在急诊室出现大麻中毒的儿童中资源使用情况
Michael S Toce1, Kate Dorney2, Gabrielle D'Ambrosi2
1Division of Emergency Medicine, Boston Children's Hospital, Boston, MA, United States of America; Harvard Medical Toxicology Program, Boston Children's Hospital, Boston, MA, United States of America; Department of Pediatrics, Harvard Medical School, Boston, MA, United States of America.
The American journal of emergency medicine
|September 11, 2023
概括
儿童大麻中毒正在上升,但辅助检测率保持不变. 应急服务提供者应在儿童精神状态变化的评估中早期考虑大麻中毒.
科学领域:
- 儿科急救医学 儿科急救医学
- 临床毒理学 临床毒理学
- 公共卫生 公共卫生
背景情况:
- 探索性儿科大麻中毒问题越来越令人担忧.
- 对于这些中毒的诊断测试的国家数据是有限的.
研究的目的:
- 评估儿童大麻中毒评估中的诊断测试和程序的频率和趋势.
- 分析随着时间的推移辅助测试的模式.
主要方法:
- 使用儿科健康信息系统数据库 (2016-2021) 进行回顾性横截面研究.
- 包括0-10岁的儿童,有大麻中毒.
- 负二项回归用于评估中毒趋势和辅助测试模式.
主要成果:
- 大麻暴露每年增加68.7%每10万次ED访问.
- 平均每次遭遇的诊断测试有4次.
- 辅助测试率每年没有显著变化,尽管暴露率上升.
结论:
- 辅助测试比例没有变化,尽管儿科大麻中毒增加.
- 紧急服务提供者应该考虑早期诊断儿童精神状态的改变.
- 尿液药物查可能会减少辅助测试,但不应取代彻底的评估.
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