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Recent Trends in Marijuana-Related Hospital Encounters in Young Children
Colleen E Bennett1, Atheendar Venkataramani2, Fred M Henretig3
1Division of General Pediatrics, The Children's Hospital of Philadelphia (CE Bennett and JN Wood), Philadelphia, Pa; National Clinician Scholars Program, University of Pennsylvania (CE Bennett, A Venkataramani, and JN Wood), Philadelphia, Pa; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania (CE Bennett, FM Henretig, and JN Wood), Philadelphia, Pa.
Academic Pediatrics
|July 29, 2021
Summary
Hospitalizations for young children
Area of Science:
- Pediatric Health
- Public Health Policy
- Toxicology
Background:
- Marijuana legalization is increasing across multiple states.
- The impact of this legislation on pediatric marijuana exposures is not well understood.
- Young children are particularly vulnerable to accidental marijuana ingestion.
Purpose of the Study:
- To analyze trends in marijuana-related hospital encounters in children under 6 years old.
- To assess the association between state marijuana legislation and hospitalization rates.
Main Methods:
- Utilized data from 52 children's hospitals (2004-2018) from the Pediatric Health Information System.
- Analyzed inpatient, emergency, and observation encounters for marijuana exposures using ICD codes.
- Employed negative binomial regression to evaluate trends and the impact of state legalization.
Main Results:
- A 13.3-fold increase in marijuana exposures was observed from 2004 to 2018.
- No significant association was found between state recreational or medical marijuana legalization and hospitalization rates.
- Half of the encounters involved inpatients, with 15% requiring intensive care.
Conclusions:
- A significant rise in pediatric marijuana hospital encounters necessitates urgent prevention strategies.
- These prevention efforts are crucial for all states, regardless of marijuana legislation status.
- Focus on reducing unintentional exposures in young children is paramount.
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