Factors associated with healthcare visits by young children for nontoxic poisoning exposures.
Factors associated with healthcare visits by young children for nontoxic poisoning exposures.
复制标题
与幼儿因无毒中毒接触而就医的相关因素。
DOI：
10.1007/s10900-010-9243-8
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发表时间：
2010
影响因子：
5.9
通讯作者：
Baker,SDavid
中科院分区：
文献类型：
--
作者：
Polivka,BarbaraJ;Casavant,Marcel;Baker,SDavid
毒物控制中心已被证明是一种成本效益高的替代医疗保健访问的中毒暴露，但急诊科(ED)和紧急护理中心(UCC)仍然经常访问的中毒暴露幼儿。我们试图找出幼儿因无毒中毒暴露而获得医疗保健的预测因素。2001年至2005年期间从城市地区儿科医院系统寻求急诊室、UCC或临床护理的5岁儿童的中毒暴露案例是通过医院管理数据中的中毒≤-9代码和国家电子伤害监测系统数据中的中毒名称来确定的。复习病例(n=2,494)，并将其归类为毒性或无毒性。毒性暴露是指那些对临床影响的可能性超过最小的那些暴露。大多数病例年龄在1至2岁之间，男性，白人，参加医疗补助，寻求急诊护理，没有转诊医生，由父母/监护人带到设施。Logistic回归分析显示，如果儿童是非裔美国人，参加了医疗补助，有非药物相关的中毒，并由父母/监护人带到医疗保健网站，则因无毒中毒接触而寻求医疗保健的几率明显更大。通过教育无毒中毒高危儿童的父母和提供者最初联系中毒控制中心(1-800-222-1222)，可以减少医疗成本和不必要地使用医疗资源进行无毒中毒暴露。
Poison control centers have been shown to be a cost-effective alternative to healthcare visits for poisoning exposures, yet emergency departments (ED) and urgent care centers (UCC) continue to be frequently accessed for poisoning exposures in young children. We sought to identify predictors of young children who obtain healthcare for a nontoxic poisoning exposure. Poisoning exposure cases for children ≤5 years old who sought ED, UCC, or clinic care between 2001 and 2005 from an urban regional pediatric hospital system were identified from poisoning ICD-9 codes in the hospital administrative data and from a poisoning designation in the National Electronic Injury Surveillance System (NEISS) data. Cases (n= 2,494) were reviewed and categorized as either toxic or nontoxic. Toxic exposures were those with more than minimal potential for clinical effects. Most cases were between 1 and 2 years old, male, White, enrolled in Medicaid, sought ED care, had no referring physician, and brought to the facility by a parent/guardian. Logistic regression analysis revealed that the odds of seeking healthcare for a nontoxic poisoning exposure were significantly greater if the child was African American, enrolled in Medicaid, had a non-medication related poisoning, and was brought to the healthcare site by a parent/guardian. Healthcare costs and unnecessary use of healthcare resources for nontoxic poisoning exposures could be reduced by educating parents and providers of children at high risk for inappropriate healthcare visits for nontoxic poisonings to initially contact the poison control center (1-800-222-1222).