212611 Pediatric Poisonings Control - Results and Recommendations From An Emergency Department Injury Registry

Sunday, November 8, 2009

Florin Oprescu, MPH , Community and Behavioral Health, University of Iowa, College of Public Health, Iowa City, IA
Corinne Peek-Asa, PhD, MPH , Occupational and Environmental Health, University of Iowa, Iowa City, IA
Anne Wallis, PhD , College of Public Health, University of Iowa, Iowa City, IA
Tracy Young, MS , Occupational and Environmental Health, University of Iowa, Iowa City, IA
Daniel Nour, MD , Children's Clinical Hospital Cluj Napoca, Cluj Napoca, Romania
Razvan M. Chereches, MD PhD , Center for Health Policy and Public Health, Babes-Bolyai University Cluj, Cluj-Napoca, Romania
Alexandra Brinzaniuc , Faculty of Political, aDministrative and Communication Sciences, Babes-Bolyai University Cluj-Napoca, Center for Health Policy and Public Health, Cluj-Napoca, Romania
Background/Purpose: Intoxications and poisonings are among the most common diagnoses in Emergency Departments. While childhood poisonings have been studied in high income countries for years, limited data are available for middle and low income countries. We are aware of no prior studies conducted in eastern Europe. This retrospective study identifies the distribution and major risk factors for childhood poisoning cases treated in the Emergency Department (ED) of a major children's hospital in Romania.

Methods: A retrospective record review of children aged 0 19 who were admitted and treated for poisonings between January 1999 and December 2003 was conducted. Injury diagnoses and cause of injury were coded using ICD-10. Study variables used in this analyses included gender, age, injury diagnoses, source of poisoning, cause of injury, injury intent, and disposition.

Results/Outcomes: Poisonings represent a high-percentage (37.3%) of pediatric injury-related ED visits. The most common poisoning substances were: medication (35%), alcohol (26%), chemical products (19%) and carbon monoxide (14%). Half of the poisonings were unintentional and were more common among children age five and younger. Intentional poisonings were mostly caused by medication, alcohol or a combination of both and were more common among patients between 10 and 18 years of age.

Conclusions: Poisonings represent more than one-third of the injury cases seen in the Cluj-Napoca ED. In addition to being a high cost for the family the affected children represent a high cost for the emergency unit as well. However most of the poisonings causes identified are preventable through injury control initiatives.

Learning Objectives:
By the end of the presentation participants will be able to: 1. List the most frequent four causes of poisonings in children treated in an Emergency Department 2. Identify high risk groups for intentional and unintentional poisonings 3. Discuss four evidence based injury control initiatives relevant to poisonings in a pediatric population

Keywords: Injury Control, Emergency Department/Room

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I contributed to development of content.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.