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Pediatric hydrocarbon-related injuries in the United States: 2000-2009
Heath A Jolliff1, Erica Fletcher, Kristin J Roberts
1Central Ohio Poison Center, Nationwide Children’s Hospital,Columbus, OH, USA. heath.jolliff@nationwidechildrens.org
Insights
Hydrocarbon exposures in young children treated in US emergency departments and poison control centers declined significantly from 2000-2009. Despite this decrease, these preventable injuries remain a concern, particularly during summer months.
Area of Science:
- Pediatric toxicology
- Environmental health
- Injury prevention
Background:
- Hydrocarbon-related injuries are a significant concern in young children.
- Understanding exposure patterns is crucial for effective prevention strategies.
Purpose of the Study:
- To estimate national rates of hydrocarbon exposures in US children aged 5 years and younger.
- To analyze data from emergency department visits and poison control center calls.
Main Methods:
- Retrospective review of data from the National Poison Data System and National Electronic Injury Surveillance System (2000-2009).
- Analysis focused on children ≤5 years with hydrocarbon-related injuries.
Main Results:
- Over 65,000 poison center calls and an estimated 40,000 emergency department visits were recorded.
- Ingestion was the most common injury mechanism; most cases did not require hospitalization.
- A significant decline in exposures was observed over the decade, with seasonal peaks in summer.
Conclusions:
- Hydrocarbon injuries in children show a declining trend, likely due to prevention efforts.
- Despite the decline, hydrocarbons remain a major cause of preventable childhood injuries.
- Continued vigilance and prevention efforts are necessary.
Objective:
To generate national estimates of hydrocarbon-related exposures occurring in children ≤5 years of age who were treated in US emergency departments or called a regional poison control center.
Methods:
This retrospective review compared hydrocarbon-related injuries that occurred from January 1, 2000, through December 31, 2009, that were reported to the National Poison Data System and the National Electronic Injury Surveillance System for children ≤5 years of age.
Results:
From 2000 through 2009, the National Poison Data System reported 65 756 actual calls to regional poison centers, and the National Electronic Injury Surveillance System reported an estimated 40 158 emergency department visits for hydrocarbon-related injuries. Individuals involved were predominantly male and 1 to 2 years of age. Ingestion was the most common mechanism of injury, and most injuries did not result in hospitalization. The rate of emergency department visits and calls to poison centers decreased significantly (P < .0001) over the 10-year study period. Exposures to hydrocarbons demonstrated seasonal variation, with more occurrences in the summer months.
Conclusions:
The comparison of the two data sets illustrates a similar trend in hydrocarbon-related injuries in children. Although cases have declined, most likely due to existing prevention efforts, hydrocarbons are still a large source of preventable exposure and injury in children.
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