Retrospective Analysis of Childhood Poisoning

Akgül, Fatma; Er, Anıl; Çelik, Figen Çelebi; Çağlar, Aykut; Ulusoy, Emel; Yılmaz, Durgül; Duman, Murat

doi:10.4274/cayd.02886

Cited by 15 publications

(22 citation statements)

References 5 publications

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“…According to the age distribution of genders, males in 0-6 years and females in 12-18 years were more prominent. Many of the similar studies have reached the same conclusion [9][10][11].…”

Section: Discussionmentioning

confidence: 56%

Çocuklarda akut zehirlenme; 2015 yılında Marmara Üniversitesi Hastanesi’ne başvuran olguların değerlendirilmesi

Eyüboğlu

Kirkpinar²,

İnanıcı

2018

Marmara Medical Journal

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Objectives: According to Turkish Statistical Institute (TurkStat), 6477 children aged between 1 and 17 years, died in 2015 and 29.5% (n=1909) of these deaths were because of injuries due to external causes and poisoning. Our aim is to produce solutions to this problem by evaluating demographics, clinical features of patients and the causes and consequences of poisoning. Materials and Methods: The hospital medical records of children who were admitted with acute intoxication to Pediatric Emergency Service at Marmara University Hospital in 2015, were evaluated retrospectively. Results: In 2015, a total of 1110 patients applied to the hospital due to poisoning. Of these cases, 31.6% (n = 351) were children, about half of them were male (n = 173) and half were female (n = 178). The mean age of males was 6.24 years and mean age of females was 8.47 years. Sixty percent (n=213) of patients were in 0-6 age group, 8% (n=28) of patients were in 7-11 age group, 32 % (n=110) of patients were in 12-18 age group. Forty-six point one percent (n = 162) were poisoned with medications. Among the pharmaceuticals, paracetamol was the most commonly used agent (14.8%). In non-pharmaceuticals, caustic/corrosive substances (detergent, bleach, acetone etc.) were the most frequently used agents (54%). Conclusion: In this study, 80.3% of the cases were preventable accidental poisoning. Regulations on child-resistant packaging should come into force as soon as possible.

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“…According to the age distribution of genders, males in 0-6 years and females in 12-18 years were more prominent. Many of the similar studies have reached the same conclusion [9][10][11].…”

Section: Discussionmentioning

confidence: 56%

Çocuklarda akut zehirlenme; 2015 yılında Marmara Üniversitesi Hastanesi’ne başvuran olguların değerlendirilmesi

Eyüboğlu

Kirkpinar²,

İnanıcı

2018

Marmara Medical Journal

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“…Accidental poisonings are common in the play age and suicidal poisonings are common in adolescents. 58,1% of the poisoned patients were under five years of age and the majority of them were boys in the study by Akgül et al (9). Also, 30.7% of the poisoned patients were older than twelve years of age and the majority of them were girls.…”

Section: Discussionmentioning

confidence: 87%

“…However, the main treatment is the implementation of the approach to the emergency patient protocol. Besides, it is in the form of preventing or reducing the absorption of the active substance, administering systemic antidotes, if any, altering the metabolism of the active substance, accelerating excretion from the body, and treatment according to findings (9). In the study in Spain, it was reported that 61.3% of the patients were admitted to the hospital within one hour after ingestion of toxic substances, 10.3% were treated before admission, 83.3% were discharged from the emergency department and 15.2% were followed by hospitalization; 1.5% were followed in the intensive care unit (22).…”

Section: Discussionmentioning

confidence: 99%

Examination of Demographic Characteristics of Drug and Corrosive Poisonings, Morbidity and Mortality in Children in terms of Emergency Department and Pediatric Surgery

Güney¹,

Coşkun²

2020

Preprint

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Background: Poisoning constitutes an important part of morbidity and mortality among environmental emergencies that can be prevented, frequent in childhood, requiring rapid diagnosis and treatment. This study aimed was to examine the epidemiological, clinical and therapeutic characteristics of drug and corrosive poisonings in terms of children. Materials and Methods: Between January 2010 and December 2018, 1678 patients between the ages of 1-16 who applied to the emergency department with drug and corrosive poisoning were included in the study. The patients were divided into three groups as 1-5, 6-11 and over 12 years of age, and the substances with known pharmacological agents were divided into 10 groups. The Zargar Classification (7) was used to determine the degree of damage caused by corrosive substances in the esophagus. Results: The mean age of the patients was 8.32 ± 3.23 years (1-15 years). The girl/boy ratio of the cases was 1.18 / 1 and 54.3% were girls. 18.9% of the cases were under five years of age, 61% were between 6-11 years and 20% were older than 12 years. 94.6% of the patients were poisoned by drugs and 5.4% of them were poisoned due to non-drug reasons. Accidental poisoning was most commonly seen in children aged 6-11 and suicides were seen in children older than 12 years. It was found that 62.2% of the poisonings were accidental and 37.8% were suicidal. The most common causes of poisoning were analgesics and paracetamol exposure as a pharmacological agent. Mortality was found to be most common in 1-5 years age group and accidental poisonings. Accidental poisoning was common in girls and suicidal poisoning was common in boys. Grade 3 damage was found endoscopically in all of the mortalities due to corrosive substances. Conclusion: It was found that accidental poisoning was observed in children under five years of age, suicides were observed in children older than 12 years and the most important cause of mortality was due to corrosive substances. Cause-specific rapid diagnosis and treatment will contribute to the reduction of morbidity and mortality.

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“…Childhood intoxications are among the most common causes of emergency admission. According to the 2014 records of the American Poison Control Center, more than two million children are admitted to pediatric emergency services due to intoxication (1,2). Clinical course after drug intoxication may vary from mild clinical symptoms to severe systemic symptoms that may be life threatening.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Corrected QT and Tp-e/QTc Interval in Intoxication with Drugs That Cause QT Prolongation in Children

Gökay¹,

Tutun²

2021

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Sarı Gökay and Tutun. QTc and Tp-e/QTc in Intoxication Öz Giriş: Çocukluk çağı zehirlenmeleri sık görülen acile başvuru nedenleri arasındadır. Bu çalışmada amacımız aritmiye neden olarak ölümcül olabilecek QTc uzaması yapan ilaçlarla zehirlenmelerde QT, QTc, QT/QTc, Tp-e/QT, Tp-e/ QTc oranlarını karşılaştırarak çocuklarda aritmi riskini belirleyebilecek öncelikli bir belirteç olup olmadığını değerlendirmektir. Gereç ve Yöntem: Çalışmamızda Ocak 2018 ve Ağustos 2019 tarihleri arasında Eğitim ve Araştırma Hastanesi Çocuk Acil servisine QTc uzaması yapan ilaçlarla zehirlenme nedeniyle ilk 6 saat içerisinde başvuran ve çocuk acilimizde takip edilen 55 hastanın dosyası retrospektif olarak incelenmiştir. Hasta dosyalarından

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Retrospective Analysis of Childhood Poisoning

Cited by 15 publications

References 5 publications

Çocuklarda akut zehirlenme; 2015 yılında Marmara Üniversitesi Hastanesi’ne başvuran olguların değerlendirilmesi

Çocuklarda akut zehirlenme; 2015 yılında Marmara Üniversitesi Hastanesi’ne başvuran olguların değerlendirilmesi

Examination of Demographic Characteristics of Drug and Corrosive Poisonings, Morbidity and Mortality in Children in terms of Emergency Department and Pediatric Surgery

Comparison of Corrected QT and Tp-e/QTc Interval in Intoxication with Drugs That Cause QT Prolongation in Children

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