儿童患者中与单一物质暴露相关的发作:一项为期15年的回顾性研究
Chia Ming Chang1,2,3, Christopher P Holstege3, Conner T McDonald3
1Emergency Department, Taipei Veterans General Hospital, Taipei, Taiwan.
儿童因单一物质暴露而发生的发作正在增加,特别是在青少年中,由迪芬胺和布罗驱动. 这些病例中近一半需要重症监护,这凸显了儿童中毒物暴露的严重性.
科学领域:
- 毒理学 毒理学 毒理学
- 儿科神经学 儿科神经学
- 公共卫生 公共卫生
背景情况:
- 儿童发作是一个重大问题,暴露于物质是潜在的触发因素.
- 了解与物质相关的发作趋势对于公共卫生干预至关重要.
研究的目的:
- 评估趋势,人口统计,结果和与单一物质暴露相关的物质,导致15年来儿童患者的发作.
- 分析扣押率的变化,并确定主要的贡献物质.
主要方法:
- 使用国家毒素数据系统 (NPDS) 从2009年到2023年进行的回顾性研究.
- 包括单一物质暴露和发作 (包括状态) 的儿科患者 (<20岁).
- 检查年度频率,每10万次暴露次数的扣押率,以及相关物质.
主要成果:
- 确定了30985名儿科患者,与发作相关的单一物质暴露.
- 观察到病例从1,418例 (2009) 增加到2,749例 (2023年),扣押率从每10万次暴露中从88例上升到237例.
- 丁胺和布洛是主要物质;青少年 (13-19岁) 是受影响最严重的人口,而47.8%的人需要重症监护.
结论:
- 与药物相关的儿科发作正在增加,青少年和女性的发作显著增加.
- 丁胺和布洛普是这种趋势的主要驱动因素.
- 进入重症监护的高率强调了这些暴露的严重程度和潜在的长期影响,需要有针对性的预防策略.
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