Repeated poisoning episodes: Alarm sign of risk situations
Por:
García González E, Trenchs-Sainz de la Maza V, Martínez-Sánchez L, Ferrer Bosch N and Luaces-Cubells C
Publicada:
1 nov 2017
Ahead of Print:
20 feb 2017
Categoría:
Pediatrics, perinatology and child health
Resumen:
Introduction: Prevention is an essential aspect in paediatric poisonings, especially when recurrent episodes are detected. The aims of this article are to detect the recurrence rate for suspected poisoning in emergency consultations, as well as to identify the cases in which specific preventive measures are indicated, and to determine whether the creation of a specific item for recurrent episodes in the computerised medical records system facilitates its detection.
Material and methods: A retrospective study was conducted on patients less than 18 years of age treated in the emergency room due to suspected poisoning during 2013 and 2014. Patients were divided according to the presence or absence of previous episodes. From January 2014, a specific item is present in the computerised medical records of the poisoned patient, where the history of previous episodes is registered. The preventive measures used between both groups were compared.
Results: A total of 731 consultations were recorded for suspected poisoning. A history of previous episodes was detected in 9% of cases. Medical injury reports and follow-up in outpatient clinics were more often performed in patients with recurrent episodes than in patients without them (28.8% vs 18.0%, P=.034, and 65.2% vs. 18.8%, P<.001, respectively). In 2013, the recurrence rate was 5.9% vs 12% in 2014 (P=.004).
Conclusions: The recurrence rate observed is significant. Although preventive measures are more frequently indicated in these patients, their application is low. The creation of a specific item for recurrent episodes in a computerised medical records system facilitates their detection. (C) 2016 Asociacion Espanola de Pediatria. Published by Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
García González E:
Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España
Trenchs-Sainz de la Maza V:
Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España
Martínez-Sánchez L:
Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España
Ferrer Bosch N:
Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España
Luaces-Cubells C:
Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España
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