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Trends of Hospitalization for Acute Alcohol Intoxication in Slovenian Children and Adolescents with and without Dual Disorder. Implications for a Correct Intervention. J Clin Med 2020; 9:jcm9072122. [PMID: 32640558 PMCID: PMC7408642 DOI: 10.3390/jcm9072122] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Revised: 06/29/2020] [Accepted: 07/02/2020] [Indexed: 01/07/2023] Open
Abstract
Background: Binge drinking and other forms of ethanol abuse are, when present, a serious problem in preteens and adolescents worldwide. Aim: The present study has analyzed the trend in alcohol-related intoxications requiring the hospitalization of children, adolescents and young adults aged less than 21 years in Slovenia in the 1999–2018 period. Methods: We performed a retrospective study on patients discharged after hospitalizations due to mental and behavioral disorders due to acute alcohol intoxication (MBDAAI) or hospitalizations due to the toxic effects of alcohol (TEA We considered three groups: children (aged 10–14), adolescents (aged 15–19) and young adults (20–21 years old). Hospitalization rates and time trends were analyzed using joinpoint regression to obtain the annually calculated age- and sex-specific rates and the annual percentage of change (APC). Results: Considering a total of 2912 MBDAAI-hospitalizations, 15–19-year-old subjects showed a significantly higher hospitalization rate compared to the immediately younger and older age groups and a significant increase in hospitalization rates in the period 1999–2011, followed by a significant decrease. Considering 1143 TEA-hospitalizations, we observed a continuous decrease in the hospitalization rates for children and young adults and, conversely, a continuous even if less than significant increase for adolescents aged 15–19. Conclusions: Alcohol consumption in Slovenian children and adolescents is a highly important health concern. Special attention to public health problem of severe alcohol abuse requiring hospitalization in children and adolescents is needed, especially with possible crisis of SARS-CoV-2/Covid-19 situation.
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Kabíček P, Kobr J, Šašek L, Obdržálková Z, Svitálková L, Hůrková V, Zeman J. Alcohol and drug intoxications in adolescents admitted to paediatric wards in the Czech Republic: 5-year retrospective study 2006-2010. Cent Eur J Public Health 2018; 26:39-44. [PMID: 29684296 DOI: 10.21101/cejph.a4644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2015] [Accepted: 12/06/2017] [Indexed: 11/15/2022]
Abstract
OBJECTIVES The aim of the study was to establish frequency, severity and circumstances of alcohol and drug intoxications in adolescents admitted to inpatient wards in the Czech Republic. METHODS Chief physician of each participating ward (or their designated deputy) searched the patient records for required information. The data was then statistically processed. RESULTS Thirty inpatient paediatric wards participated in the study (27 district wards and 3 university hospital wards), amounting to more than a third of all paediatric wards in the country. The total number of intoxications reported was 2,176, the majority of which were alcohol-related (84.5%), followed by cannabinoids and, to a lesser degree, amphetamines. The number of alcohol intoxications increased by 22% during the 5-year observation period, whilst the frequency of illegal drugs intoxications remained the same. We also observed an increase in the percentage of alcohol intoxications in girls - from 42% to 45.5%. The mean age at intoxication was low - 15.5 years. The Glasgow Coma Scale in individual episodes of intoxication increased during the study duration/follow up period. The proportion of alcohol intoxications originating in pubs, clubs or other public institutions was 25%. CONCLUSION The number of alcohol intoxications has risen during the observation period. The age at which these intoxications occurred is very low. Of serious concern is the fact, that 25% of alcohol intoxications originated in places where alcohol is sold, despite the fact that majority of the adolescents were under the legal drinking age limit of 18 years.
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Affiliation(s)
- Pavel Kabíček
- Department of Paediatrics, Thomayer Hospital and First Faculty of Medicine, Charles University, Prague, Czech Republic
| | - Jiří Kobr
- Department of Paediatrics, Faculty of Medicine, Charles University, Pilsen, Czech Republic
| | - Lumír Šašek
- Department of Paediatrics, Faculty of Medicine, Charles University, Pilsen, Czech Republic
| | - Zita Obdržálková
- Department of Paediatrics, Faculty Hospital Ostrava, Ostrava, Czech Republic
| | - Ludmila Svitálková
- Department of Paediatrics, District Hospital of T. Bata, Zlín, Czech Republic
| | - Věra Hůrková
- Department of Paediatrics, District Hospital of T. Bata, Zlín, Czech Republic
| | - Jiří Zeman
- Department of Paediatrics, General Faculty Hospital and First Faculty of Medicine, Charles University, Prague, Czech Republic
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Hurtig T, Ebeling H, Jokelainen J, Koivumaa-Honkanen H, Taanila A. The Association Between Hospital-Treated Injuries and ADHD Symptoms in Childhood and Adolescence: A Follow-Up Study in the Northern Finland Birth Cohort 1986. J Atten Disord 2016; 20:3-10. [PMID: 23665592 DOI: 10.1177/1087054713486699] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE We examined the risk of hospital-treated injuries related to the symptoms/diagnosis of ADHD. METHOD The study population (N = 6,111) was composed from the Northern Finland Birth Cohort 1986. At the age of 8, symptoms of hyperactivity and at the age of 15, symptoms of ADHD were assessed by the parents while the clinical diagnoses of ADHD were set in adolescence. Information on injuries was obtained from national register. RESULTS The risk for hospital-treated injuries during ages 0 to 7 was 1.7-fold increased among those with symptoms of hyperactivity assessed at age 8. Also, injuries during ages 7 to 15 years were more common among those with symptoms of ADHD at age 15 with respect to any injury, fractures, and intracranial injuries, and among those with the diagnosis of ADHD with respect to any injury. CONCLUSION The present study shows an association between hospital-treated injuries and symptoms of ADHD in a large epidemiological sample of 0- to 15-year-old children.
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Affiliation(s)
- Tuula Hurtig
- University of Oulu, Finland University Hospital of Oulu, Finland
| | - Hanna Ebeling
- University of Oulu, Finland University Hospital of Oulu, Finland
| | | | - Heli Koivumaa-Honkanen
- University of Oulu, Finland University of Eastern Finland, Kuopio, Finland University Hospital of Kuopio, Finland Lapland Hospital District, Finland South-Savonia Hospital District, Finland North Karelia Central Hospital, Finland
| | - Anja Taanila
- University of Oulu, Finland University Hospital of Oulu, Finland
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Finkelstein Y, Macdonald EM, Hollands S, Hutson JR, Sivilotti MLA, Mamdani MM, Koren G, Juurlink DN. Long-term outcomes following self-poisoning in adolescents: a population-based cohort study. Lancet Psychiatry 2015; 2:532-9. [PMID: 26360449 DOI: 10.1016/s2215-0366(15)00170-4] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2015] [Revised: 04/07/2015] [Accepted: 04/07/2015] [Indexed: 11/26/2022]
Abstract
BACKGROUND Suicide is the third most common cause of death among adolescents worldwide, and poisoning is the leading method of attempted suicide. Unlike more violent methods, survival after self-poisoning is common, providing an opportunity for secondary prevention. We determined the risk and time course of completed suicide after adolescent self-poisoning, and explored potential risk factors. METHODS We did a population-based cohort study using multiple linked health-care databases in Ontario, Canada, from Jan 1, 2001, to Dec 31, 2012. We identified all adolescents aged 10-19 years presenting to hospital after a first self-poisoning episode. Each was matched with 50 population-based reference individuals with no such history, matching on age, sex, and year of cohort entry. The primary outcome was the risk of suicide after a first self-poisoning episode. Secondary analyses explored factors associated with suicide and self-poisoning repetition. FINDINGS We identified 20,471 adolescents discharged from hospital after a first self-poisoning episode and 1,023,487 matched reference individuals. Over a median follow-up of 7·2 years (IQR 4·2-9·7), 248 (1%) adolescents discharged after self-poisoning died, 126 (51%) of whom died by suicide. The risk of suicide at 1 year after self-poisoning was greatly increased relative to reference individuals (hazard ratio [HR] 32·1, 95% CI 23·6-43·6), corresponding to a suicide rate of 89·6 (95% CI 75·2-106·7) per 100,000 person-years over the course of follow-up. The median time from hospital discharge to suicide was 3·0 years (IQR 1·1-5·3). Factors associated with suicide included recurrent self-poisoning (adjusted HR 3·5, 95% CI 2·4-5·0), male sex (2·5, 1·8-3·6) and psychiatric care in the preceding year (1·7, 1·1-2·5). Adolescents admitted to hospital for self-poisoning were also more likely to die from accidents (5·2, 4·1-6·6) and from all causes (3·9, 2·8-5·4) during follow-up. INTERPRETATION Self-poisoning in adolescence is a strong predictor of suicide and premature death in the ensuing decade, and identifies a high-risk group for targeted secondary prevention. Suicide risk is increased for many years after the index hospital admission, emphasising the importance of sustained prevention efforts. FUNDING The Canadian Drug Safety and Effectiveness Research Network, Ontario Ministry of Health and Long-Term Care, Paediatric Consultants Partnership.
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Affiliation(s)
- Yaron Finkelstein
- Divisions of Emergency Medicine, Hospital for Sick Children, Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Clinical Pharmacology and Toxicology, Hospital for Sick Children, Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Child Health Evaluative Sciences, Research Institute, The Hospital for Sick Children, Toronto, ON, Canada.
| | - Erin M Macdonald
- The Institute for Clinical Evaluative Sciences, Toronto, ON, Canada
| | - Simon Hollands
- The Institute for Clinical Evaluative Sciences, Toronto, ON, Canada
| | - Janine R Hutson
- Clinical Pharmacology and Toxicology, Hospital for Sick Children, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Marco L A Sivilotti
- Departments of Emergency Medicine and Biomedical and Molecular Sciences, Queen's University, Kingston, ON, Canada
| | - Muhammad M Mamdani
- The Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; Applied Health Research Centre (AHRC), Li Ka Shing Knowledge Institute of St Michael's Hospital, Toronto, ON, Canada; Dalla Lana School of Public Health, University of Toronto, Institute of Health Policy, Management, and Evaluation, ON, Canada; Departments of Medicine and Peadiatrics, University of Toronto, ON, Canada; Leslie Dan Faculty of Pharmacy, University of Toronto, ON, Canada
| | - Gideon Koren
- Clinical Pharmacology and Toxicology, Hospital for Sick Children, Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Child Health Evaluative Sciences, Research Institute, The Hospital for Sick Children, Toronto, ON, Canada
| | - David N Juurlink
- Clinical Pharmacology and Toxicology, Hospital for Sick Children, Faculty of Medicine, University of Toronto, Toronto, ON, Canada; The Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; Sunnybrook Research Institute, Sunnybrook Hospital, Toronto, ON, Canada; Departments of Medicine and Peadiatrics, University of Toronto, ON, Canada
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Olatunya OS, Isinkaye AO, Oluwadiya KS. Profile of non-accidental childhood injury at a tertiary hospital in south-west Nigeria. J Trop Pediatr 2015; 61:174-81. [PMID: 25825341 DOI: 10.1093/tropej/fmv009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
BACKGROUND Injury threatens children lives worldwide. Most studies from Nigeria have been on accidental injuries in children. OBJECTIVES To study the profile of non-accidental injuries among children receiving care at a tertiary hospital in Nigeria. METHODS Children with non-accidental injuries were serially recruited and studied. The Paediatrics Trauma Score (PTS) was tested against the outcome. RESULTS Non-accidental injuries accounted for 0.84% of all 5264 patients and 21.3% of the 207 injured. The case fatality rate was 6.8%. Physical abuse, sexual assault, drowning/near drowning, gunshot, poisoning and human bite caused the injuries in 68.2, 13.6, 6.8, 4.5, 4.5 and 2.3%, respectively. One-way analysis of variance and Tukey post hoc analysis showed that the mean PTS score of patients who died was significantly lower than the scores of those who were either discharged home or who discharged against medical advice (p < 0.001). CONCLUSION The burden of non-accidental childhood injuries was high in the study area.
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A case of methanol poisoning in a child. Case Rep Nephrol 2014; 2014:652129. [PMID: 24711938 PMCID: PMC3965956 DOI: 10.1155/2014/652129] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2013] [Accepted: 10/07/2013] [Indexed: 11/18/2022] Open
Abstract
We report the case of a girl admitted to the emergency room with a history of four hours' acute illness, characterized by nausea, vomiting, salivation, headache, blurred vision, and acidotic “Kussmaul” breathing. Arterial blood gases showed severe mixed acidosis, metabolic and respiratory with high anion gap. She had ingested the contents of a scent bottle containing methanol, which she thought was a soft drink bottle. The girl was managed with hemodialysis and strong intravenous hydration. She improved well and made a full recovery.
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