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Analysis of ingestion admissions in a midsized pediatric intensive care unit

Hayden L Smith1,2,3, Kaitlin A Branick2, Margaret E Free3

  • 1Unitypoint Health, Des Moines, IA 50309, USA.

Journal of Public Health (Oxford, England)
|September 9, 2021
PubMed

Insights

Pediatric toxic ingestions lead to hospitalizations, with intentional ingestion more common in older children. This study quantified costs and characteristics of these admissions, finding short stays and no mortality.

Area of Science:

  • Toxicology
  • Pediatric Critical Care
  • Public Health

Background:

  • Pediatric ingestion of toxic substances is a significant cause of illness.
  • Limited research exists on toxic ingestions leading to pediatric intensive care unit (PICU) admissions.

Purpose of the Study:

  • To quantify the incidence and financial costs of toxic ingestion admissions to a PICU.
  • To identify common ingestions, interventions, and the relationship between intentional ingestion and patient age.

Main Methods:

  • Retrospective study of PICU records from April 2016 to August 2018 in the Midwestern USA.
  • Analysis of 360 unique patient encounters for toxic ingestions.
  • Examination of ingestion types, interventions, intentionality, and patient demographics.

Main Results:

  • Intentional ingestion and suicidal ideation were documented in 72% and 54% of patients, respectively.
  • Patients under nine years old had a significantly lower risk of intentional ingestion (87% lower risk).
  • Median length of stay was 1.0 day with a median cost of $2498 USD; no mortality was observed.

Conclusions:

  • Ingestion types align with national data.
  • PICU admissions for toxic ingestions were associated with short stays and considerable costs.
  • Older age correlated with a higher risk of intentional ingestion in pediatric patients.
Abstract

Keywords:
behaviorchildrendrug abuse

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