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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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Published on: November 9, 2016

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Analysis of Interventions Required in 12,021 Children With Acute Intoxications Admitted to PICUs

Meral M Patel1, Curtis D Travers, Jana A Stockwell

  • 11Children's Healthcare of Atlanta at Egleston, Division of Critical Care Medicine, Emory University School of Medicine, Department of Pediatrics, Atlanta, GA. 2Department of Pediatrics, Emory University School of Medicine, Atlanta, GA. 3Georgia Poison Center, Atlanta, GA.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
|May 9, 2017
PubMed

Insights

Most pediatric intensive care unit (PICU) admissions for acute intoxications do not require significant interventions. Further research is needed to identify factors influencing the need for PICU interventions in child poisoning cases.

Area of Science:

  • Pediatric critical care medicine
  • Toxicology
  • Public health

Background:

  • Acute intoxications represent a significant cause of pediatric intensive care unit (PICU) admissions.
  • Understanding the interventions and monitoring for these cases is crucial for optimizing patient care.

Purpose of the Study:

  • To describe interventions and monitoring for children admitted to the PICU for intoxications.
  • To identify patient and intoxication characteristics associated with the need for PICU interventions.

Main Methods:

  • Retrospective review of prospectively collected data from the Virtual Pediatric Systems database.
  • Inclusion of patients up to 18 years old admitted to US PICUs between 2011 and 2014 with codes for poisoning, ingestion, intoxication, or overdose.

Main Results:

  • A total of 12,021 patients were analyzed, with a median PICU length of stay of 0.97 days.
  • Seventy-eight percent of intoxications were intentional, with unknown substances, antidepressants, and other chemicals being the most common ingestions.
  • Only 29.1% of cases received interventions, and 0.61% of patients died.

Conclusions:

  • The majority of pediatric intoxication admissions to the PICU do not necessitate significant interventions.
  • Future research should focus on identifying characteristics that predict the need for PICU intervention to enhance patient safety and resource allocation.
Abstract

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