Hospital burden of unintentional carbon monoxide poisoning in the United States, 2007
Hospital burden of unintentional carbon monoxide poisoning in the United States, 2007
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DOI：
10.1016/j.ajem.2011.03.003
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发表时间：
2012-06-01
影响因子：
3.6
通讯作者：
Elixhauser, Anne
中科院分区：
文献类型：
--
作者：
Iqbal, Shahed;Law, Huay-Zong;Elixhauser, Anne
背景：在美国，无意、非火灾相关（UNFR）一氧化碳（CO）中毒是中毒的主要原因，但总体医院负担尚不清楚。本研究介绍了患者特征和最新的全国综合估计的UNFR co相关急诊科（ED）就诊和住院情况。方法：对2007年全国住院急诊科住院费用与利用项目样本数据进行分析。采用州和地区流行病学家委员会的一氧化碳中毒病例定义对确诊、可能和疑似病例进行分类。结果：2007年有超过23万例急诊（772例/百万）和超过2.2万例住院（75例/百万）与UNFR CO中毒有关。其中，2304例急诊科就诊（71次/百万）和2302例住院（8次/百万）确诊为UNFR CO中毒病例。在确诊病例中，急诊科就诊率最高的是0至17岁（76次/百万）和18至44岁（87次/百万）；85岁及以上老人的住院率最高（18次/百万人）。女性比男性更频繁地访问急诊科，但男性更容易住院。居住在非大都市地区以及东北部和中西部地区的患者就诊和住院率较高。一氧化碳暴露主要发生在家中（60%）。确诊一氧化碳中毒的住院费用超过2,600万元。结论：非火灾相关的非故意一氧化碳中毒造成了重大的经济和健康负担；需要对一氧化碳中毒进行持续监测和监测，以指导预防工作。公共卫生项目应强调在家使用一氧化碳报警器是主要的预防策略。Elsevier Inc.出版。
Background: Unintentional, non-fire-related (UNFR) carbon monoxide (CO) poisoning is a leading cause of poisoning in the United States, but the overall hospital burden is unknown. This study presents patient characteristics and the most recent comprehensive national estimates of UNFR CO-related emergency department (ED) visits and hospitalizations.Methods: Data from the 2007 Nationwide Inpatient and Emergency Department Sample of the Hospitalization Cost and Utilization Project were analyzed. The Council of State and Territorial Epidemiologists' CO poisoning case definition was used to classify confirmed, probable, and suspected cases.Results: In 2007, more than 230 000 ED visits (772 visits/million) and more than 22 000 hospitalizations (75 stays/million) were related to UNFR CO poisoning. Of these, 21 304 ED visits (71 visits/million) and 2302 hospitalizations (8 stays/million) were confirmed cases of UNFR CO poisoning. Among the confirmed cases, the highest ED visit rates were among persons aged 0 to 17 years (76 visits/million) and 18 to 44 years (87 visits/million); the highest hospitalization rate was among persons aged 85 years or older (18 stays/million). Women visited EDs more frequently than men, but men were more likely to be hospitalized. Patients residing in a nonmetropolitan area and in the northeast and midwest regions of the country had higher ED visit and hospitalization rates. Carbon monoxide exposures occurred mostly (>60%) at home. The hospitalization cost for confirmed CO poisonings was more than $26 million.Conclusion: Unintentional, non-fire-related CO poisonings pose significant economic and health burden; continuous monitoring and surveillance of CO poisoning are needed to guide prevention efforts. Public health programs should emphasize CO alarm use at home as the main prevention strategy. Published by Elsevier Inc.