由于一氧化碳中毒而住院治疗与物质使用和情绪障碍有关
Bernard Weigel1,2, Jay Manadan3, Neil Manadan3
1The Toxikon Consortium, 1950 West Polk St, 7th Floor, Chicago, IL, 60612, USA. Bernard.Weigel@cookcountyhealth.org.
Internal and emergency medicine
|January 17, 2025
概括
一氧化碳 (CO) 中毒住院病例与男性性别,酒精使用障碍和情绪障碍有关. 新出现的风险包括大麻使用和自杀念头,突出了预防的可修改因素.
科学领域:
- 公共卫生 公共卫生
- 毒理学 毒理学 毒理学
- 流行病学 流行病学
背景情况:
- 一氧化碳 (CO) 中毒仍然是住院和死亡的重要原因.
- 识别CO中毒入院的风险因素对于公共卫生干预至关重要.
研究的目的:
- 分析与CO中毒住院患者入院相关的人口和并发症风险因素.
- 通过使用大型国家数据库,识别CO中毒住院的独立预测因素.
主要方法:
- 从2016年至2020年对美国国家住院样本 (NIS) 数据库的回顾性分析.
- 包括具有CO中毒ICD-10代码的成年患者.
- 后勤回归模型 (单变量和多变量) 用于评估风险因素.
主要成果:
- 与非CO住院相比,CO中毒住院患者的年龄较小,男性性别较高,住院死亡率较高.
- 确定的独立风险因素包括男性性别,酒精使用障碍,大麻使用障碍,情绪障碍和自杀念头.
- 尽管住院时间长度相似,但CO中毒患者的医院费用中位数较低.
结论:
- 大麻使用,情绪障碍和自杀倾向是CO相关住院治疗的重要风险因素,与酒精使用和男性性别一起.
- 这些可修改的风险因素需要临床医生和政策制定者优先关注,因为它们的流行率越来越高.
- 针对物质使用和心理健康障碍可以减少CO中毒的负担.
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