correlates with poison center call frequency

Evolving Trends and Treatment Advances in Pediatric Poisoning

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