Acute poisonings requiring intensive care in childhood and a hidden threat, suicide attempts: a single-center experience

Arzu Oto; Serbülent Kılıç; Musa Sahın

Makale detayları

Acute poisonings requiring intensive care in childhood and a hidden threat, suicide attempts: a single-center experience

Yazarlar:

Arzu Oto | Serbülent Kılıç | Musa Sahın

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Pediatric Emergency | Pediatric Intensive Care | Forensic Medicine

Dergi:

The European Research Journal Vol.9 Issue 5, pp.1105-1113

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001288134

pISSN:

2149-3189

Anahtar kelimeler:

Özet:

 Objectives: Very few studies have been conducted to identify the conditions that cause poisoning in pediatric patients needing intensive care, both by age group and toxic agent factor. This study will support the development of strategies for poisoning prevention measures by comparing the data in our region with other data in the world. Methods: This study is a single-centered, retrospective study. The baseline status of acute poisoning was defined in pediatric patients aged one month to 18 years who required intensive care hospitalization between November 2017 and March 2022. Results: There were 148 patient admissions due to acute poisonings 5.2 of all admissions, 69.6 females, median age: 13.6 months. Our study revealed that acute poisoning in children is caused mainly by pharmacological 88.5, oral intake 97.3 and at home 85.8. It was observed that intoxication peaked at two different ages; the first peak was at preschool 33.1, and the second peak was at adolescence 58.7. In the univariate analysis, females odds ratio OR4.1, adolescents OR167.6, psychiatric drug users OR55.5, and multiple drug intoxications OR3.6 were associated with more suicides. Being adolescents and using psychiatric medication contributed significantly to suicide attempts in multivariate analysis OR145.3 and OR37.9. None of our patients died. Conclusions: Preventing both poisoning and suicide attempts is the most critical priority. However, we suggest prevention strategies should be strengthened even if mortality is not observed. Furthermore, our study shows that suicide attempts are very likely to be repeated, especially if an underlying psychiatric illness exists.

 Objectives: Very few studies have been conducted to identify the conditions that cause poisoning in pediatric patients needing intensive care, both by age group and toxic agent factor. This study will support the development of strategies for poisoning prevention measures by comparing the data in our region with other data in the world. Methods: This study is a single-centered, retrospective study. The baseline status of acute poisoning was defined in pediatric patients aged one month to 18 years who required intensive care hospitalization between November 2017 and March 2022. Results: There were 148 patient admissions due to acute poisonings 5.2 of all admissions, 69.6 females, median age: 13.6 months. Our study revealed that acute poisoning in children is caused mainly by pharmacological 88.5, oral intake 97.3 and at home 85.8. It was observed that intoxication peaked at two different ages; the first peak was at preschool 33.1, and the second peak was at adolescence 58.7. In the univariate analysis, females odds ratio OR4.1, adolescents OR167.6, psychiatric drug users OR55.5, and multiple drug intoxications OR3.6 were associated with more suicides. Being adolescents and using psychiatric medication contributed significantly to suicide attempts in multivariate analysis OR145.3 and OR37.9. None of our patients died. Conclusions: Preventing both poisoning and suicide attempts is the most critical priority. However, we suggest prevention strategies should be strengthened even if mortality is not observed. Furthermore, our study shows that suicide attempts are very likely to be repeated, especially if an underlying psychiatric illness exists.

 Objectives: Very few studies have been conducted to identify the conditions that cause poisoning in pediatric patients needing intensive care, both by age group and toxic agent factor. This study will support the development of strategies for poisoning prevention measures by comparing the data in our region with other data in the world. Methods: This study is a single-centered, retrospective study. The baseline status of acute poisoning was defined in pediatric patients aged one month to 18 years who required intensive care hospitalization between November 2017 and March 2022. Results: There were 148 patient admissions due to acute poisonings 5.2 of all admissions, 69.6 females, median age: 13.6 months. Our study revealed that acute poisoning in children is caused mainly by pharmacological 88.5, oral intake 97.3 and at home 85.8. It was observed that intoxication peaked at two different ages; the first peak was at preschool 33.1, and the second peak was at adolescence 58.7. In the univariate analysis, females odds ratio OR4.1, adolescents OR167.6, psychiatric drug users OR55.5, and multiple drug intoxications OR3.6 were associated with more suicides. Being adolescents and using psychiatric medication contributed significantly to suicide attempts in multivariate analysis OR145.3 and OR37.9. None of our patients died. Conclusions: Preventing both poisoning and suicide attempts is the most critical priority. However, we suggest prevention strategies should be strengthened even if mortality is not observed. Furthermore, our study shows that suicide attempts are very likely to be repeated, especially if an underlying psychiatric illness exists.

 Objectives: Very few studies have been conducted to identify the conditions that cause poisoning in pediatric patients needing intensive care, both by age group and toxic agent factor. This study will support the development of strategies for poisoning prevention measures by comparing the data in our region with other data in the world. Methods: This study is a single-centered, retrospective study. The baseline status of acute poisoning was defined in pediatric patients aged one month to 18 years who required intensive care hospitalization between November 2017 and March 2022. Results: There were 148 patient admissions due to acute poisonings 5.2 of all admissions, 69.6 females, median age: 13.6 months. Our study revealed that acute poisoning in children is caused mainly by pharmacological 88.5, oral intake 97.3 and at home 85.8. It was observed that intoxication peaked at two different ages; the first peak was at preschool 33.1, and the second peak was at adolescence 58.7. In the univariate analysis, females odds ratio OR4.1, adolescents OR167.6, psychiatric drug users OR55.5, and multiple drug intoxications OR3.6 were associated with more suicides. Being adolescents and using psychiatric medication contributed significantly to suicide attempts in multivariate analysis OR145.3 and OR37.9. None of our patients died. Conclusions: Preventing both poisoning and suicide attempts is the most critical priority. However, we suggest prevention strategies should be strengthened even if mortality is not observed. Furthermore, our study shows that suicide attempts are very likely to be repeated, especially if an underlying psychiatric illness exists.

Makale detayları

Acute poisonings requiring intensive care in childhood and a hidden threat, suicide attempts: a single-center experience

Yazarlar:

Arzu Oto | Serbülent Kılıç | Musa Sahın

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Pediatric Emergency | Pediatric Intensive Care | Forensic Medicine

Dergi:

The European Research Journal Vol.9 Issue 5, pp.1105-1113

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001288134

pISSN:

2149-3189

Acute poisoning

children

pediatric intensive care unit

self-poisoning

suicide attempts

Sayı

Makale detayları

Acute poisonings requiring intensive care in childhood and a hidden threat, suicide attempts: a single-center experience

Yazarlar: Arzu Oto | Serbülent Kılıç | Musa Sahın

Yayıncı: Prusa Medical Publishing

Ana Başlıklar: Pediatric Emergency | Pediatric Intensive Care | Forensic Medicine

Dergi: The European Research Journal Vol.9 Issue 5, pp.1105-1113

Belge Tipi: Makale

Yayın Tarihi: 4/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001288134

pISSN: 2149-3189

Acute poisoning

children

pediatric intensive care unit

self-poisoning

suicide attempts

Sayı

Yazarlar:

Arzu Oto | Serbülent Kılıç | Musa Sahın

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Pediatric Emergency | Pediatric Intensive Care | Forensic Medicine

Dergi:

The European Research Journal Vol.9 Issue 5, pp.1105-1113

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001288134

pISSN:

2149-3189