A population-based study of sociodemographic and clinical factors among children and adolescents with opioid overdose

Abudu, Boya; Burton, Brittany N.; Said, Engy T.; Martinez, Lizett Wilkins y; Brzenski, Alyssa; Gabriel, Rodney A.

doi:10.1016/j.jclinane.2019.06.026

Cited by 7 publications

(4 citation statements)

References 13 publications

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“…The high prevalence of Opioid consumption in the U.S. results in a high exposure of children to Opioids, and consequently, Opioids are a common cause of poisoning in the pediatric population in the United States. [17][18][19] Since adult consumption of Opioids is infrequent in Israel, it is not unexpected that Opioids were responsible for poison exposure in only 1.7% of our children.…”

Section: Discussionmentioning

confidence: 88%

Unintentional Acute Poisoning Related Emergency Department Visits in Children in a Single-Center: A Nine-Year Prospective Survey

Amram

Daviko

Dalal

et al. 2022

Clin Pediatr (Phila)

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Pediatric morbidity due to unintentional poison exposure is a significant burden on public health. We prospectively characterize patterns of unintentional poison exposure in a single pediatric emergency department, using a detailed computerized questionnaire for all unintentional injuries admitted during 2009 to 2017. Out of 71,765 visits due to unintentional injuries, 252 children were admitted due to unintentional poison exposure. Most (198/252, 79%) were between 1 and 3 years of age. The majority of events (209/252, 82.9%) occurred at the patient’s home and 81% (205/255) were classified as exploratory ingestion. In 41/252 (14%) cases, exposure to more than one substance was reported. Most events 231/293 (79%) involved medications and 21% were due to domestic products. Four medications account for 45% of the events (Paracetamol, Salbutamol, Antihypertensive, and Antidepressants). Opioids were responsible for only 1.7%. By, collaboration between government, public health, educational institutions and commercial companies, can the burden of pediatric unintentional poison exposure be reduced.

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Section: Discussionmentioning

confidence: 88%

Unintentional Acute Poisoning Related Emergency Department Visits in Children in a Single-Center: A Nine-Year Prospective Survey

Amram

Daviko

Dalal

et al. 2022

Clin Pediatr (Phila)

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“…[1][2][3] Opioids are the most common cause of fatal poisonings in young children and represent a significant public health challenge. [4][5][6][7][8][9][10][11] Prompt recognition, resuscitation, and interventions are crucial in managing opioid toxicity in pediatric patients. Emergency clinicians caring for children and adolescents must be prepared to manage opioid toxicity and protect young children from further exposures to decrease future morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

“…Historically, opioid overdose has been associated with adults, but trends show an increasing incidence among pediatric patients 1–3 . Opioids are the most common cause of fatal poisonings in young children and represent a significant public health challenge 4–11 …”

Section: Introductionmentioning

confidence: 99%

Acute opioid overdose in pediatric patients

Sandelich,

Hooley,

Hsu

et al. 2024

JACEP Open

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Recent increases in pediatric and adolescent opioid fatalities mandate an urgent need for early consideration of possible opioid exposure and specific diagnostic and management strategies and interventions tailored to these unique populations. In contrast to adults, pediatric methods of exposure include accidental ingestions, prescription misuse, and household exposure. Early recognition, appropriate diagnostic evaluation, along with specialized treatment for opioid toxicity in this demographic are discussed. A key focus is on Naloxone, an essential medication for opioid intoxication, addressing its unique challenges in pediatric use. Unique pediatric considerations include recognition of accidental ingestions in our youngest population, critical social aspects including home safety and intentional exposure, and harm reduction strategies, mainly through Naloxone distribution and education on safe medication practices. It calls for a multifaceted approach, including creating pediatric‐specific guidelines, to combat the opioid crisis among children and to work to lower morbidity and mortality from opioid overdoses.

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“…The substance reported as the most problematic was prescription opioids with 415% increase during the period (Sahker et al, 2017). During the same period, minority races, including African Americans, KA and other AAPIs, Native Americans, and multiracial groups had the highest rates of prescription opioid overdoses (Abudu et al, 2020). Despite the observed negative outcomes for Asian immigrants, to our knowledge, extant research has not examined the predictors of opioid use or preventive measures on the vulnerable racial minority groups in rural areas, such as KA in rural Alabama.…”

Section: Introductionmentioning

confidence: 99%

Opioid Literacy of Korean Americans in Rural Alabama: Addressing the Role of Social Determinants of Health

et al. 2021

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Introduction: Opioid crisis has disproportionately affected Alabamians with the highest opioid prescription rate, and it is subjected to affect Korean Americans (KA) negatively based on common predictors of opioid misuse that KA possess. Method: Cross-sectional data of KA in rural Alabama ( N = 230) were analyzed. Opioid literacy was assessed by the Brief Opioid Overdose Knowledge survey. Six social determinants of health factors were considered: financial status, educational attainment, English proficiency, household food insecurity, health literacy, and social contact. Results: Participants had limited opioid literacy ( M = 3.56, SD = 3.06). After adjusting for demographics and health covariates, higher levels of overall opioid literacy were associated with higher household income ( B = .48, p < .01), higher levels of health literacy ( B = .71, p < .01), and less frequent social contact ( B = −.40, p < .01). Significant social determinants of health predictors varied across subdomains of opioid literacy. Discussion: The findings suggest that culturally competent and community-level interventions are needed to increase opioid literacy in KA in rural Alabama.

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A population-based study of sociodemographic and clinical factors among children and adolescents with opioid overdose

Cited by 7 publications

References 13 publications

Unintentional Acute Poisoning Related Emergency Department Visits in Children in a Single-Center: A Nine-Year Prospective Survey

Unintentional Acute Poisoning Related Emergency Department Visits in Children in a Single-Center: A Nine-Year Prospective Survey

Acute opioid overdose in pediatric patients

Opioid Literacy of Korean Americans in Rural Alabama: Addressing the Role of Social Determinants of Health

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