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Published on: September 11, 2018
Drug ingestions in children 10-14 years old: an old problem revisited
Wendy Pomerantz1, Michael Gittelman, Sarah Farris
1Cincinnati Children's Hospital, Division of Emergency Medicine, Cincinnati, OH 45229, USA. wendy.pomerantz@cchmc.org
Insights
Hospitalizations for drug ingestions among 10-14 year olds decreased significantly. However, more males are ingesting drugs, particularly psychiatric medications like SSRIs, indicating a shift in ingestion patterns.
Area of Science:
- Pediatric Toxicology
- Public Health Surveillance
- Adolescent Health
Background:
- Drug ingestions in children are a significant public health concern.
- Understanding trends in pediatric drug ingestions is crucial for prevention and intervention.
Purpose of the Study:
- To analyze changes in the rates and patterns of drug ingestions among 10-14 year old children.
- To identify demographic and substance-related shifts in pediatric drug ingestions over time.
Main Methods:
- Retrospective chart review of hospitalized 10-14 year olds.
- Comparison of data from 1993-1995 and 2000-2004.
- Statistical analysis using Odds Ratios and Chi-square tests.
Main Results:
- Overall hospitalization rates for drug ingestions decreased from 92.8 to 63.3 per 100,000 children/year.
- The proportion of male ingestions increased from 14.2% to 26.3%.
- Psychiatric medication ingestions rose from 27.0% to 38.9%, with an increase in Selective Serotonin Reuptake Inhibitors (SSRIs) and a decrease in tricyclics.
Conclusions:
- Hospitalization rates for drug ingestions in 10-14 year olds have declined.
- There has been a notable shift in the types of drugs ingested, with a rise in psychiatric medications, especially SSRIs.
- An increasing proportion of males are involved in drug ingestions, highlighting a changing demographic profile.
Abstract:
To determine changes in rates of drug ingestions in 10-14 year old children in our country, a retrospective chart review of 10-14 year olds hospitalized for drug ingestion between 1993-1995 and 2000-2004 was performed. Odds ratios and Chi-square were used for analyses. From 1993-1995 there were 92.8 ingestions/100,000 children/year; from 2000-2004 there were 63.3 ingestions/100,000 children/year. More males ingested in 2000-2004 than 1993-1995 (26.3% vs.14.2% O.R. 2.15 [1.19, 3.92]). More patients took psychiatric medications in 2000-2004 than 1993-1995 (38.9% vs. 27.0%, O.R. 1.72 [1.06, 2.80]). More patients ingested SSRIs in 2000-2004 than 1993-1995; fewer ingested tricyclics. Hospitalization rates for drug ingestions have decreased. There has been a change in drug ingested, and more males are ingesting drugs.
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