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Pediatric Emergency Department Management in Acute Poisoning-A 2-Year Retrospective Study

Mihaela Corlade-Andrei1,2, Paul Lucian Nedelea2, Theodora Daniela Ionescu2

  • 1Faculty of Medicine, University of Medicine and Pharmacy "Gr. T. Popa", 700115 Iași, Romania.

Journal of Personalized Medicine
|January 21, 2023
PubMed

Insights

This study reviewed pediatric poisonings, finding higher risks in toddlers (1-3 years) and adolescents (12-18 years). Ingestion at home was the most common route, highlighting the need for targeted prevention strategies.

Area of Science:

  • Pediatric Emergency Medicine
  • Toxicology
  • Public Health

Background:

  • Pediatric poisonings are frequent emergency department (ED) visits with potential for severe outcomes.
  • Understanding risk factors is crucial for effective prevention and management of childhood poisonings.

Purpose of the Study:

  • To identify and analyze the risk factors associated with acute poisoning in children.
  • To inform preventive strategies and therapeutic approaches for pediatric poisoning cases.

Main Methods:

  • A retrospective review of pediatric poisoning cases was conducted over two years.
  • Data from 797 children admitted to the Children's Emergency Department of St. Mary Hospital were analyzed.

Main Results:

  • The highest incidence of poisoning occurred in the 1-3 and 12-18 year age groups.
  • Ingestion was the primary route of exposure (87.1%), with most incidents occurring at home (70.4%).
  • Voluntary and unintentional poisonings were nearly balanced (50.19% vs. 47.43%).

Conclusions:

  • Children aged 1-3 years and adolescents over 12 years face a heightened risk of acute poisoning.
  • Epidemiological data are vital for developing targeted preventive measures and guiding treatment.
  • Enhanced supervision and behavioral programs can mitigate risks, particularly for voluntary intoxications.

Keywords:
childrenemergency carepediatricpoisoningtoxics

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