Epidemiological profile of the paediatric patient managed at the emergency unit due to intoxication

Section: Originals

How to quote

Valer Monterde O, Satústegui Dordá PJ, Campos Calleja MC. Perfil epidemiológico del paciente pediátrico intoxicado atendido en urgencias. Metas Enferm sep 2017; 20(7): 62-67.

Authors

Óscar Valer Monterde1, Pedro José Satústegui Dordá2, Mª Carmen Campos Calleja3

Position

1Enfermero. Máster en Salud Pública y Máster en Cuidados Especializados en Enfermería de Urgencias, Área de Pacientes Críticos y Postanestesia. Servicio de Urgencias Pediátricas. Hospital Infantil Universitario Miguel Servet. Zaragoza2Enfermero. Máster en Ciencias de la Enfermería. Doctor por la Universidad de Zaragoza. Gerencia de Urgencias y Emergencias Sanitarias 061 Aragón. Departamento de Fisiatría y Enfermería. Facultad de Ciencias de la Salud. Universidad de Zaragoza3Licenciada en Medicina. Especialista en Pediatría. Doctora por la Universidad de Zaragoza. Hospital Infantil Universitario Miguel Servet. Departamento de Pediatría, Radiología y Medicina Física. Facultad de Medicina. Universidad de Zaragoza

Contact address

Óscar Valer Monterde. C/ Ibón de Cregüeña, 1-escalera 8, 3ºA. 50011 Zaragoza

Contact email: ovaler@hotmail.es

Abstract

Objective: to describe the epidemiological profile of the paediatric patient managed due to intoxication at the Emergency Unit of the Hospital Infantil Universitario Miguel Servet in Zaragoza during the years 2012 to 2014, analyzing all associated factors.
Method: a descriptive transversal study. The population selected met the CIE-9 E850-E858, E860-E869 and E905 criteria. Variables: age, gender, use of healthcare resources, contact with the Toxicological Information Services (TIS), toxic substance involved, type of drug, voluntary exposure, origin of the patient, place of exposure, complementary tests, hour and day of medical care. Kruskal-Wallis H Test and Chi Square test were used for statistical analysis, with p value < 0.001.
Results: in total, 482 intoxication episodes were detected; 67.7% were <5-year old, and 48.5% consulted due to pharmacological intoxications, mainly by psychotropic drugs. There was a 0.508 rate of male patients. Overall, 72% of patients had not used any healthcare resources previously. There was a 17% voluntary exposure to toxic substances, and medical drugs were the main substance involved (48.5%), particularly psychotropic agents (27.2%). In 97.3% of cases there was no contact with the TIS; 62% of > 12-year-old patients arrived by ambulance, with a statistically significant association with alcohol.
Conclusions: the epidemiological profile of acute intoxications consisted in a < 5-year-old boy, seen during the weekend, due to the intake of psycotropic drugs, and with little action by the first responders. Primary prevention in health centres should be a key action for the reduction in paediatric intoxications.

Keywords:

Hospital emergencies; childhood; poisoning; alcohol intake; drug-related adverse reactions; research; transversal studies

Versión en Español

Título:

Perfil epidemiológico del paciente pediátrico intoxicado atendido en urgencias