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Retrospective study of poisoned patients admitted to a hospital's pediatric intensive care unit in Chile
Nicolás Hormazábal A1, Marcia Yzoard A2,3, Raúl Bustos B4,5
1Químico farmacéutico independiente, Concepción, Chile.
Insights
Pediatric poisoning is a significant concern, with intentional drug overdoses being common in female adolescents. This study analyzed 105 cases at a Chilean pediatric intensive care unit (PICU).
Area of Science:
- Toxicology
- Pediatric Critical Care
- Public Health
Background:
- Pediatric poisoning represents a global public health challenge.
- Understanding the specific characteristics of these cases is crucial for targeted interventions.
Purpose of the Study:
- To characterize pediatric poisoning cases admitted to a pediatric intensive care unit (PICU) in Chile.
- To identify demographic, etiological, and clinical features of pediatric poisoning.
Main Methods:
- Retrospective review of medical records for pediatric patients diagnosed with poisoning.
- Data collected for admissions to the PICU between 2013 and 2017.
- Analysis of patient demographics, poisoning circumstances, substances involved, and outcomes.
Main Results:
- 105 pediatric poisoning cases were identified, comprising 3% of PICU admissions.
- The median age was 10 years, with 73.3% of cases being female.
- Intentional poisoning accounted for 51% of cases, primarily due to drug exposure (83%), with antidepressants and NSAIDs being most common.
Conclusions:
- Poisoning cases in the PICU were predominantly intentional, affecting female patients often with a psychiatric history.
- Antidepressants and non-steroidal anti-inflammatory drugs were the most frequently identified toxic agents.
- Findings highlight the need for focused prevention strategies and mental health support for at-risk pediatric populations.
Introduction:
Pediatric poisoning is a public health problem worldwide. The objective of this study was to establish the characteristics of pediatric cases of poisoning seen at the pediatric intensive care unit (PICU) of a hospital in Chile.
Population And Methods:
The medical records of patients diagnosed with poisoning and admitted to the PICU between 2013 and 2017 were reviewed.
Results:
A total of 105 cases were identified, who account for 3% of all admissions recorded in the study period. Patients' median age was 10 years. In total, 73.3% of cases were female patients; 51% of cases were associated with intentional poisoning; and 83% were caused by drug exposure. The most common drugs identified were antidepressants (11.2%) and non-steroidal anti-inflammatory drugs (10.7%). Intake was the most frequent route of exposure (93%). The average length of stay in the PICU was 1.3 days. One patient required intubation and another required hemodialysis in the PICU. Statistically significant relationships were established between patient sex and the circumstance of exposure and between the patient's psychiatric condition and the number of toxic substances ingested.
Conclusions:
Most poisoning cases seen at the PICU were intentional and occurred in female patients, who had a psychiatric condition. The most common drugs identified were antidepressants and non-steroidal anti-inflammatory drugs.
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