Risk factors contributing to the incidence and mortality of acute childhood poisoning in emergency department patients in Iran: a hospital-based case-control study

Hamideh Feiz Disfani; Mostafa Kamandi; Seyed Mohammad Mousavi; Sayyed Majid Sadrzadeh; Roohie Farzaneh; Najme Doolabi; Kazem Rahmani

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자료유형: 학술저널

저자정보: Hamideh Feiz Disfani (Mashhad University of Medical Sciences) Mostafa Kamandi (Mashhad University of Medical Sciences) Seyed Mohammad Mousavi (Mashhad University of Medical Sciences) Sayyed Majid Sadrzadeh (Mashhad University of Medical Sciences) Roohie Farzaneh (Mashhad University of Medical Sciences) Najme Doolabi (Mashhad University of Medical Sciences) Kazem Rahmani (Iran University of Medical Sciences)

저널정보: 한국역학회 Epidemiology and Health Epidemiology and Health Vol.41

발행연도: 2019.1

수록면: 1 - 6 (6page)

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OBJECTIVES: Since poisoning is one of the most important preventable factors contributing to the hospitalization and death of children who present to emergency departments, this study was carried out to investigate the risk factors contributing to the incidence and mortality of acute childhood poisoning. METHODS: This hospital-based case-control study included 243 cases and 489 controls, drawn from daily admissions to the emergency departments of the included hospitals according to the inclusion and exclusion criteria. RESULTS: Gastrointestinal poisoning was the most common poisoning type, found in 87.7% of subjects, and medications were the most common cause of poisoning (49.8%). Multiple logistic regression analysis showed that a history of poisoning (odds ratio [OR], 10.44; 95% confidence interval [CI], 5.58 to 19.51; p<0.001) and the availability of poisonous substances (OR, 8.88; 95% CI, 5.41 to 14.56; p<0.001) were among the most important predictors of childhood poisoning. Respiratory poisoning (OR, 6.72; 95% CI, 1.40 to 32.07; p<0.05) and the presence of addiction in the family (OR, 4.54; 95% CI, 1.10 to 18.68; p<0.05) were the most important predictors of mortality among children with poisoning. CONCLUSIONS: Addiction and the presence of physical or psychological disorders in family members, a history of poisoning, and the availability of poisonous substances were significantly associated with the incidence of childhood poisoning and resultant mortality

#Poisoning #Child #Mortality #Emergency department #Iran

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