Changing Pattern of Acute Alcohol Intoxications in Children

Boban, Ivona Vrkić; Vrca, Andjelko; Saraga, Marijan

doi:10.12659/msm.908841

Cited by 9 publications

(18 citation statements)

References 33 publications

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“…Tobacco smoking and drinking alcohol have been confirmed as associated with many chronic diseases [36][37][38][39], and to adversely affect the health of children [40,41]. Therefore, more effective measurements should be conducted to make children more aware of the harm of smoking and alcohol drinking on health.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Associated Lifestyle Factors of Suboptimal Health Status among Chinese Children Using a Multi-Level Model

Liu

Zhu

2020

IJERPH

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Chinese children are facing health challenges brought by chronic non-communicable diseases, such as physical problems and psychological related health problems. Childhood represents a critical life period when the long-term dietary and lifestyle behaviors are formed. It is necessary to survey the prevalence of suboptimal health status (SHS) among Chinese children and to research the relationship between SHS and lifestyles. This study aimed to examine the prevalence of SHS among Chinese children using a large-scale population survey sample covering school students and nonstudent children, and clarified the relationships between SHS and lifestyle factors using multi-level models controlled for the cluster effect of location and the confounding effect of demographics. Multi-level generalized estimating equation models were used to examine the relationships between SHS and lifestyle factors. Prevalence ratios (PR) and 95% confidence intervals (CI) were used to assess the strength of these relationships. Of the 29,560 children, 14,393 reported one or more SHS symptoms, giving a SHS prevalence of 48.69%. The prevalence of SHS for boys (46.07%) was lower than that for girls (51.05%). After controlling for the cluster effect of living areas and confounding effect of demographic characteristics, lifestyle factors associated with SHS were: less sleep duration, current smokers (PR = 1.085, 95%CI: 1.027–1.147), current drinkers (PR = 1.072, 95%CI: 1.016–1.131), children’ parents suffering from chronic diseases (PR = 1.294, 95%CI: 1.179–1.421), poor sleep quality (PR = 1.470, 95%CI: 1.394–1.550), stress (PR = 1.545, 95%CI: 1.398–1.707), negative life events (PR = 1.237, 95%CI: 1.088–1.406), hypertension (PR = 1.046, 95%CI: 1.009–1.084), unhealthy diet choice (PR = 1.091, 95%CI: 1.051–1.133) and irregular meal time (PR = 1.210, 95%CI: 1.163–1.259). Children who could exercise regularly (PR = 0.897, 95%CI: 0.868–0.927) and those with regular medical checkup (PR = 0.891, 95%CI: 0.854–0.929) were associated with lower prevalence probability of SHS. SHS has become a serious public health challenge for Chinese children. Unhealthy lifestyles were closely associated with SHS. Implementation of preventative strategies are needed to reduce the potential SHS burden associated with these widespread high-risk unhealthy lifestyle behaviors.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Associated Lifestyle Factors of Suboptimal Health Status among Chinese Children Using a Multi-Level Model

Liu

Zhu

2020

IJERPH

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“…Alcohol use in adolescents has become increasingly common over the last two decades. Most presentations of adolescents with acute intoxication tend to occur at weekends and during holiday periods [ 18 ]. We are increasingly seeing the use of alcohol in combination with other illicit substances e.g., marijuana and 3,4-methylenedioxy-methamphetamine (MDMA), and its use may act as a gateway to facilitate progression on to other illicit drugs.…”

Section: Discussionmentioning

confidence: 99%

“…We are increasingly seeing the use of alcohol in combination with other illicit substances e.g., marijuana and 3,4-methylenedioxy-methamphetamine (MDMA), and its use may act as a gateway to facilitate progression on to other illicit drugs. A recent Croatian study noted that there was co-morbid drug use in 6.25% of adolescents presenting to their hospital with acute alcohol intoxication [ 18 ]. Alcohol can also act as a risk factor for overweight and obesity [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluating documentation of social history in paediatric medical notes at a regional paediatric centre – a quality improvement initiative

et al. 2020

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Background A child’s home and family environment plays a vital role in neuro-cognitive and emotional development. Assessment of a child’s home environment and social circumstances is an crucial part of holistic Paediatric assessment. Aims Our aim is to achieve full compliance with comprehensive documentation of biopsychosocial history, for all children medically admitted to the children’s inpatient unit in University Hospital Limerick. Methods We performed a retrospective chart review to audit documentation within our department. This was followed by teaching interventions and a survey on knowledge, attitudes and behaviour of paediatric non-consultant hospital doctors (NCHDs) towards the social history. We performed two subsequent re-audits to assess response to our interventions, and provided educational sessions to seek improvement in quality of care. Results Results showed a significant improvement in quality of documentation following interventions, demonstrated by a net increase of 53% in levels of documentation of some social history on first re-audit. Though this was not maintained at an optimum level throughout the course of the year with compliance reduced from 95% to 82.5% on second re-audit, there was nonetheless a sustained improvement from our baseline. Our qualitative survey suggested further initiatives and educational tools that may be helpful in supporting the ongoing optimisation of the quality of documentation of social history in our paediatric department. Conclusion We hope this quality improvement initiative will ultimately lead to sustained improvements in the quality of patient-centred care, and early identification and intervention for children at risk in our community.

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“…Alcohol use in adolescents has become increasingly common over the last two decades. Most presentations of adolescents with acute intoxication tend to occur at weekends and during holiday periods (10). We are increasingly seeing the use of alcohol in combination with other illicit substances eg, marijuana and 3,4-methylenedioxy-methamphetamine (MDMA), and its use may act as a gateway to facilitate progression on to other illicit drugs.…”

Section: Alcoholmentioning

confidence: 99%

“…We are increasingly seeing the use of alcohol in combination with other illicit substances eg, marijuana and 3,4-methylenedioxy-methamphetamine (MDMA), and its use may act as a gateway to facilitate progression on to other illicit drugs. A recent Croatian study noted that there was co-morbid drug use in 6.25% of adolescents presenting to their hospital with acute alcohol intoxication (10). Alcohol can also act as a risk factor for overweight and obesity (11).…”

Section: Alcoholmentioning

confidence: 99%

Evaluating Documentation of Social History in Paediatric Medical Notes at a Regional Paediatric Centre – A Quality Improvement Initiative.

Foley

Hannon

et al. 2020

Preprint

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Abstract Background A child’s home and family environment plays a vital role in neuro-cognitive and emotional development. Assessment of a child’s home environment and social circumstances is an crucial part of holistic Paediatric assessment.Aims Our aim is to achieve full compliance with comprehensive documentation of biopsychosocial history, for all children medically admitted to the children’s inpatient unit in University Hospital Limerick.Methods We performed a retrospective chart review to audit documentation within our department. This was followed by teaching interventions and a survey on knowledge, attitudes and behaviour of paediatric non-consultant hospital doctors (NCHDs) towards the social history. We performed two subsequent re-audits to assess response to our interventions, and provided educational sessions to seek improvement in quality of care.Results Results showed a significant improvement in quality of documentation following interventions, demonstrated by a net increase of 53% in levels of documentation of some social history on first re-audit. Though this was not maintained at an optimum level throughout the course of the year with compliance reduced from 95% to 82.5% on second re-audit, there was nonetheless a sustained improvement from our baseline. Our qualitative survey suggested further initiatives and educational tools that may be helpful in supporting the ongoing optimisation of the quality of documentation of social history in our paediatric department.Conclusion We hope this quality improvement initiative will ultimately lead to sustained improvements in the quality of patient-centred care, and early identification and intervention for children at risk in our community.

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Changing Pattern of Acute Alcohol Intoxications in Children

Cited by 9 publications

References 33 publications

Prevalence and Associated Lifestyle Factors of Suboptimal Health Status among Chinese Children Using a Multi-Level Model

Prevalence and Associated Lifestyle Factors of Suboptimal Health Status among Chinese Children Using a Multi-Level Model

Evaluating documentation of social history in paediatric medical notes at a regional paediatric centre – a quality improvement initiative

Evaluating Documentation of Social History in Paediatric Medical Notes at a Regional Paediatric Centre – A Quality Improvement Initiative.

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