Citation

Feiz Disfani H, Kamandi M, Mousavi SM, Sadrzadeh SM, Farzaneh R, Doolabi N, Rahmani K. Epidemiol. Health 2019; 41: e2019016.

Affiliation

Department of epidemiology, School of public health, Iran university of medical sciences, Tehran, Iran.

Copyright

(Copyright © 2019, Korean Society of Epidemiology)

DOI

10.4178/epih.e2019016

PMID

31010278

Abstract

OBJECTIVES: Considering that poisoning is one of the most important and preventable factors in hospitalization and death of children in emergency departments, this study was carried out to investigate the risk factors contributing to the incidence and mortality of acute childhood poisoning.

METHODS: This is a Hospital base Case-Control Study conducted on 243 cases and 489 controls. The subjects were included in the study in two groups (case and control) based on the daily admission to the emergency departments of the respective hospitals according to the inclusion and exclusion criteria.

RESULTS: Regarding the poisoning type, 87.65% of the subjects had gastrointestinal poisoning, and drug poisoning was also the most common cause of poisoning in children (49.79%). The results of multiple logistic regression showed that having a history of poisoning (OR = 10.44, P <0.01) and availability of poisonous substances (OR = 8.88, P <0.01) were among the most important causes of childhood poisoning. Besides, respiratory poisoning (OR = 6.72, P = 0.017) and the presence of addiction in the family (OR = 4.54, P <0.03) were considered the most important causes of mortality among the children with poisoning.

CONCLUSION: The results of this study showed that factors such as addiction and diseases or psychological disorders in family members, the history of poisoning and the availability of poisonous substances to children were effective in the incidence of childhood poisoning and the resulting mortality.

Language: en

Keywords

children; emergency department; mortality; poisoning