美国2015-2021年一氧化碳中毒死亡率
1Virginia Mason Medical Center and University of WA, Seattle, WA, USA.
Clinical toxicology (Philadelphia, Pa.)
|August 3, 2023
概括
意外一氧化碳中毒死亡人数现在超过了美国的故意死亡人数. 尽管一氧化碳死亡总数有所下降,但可能与消费品相关的意外病例的增加需要进一步的预防工作.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 毒理学 毒理学 毒理学
背景情况:
- 一氧化碳 (CO) 中毒是一个重大的公共卫生问题,大多数病例是可以预防的.
- 了解CO相关死亡率的纵向趋势对于有效的公共卫生干预至关重要.
- 以前的数据表明,需要检查意外和故意的二氧化碳暴露的流行病学.
研究的目的:
- 描述2015-2021年美国因一氧化碳中毒造成的死亡率趋势.
- 检查意外 (意外) 和故意的CO暴露的流行病学.
- 为了确定CO相关死亡的具体趋势,不包括与火灾相关的事件.
主要方法:
- 利用疾病控制和预防中心的奇迹数据库 (2015-2021) 的数据.
- 提取的死亡率数据,包括原始死亡率,暴露的意图和人口统计数据,不包括与火灾相关的CO死亡.
- 结合了与消费品相关的CO死亡数据和有关住宅CO报警的州立法.
主要成果:
- 总的一氧化碳死亡人数从2015年的1,253人减少到2021年的1,067人.
- 意外一氧化碳中毒死亡人数增加,在2021年首次超过故意死亡人数 (543对524).
- 从州法律中没有发现保护作用的证据,要求住宅使用一氧化碳报警器,尽管超过一半的意外死亡发生在家中.
结论:
- 意外一氧化碳中毒死亡人数从2015年至2021年有所增加,这是四十年来首次出现此类增加.
- 意外死亡人数的增加可能与一氧化碳排放的消费品有关,这需要有针对性的预防策略.
- 目前的住宅一氧化碳警报立法没有证明对意外的CO死亡有显著的预防作用.
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