Study of Caregivers Regarding Pediatric Poisoning

Crouch, Barbara Insley; Malheiro, Marty Christensen; Brown, Kaitlyn

doi:10.1177/0009922819863665

Cited by 3 publications

(4 citation statements)

References 13 publications

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“…Similarly, in a survey conducted in the same children's hospital as our study, over 60% of patients with government-sponsored insurance felt the PCC reports exposures to authorities compared with 42% with private insurance. 19 Notably, this study found that government-sponsored insurance was a significant predictor of ED self-referral, confirming the trends found in previous investigations. Improving patient education and self-efficacy regarding PCC utilization across populations of varying racial and insurance demographics may help curb barriers to access.…”

Section: Discussionsupporting

confidence: 91%

“…Among women attending a women, infants, and children clinic, Kelly and Groff 8 found that there was substantially less familiarity with PCC services and more hesitation with its utilization due to possible accusations of neglect. Similarly, in a survey conducted in the same children's hospital as our study, over 60% of patients with government-sponsored insurance felt the PCC reports exposures to authorities compared with 42% with private insurance 19 . Notably, this study found that government-sponsored insurance was a significant predictor of ED self-referral, confirming the trends found in previous investigations.…”

Section: Discussionsupporting

confidence: 91%

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Unintentional Pediatric Poisoning Exposures in an Emergency Department

Johnson¹,

Tak²,

Mundorff

et al. 2020

Pediatr Emer Care

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Objectives:The purpose of this study is to describe the demographics and clinical characteristics of patients referred to a pediatric emergency department (ED) for unintentional poisoning exposures by a poison control center (PCC) compared with patients/caregivers who self-refer. Methods:The electronic data warehouse at a pediatric hospital was queried from October 1, 2014, to September 30, 2015, for unintentional poisoningrelated ED visits and subsequent inpatient admissions. Eligible patients aged 18 years and younger were identified by International Classification of Diseases, Ninth Revision, Clinical Modification codes for pharmaceuticals, nonpharmaceuticalchemicals, fumes/vapors, foreign bodies, adverse food reactions, food poisoning, and bites/stings. Referral classification (PCC referral vs self-refer) was determined by PCC and hospital medical records.Descriptive statistics were used to characterize the patient demographics and ED visits by referral classification and age group. Simple and multiple logistic regression models examined the individual and combined impact of demographic and clinical characteristics on self-referral.Results: Of the 705 patients identified, 84.4% presented as caregiver/ self-referred compared with PCC-referred. As compared with those who self-referred, a higher percentage of patients who contacted the PCC before ED presentation were white (93.9% [89.4-98.2%] vs 83.8% [80.7-86.7%]) and had commercial insurance (62.7% [51.5-69.5%] vs 53.0% [48.9-57.0%]). Pharmaceutical (71.9%) and chemical (14.0%) exposures were the most common exposure types for PCC-referred patients whereas foreign bodies (54.3%) were the most common for self-referred patients. The largest predictors of self-referral were age, insurance, and exposure type.Conclusions: Among patients presenting at 1 pediatric ED, disparities with PCC utilization exist among age groups, racial identification, and poison exposure type. Educational outreach interventions are needed to ensure optimal use of the PCC services by patients, caregivers, and health care professionals.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

Unintentional Pediatric Poisoning Exposures in an Emergency Department

Johnson¹,

Tak²,

Mundorff

et al. 2020

Pediatr Emer Care

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“…The current study also was limited to eleven years of data since specific age groups of childhood poisoning cases have only been available since 2009. Finally, there is increasing usage of the internet and social media platforms for readily available information on topics related to poison exposures [ 16 ]. This could be a contributing factor to the declining trend in reported cases in NPDS.…”

Section: Discussionmentioning

confidence: 99%

“…Take-back programs are also in existence to safely dispose of medications when prescriptions are completed or outdated [ 14 ]. The most promising educational interventions targeting parents include home safety education for safe storage of medicines [ 15 ] and cleaning products and accessibility of the telephone number for Poison Control Centers (PCCs) [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Trends in Childhood Poison Exposures and Fatalities: A Retrospective Secondary Data Analysis of the 2009–2019 U.S. National Poison Data System Annual Reports

Dodd-Butera

Beaman

et al. 2021

Pediatric Reports

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Despite significant prevention efforts, childhood poison exposures remain a serious public health challenge in the United States. This study aimed to assess annual trends of pharmaceutical vs. non-pharmaceutical poison exposures in the US among children 0–19 years and compare the odds of death by children’s age group. Poison exposure and fatality data were retrospectively extracted from 2009 to 2019 National Poison Data System (NPDS) annual reports for children in all reported age groups. Overall, there was a significant reduction in the annual population-adjusted poison exposures in children (annual percentage change = −2.54%, 95% CI = −3.94% to −1.15%, p < 0.01), but not in poisoning-related fatalities. Children 0–5 had similar odds of dying from exposure to non-pharmaceuticals vs. pharmaceuticals. The odds of children 6–12 dying from non-pharmaceuticals vs. pharmaceuticals was 2.38 (95% CI = 1.58, 3.58), χ2 = 18.53, p < 0.001. In contrast, the odds of children 13–19 dying from pharmaceuticals vs. non-pharmaceuticals was 3.04 (95% CI = 2.51, 3.69), χ2 = 141.16, p < 0.001. Suicidal intent accounted for 40.63% of pharmaceutical deaths in children 6–12, as well as 48.66% of pharmaceutical and 31.15% of non-pharmaceutical deaths in children 13–19. While a significant decline in overall childhood poison exposures was reported, a decrease in poisoning-related fatalities was not observed. Children in different age groups had contrasting relative odds of death from pharmaceutical and non-pharmaceutical exposures. Among older children, a greater proportion of poisoning-related deaths was due to intentional suicide. These findings provide evidence of age-specific trends in childhood poison exposure risk and directions for future poison prevention efforts and behavioral health partnerships.

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