Comparative Analysis of Pediatric Acute Poisoning Cases: Before and During the COVID-19 Pandemic.

IF 1.8 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Disaster Medicine and Public Health Preparedness Pub Date : 2025-08-13 DOI:10.1017/dmp.2025.10157

Aynur Arslan Sabancı, Muhammed Cihan Güvel, Okşan Derinöz Güleryüz, Canan Uluoğlu, Sevil Özger İlhan

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Abstract

Objectives: Acute poisoning is a major cause of pediatric emergency department (PED) visits, with the COVID-19 pandemic potentially altering exposure risks and care-seeking behaviors. This study compares pediatric poisoning characteristics before and during the pandemic.

Methods: A retrospective analysis was conducted at the Gazi University PED between January 2018 and June 2022. Patients aged 1 month-18 years diagnosed with poisoning were identified via ICD codes grouped into before pandemic and during pandemic cases. A systematic random sampling yielded 178 BP (before the pandemic) and 94 DP (during the pandemic) cases with complete data. Demographic and clinical properties of cases were analyzed.

Results: The mean age was significantly higher during the pandemic (BP:7.63±0.49; DP:9.27±0.69). A higher prevalence of chronic diseases was noted in DP cases (BP:0.29±0.049; DP:0.57±0.100). Hotline consultations were higher in DP period (54.5% vs.72.5%) while hospitalization rates were lower (55% vs. 35.2%). While suicide attempts were significantly higher in women compared to men before the pandemic, this difference disappeared during the pandemic period (BP:8.6% of males vs. 37.2% of females; DP: 25% of males vs. 39% of females).

Conclusion: The COVID-19 pandemic significantly impacted pediatric poisoning profiles, underscoring the need for targeted prevention strategies and adaptive emergency protocols.

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新冠肺炎大流行前后小儿急性中毒病例对比分析

目的：急性中毒是儿科急诊科（PED）就诊的主要原因，COVID-19大流行可能改变暴露风险和求医行为。本研究比较了大流行之前和期间的儿童中毒特征。方法：回顾性分析2018年1月至2022年6月在加齐大学PED进行的研究。年龄1个月至18岁的被诊断为中毒的患者通过国际疾病分类代码被确定为大流行前和大流行病例期间。系统随机抽样发现178例BP（大流行前）和94例DP（大流行期间）病例，数据完整。分析病例的人口学特征和临床特征。结果：大流行期间平均年龄明显增高(BP:7.63±0.49；DP: 9.27±0.69)。DP患者有较高的慢性疾病患病率(BP:0.29±0.049；DP: 0.57±0.100)。DP期间热线问诊率较高（54.5%对72.5%），住院率较低（55%对35.2%）。虽然大流行前女性的自杀企图明显高于男性，但这种差异在大流行期间消失了(BP：男性8.6%对女性37.2%；DP: 25%的男性vs 39%的女性)。结论：2019冠状病毒病大流行显著影响了儿童中毒情况，强调了有针对性的预防策略和适应性应急方案的必要性。

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

Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

7.40%

发文量

258

审稿时长

6-12 weeks

期刊介绍： Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.