儿科人群中不同中毒药物的临床、社会经济和人口因素评估

Q4 Medicine

International Journal of High Risk Behaviors and Addiction Pub Date : 2022-10-18 DOI:10.5812/ijhrba-127438

N. Noori, T. Boryri, Alireza Teimouri, Sahar Safapour Moghadam

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引用次数: 0

摘要

背景:中毒是一个严重的全球健康问题，特别是在儿童中。本研究旨在评估伊朗东南部地区儿童中毒的流行病学特征、临床症状和危险因素。方法:对2014 - 2020年在伊朗扎黑丹Ali Ebne Abitaleb教学医院急诊科收治的636名儿童和青少年进行横断面研究。收集的数据包括入院时的临床症状、社会经济和人口统计学决定因素、中毒因素、儿科重症监护病房(PICU)入住情况、解毒剂使用情况、住院天数、出院情况、自我中毒、性别和居住地。数据采用SPSS (version 18)软件进行分析，显著性水平为0.05。结果:鸦片是最常见的中毒药物，年龄为8岁，以女性为主。化学毒剂中毒患者的主要症状为呼吸窘迫、外周血氧饱和度(SPO2)降低、恶心呕吐、发热、心率降低。在SPO2降低的药物中毒受试者中，意识和血压下降是常见的。鸦片中毒儿童更常见的症状是SPO2降低、肌萎缩、心率降低、呼吸频率降低、癫痫发作、恶心和呕吐。解毒剂、性别、居住地、意外事件中毒、入住PICU、住院天数是导致中毒的重要因素。结论:伊朗低龄人群鸦片中毒发生率高于其他药物中毒发生率。鸦片中毒儿童症状严重，发生率高于其他药物。解毒剂、性别、居住地、意外事件中毒、入住PICU和住院天数是导致毒剂中毒的重要因素。

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Evaluation of Clinical, Socioeconomic, and Demographic Factors in Different Poisoning Agents in Pediatric Population

Background: Poisoning is a critical global health problem, especially among children. This study aimed to assess the epidemiological features, clinical signs, and risk factors of childhood poisoning in the southeastern region of Iran. Methods: This cross-sectional study was conducted on 636 children and adolescents admitted to the Emergency Department of Ali Ebne Abitaleb Teaching Hospital in Zahedan, Iran, within 2014 to 2020. The collected data were clinical symptoms at the time of admission, socioeconomic and demographic determinants, poisoning agents, admission to the pediatric intensive care unit (PICU), using antidote, hospital stay in days, discharge status from the hospital, self-poisoning, gender, and place of residency. The data were analyzed using SPSS software (version 18), and the level of significance was considered 0.05. Results: Opium was the most common poisoning agent with the age of 8years and femalepriority. Among poisoned subjects by chemical agents, the highlighted symptoms were respiratory distress, decreased peripheral oxygen saturation (SPO2), nausea and vomiting, fever, and a decrease in heart rate in the given order. Among poisoned subjects by medicinal agents with a decrease in SPO2, a decrease in consciousness and blood pressure was common. More frequent symptoms in children poisoned by opium were a decrease in SPO2, myosis, a decrease in heart rate, a decrease in respiratory rate, seizures, and nausea and vomiting. The factors, including antidote, gender, place of residency, poisoning by accidental events, admission to PICU, and days stayed in the hospital, were the significant factors in poisoning. Conclusions: Poisoning by opium agents was more common than other agents in Iran in lower age groups. Poisoned children by opium agents had severe symptoms with higher frequency than other agents. Antidote, gender, place of residency, poisoning by accidental events, admission to PICU, and days stayed in the hospital were significant factors in agent poisoning.

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来源期刊

International Journal of High Risk Behaviors and Addiction Psychology-Clinical Psychology

CiteScore

0.70

自引率

0.00%

发文量

期刊介绍： International Journal of High Risk Behaviors and Addiction is a clinical journal which is informative to all fields related to the high risk behaviors, addiction, including smoking, alcohol consumption and substance abuse, unsafe sexual behavior, obesity and unhealthy eating habits, physical inactivity, and violence, suicidal behavior, and self-injurious behaviors. International Journal of High Risk Behaviors and Addiction is an authentic clinical journal which its content is devoted to the particular compilation of the latest worldwide and interdisciplinary approach and findings including original manuscripts, meta-analyses and reviews, health economic papers, debates, and consensus statements of the clinical relevance of Risky behaviors and addiction. In addition, consensus evidential reports not only highlight the new observations, original research and results accompanied by innovative treatments and all the other relevant topics but also include highlighting disease mechanisms or important clinical observations and letters on articles published in this journal.