Paracetamol Overdoses Among Danish Adolescents: A COVID-19 Perspective.

IF 2.4 4区 医学 Q1 PEDIATRICS
Acta Paediatrica Pub Date : 2025-02-19 DOI:10.1111/apa.70037
Oliver Nørholm Kempf, Thora Wesenberg Helt, Jens Jakob Herrche-Petersen, Charlotte Søndergaard, Elke Longin, Annie Ellerman, Marianne Sjølin Frederiksen, Louise Lundby-Christensen, Jesper Andersen, Thomas Houmann Petersen, Rasmus G Nielsen, Bent Windelborg Nielsen, Cæcilie Trier, Louise Jürgensen, Jens Peter Nielsen, Magnus Ove Reynskor, Helene Kvistgaard, Malene Boas, Eva Mosfeldt Jeppesen, Vibeke Brix Christensen
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引用次数: 0

Abstract

Aim: This study examines trends in paracetamol overdoses among Danish adolescents during and following the COVID-19 pandemic.

Methods: A retrospective observational study was conducted using data from the national databases, covering all paediatric departments in Denmark from January 2016 to December 2023. Patients between 10 and 19 years of age diagnosed with paracetamol overdose were stratified by sex, age and number of hospital admissions. As the dataset covers the entire population, observed values reflect true parameters. A one-sample t-test compared post-COVID-19 values to the pre-COVID-19 mean.

Results: A total of 4.448 patients accounted for 5.794 hospital admissions due to paracetamol overdoses, with a majority being girls. During the second year of the pandemic (2021), a rise in overdose cases (26.5%) and hospital admissions (30.3%) was observed, especially among girls. The average number of admissions per patient increased, indicating repeated self-harm attempts. Cases of severe overdoses leading to acute liver failure increased at Rigshospitalet. These trends reversed post-pandemic.

Conclusion: The findings suggest an association between pandemic-related isolation and an increase in adolescent paracetamol overdoses. While rates began to normalise after restrictions were lifted, further research is needed to assess the long-term mental health impact of such restrictions.

目的:本研究探讨了COVID-19大流行期间及之后丹麦青少年过量服用扑热息痛的趋势:采用国家数据库中的数据开展了一项回顾性观察研究,研究涵盖了 2016 年 1 月至 2023 年 12 月期间丹麦的所有儿科部门。根据性别、年龄和入院次数对诊断为扑热息痛过量的 10 至 19 岁患者进行了分层。由于数据集涵盖整个人群,因此观察值反映了真实参数。通过单样本t检验比较了COVID-19后的数值与COVID-19前的平均值:共有 4448 名患者因过量服用扑热息痛入院治疗,其中 5 794 人是女孩。在大流行的第二年(2021 年),观察到过量使用扑热息痛的病例(26.5%)和入院人数(30.3%)都有所增加,尤其是女孩。每名患者的平均入院次数增加,表明有反复自残的企图。在 Rigshospitalet,严重用药过量导致急性肝功能衰竭的病例有所增加。疫情过后,这些趋势发生了逆转:研究结果表明,与大流行相关的隔离与青少年过量服用扑热息痛之间存在关联。虽然在取消限制后,过量使用扑热息痛的比例开始恢复正常,但仍需进一步研究,以评估这种限制对心理健康的长期影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta Paediatrica
Acta Paediatrica 医学-小儿科
CiteScore
6.50
自引率
5.30%
发文量
384
审稿时长
2-4 weeks
期刊介绍: Acta Paediatrica is a peer-reviewed monthly journal at the forefront of international pediatric research. It covers both clinical and experimental research in all areas of pediatrics including: neonatal medicine developmental medicine adolescent medicine child health and environment psychosomatic pediatrics child health in developing countries
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