Poisoning Incidence and ED Use/Misuse in Young Children

幼儿中毒发生率和 ED 使用/误用

• 批准号: 7104554
• 负责人: BARBARA J POLIVKA
• 金额: $ 10万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-02-15 至 2008-08-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7104554
• 关键词: age difference; behavioral /social science research tag; child (0-11); clinical research; cost effectiveness; emergency care; emergency health services; epidemiology; health care facility information system; health care quality; health care service utilization; health services research tag; human data; infant human (0-1 year); poison control; poisoning; preschool child (1-5); therapy compliance; toxicology registry /referral center; age difference; behavioral /social science research tag; child (0-11); clinical research; cost effectiveness; emergency care; emergency health services; epidemiology; health care facility information system; health care quality; health care service utilization; health services research tag; human data; infant human (0-1 year); poison control; poisoning; preschool child (1-5); therapy compliance; toxicology registry /referral center

DESCRIPTION (Provided by Applicant): The 2004 Institute of Medicine (IOM) report "Forging a Poison Prevention and Control System" calls for epidemiological research of poisonings. Studies have shown that one data source does not adequately capture poisoning incidence. This study responds to the IOM report by testing a methodology to determine the incidence of poisonings to young children. This study will examine poison exposures where the poison control center (PCC) was contacted for advice which was subsequently followed, versus those where the PCC was contacted for advice which was not followed, versus emergency (ED)/urgent care in lieu of initial PCC contact. Contributing factors and costs of failure to contact the PCC will be determined. Based on preliminary research, this retrospective review of electronic records will link data from three sources: PCC poison exposure calls, hospital administrative emergency department/urgent care/inpatient data, and institutional National Electronic Injury Surveillance System (NEISS) data. Electronic record reviews will be limited to children less than 6 years old from a Midwestern urban area with a poisoning exposure reported to the regional certified PCC and/or treated at the local children's hospital ED/urgent care centers. Poisoning calls or ED/urgent care visits for insect bites or bee stings will be excluded. Approximately 22,725 PCC calls and 600 ED/urgent care visits will be reviewed for a 4 year period (2001-2004). Using probabilistic record linkage software, data from the 3 sources will be standardized and then systematically linked via existing identifiers. Age-specific poisoning incidence rates will be calculated annually as will PCC compliance, noncompliance, and failure to contact the PCC. Factors contributing to failure to contact the PCC will be determined using logistic regression analysis. Poisoning remains a major public health problem that can be costly in healthcare dollars and resources. Poisonings disproportionately affect young children, minorities, and low-income. This study will develop a more comprehensive age-specific poisoning incidence rate, determine rates on non-PCC compliance, and identify patterns in non-PCC use. The methodology tested in this study will be used in subsequent research to monitor trends in poisoning incidence, identify targeted populations, and determine the impact of a standardized educational intervention in reducing poisonings to young children and in reducing inappropriate ED use for poisonings.

描述（由申请人提供）：2004年医学研究所（IOM）报告“伪造毒药预防和控制系统”呼吁对中毒的流行病学研究。研究表明，一个数据源不能充分捕获中毒的发生率。这项研究通过测试一种方法学来确定对幼儿中毒的发生率，对IOM报告做出了反应。这项研究将检查与毒物控制中心（PCC）联系以获取建议的毒药暴露，以获取随后遵循的建议，而与PCC接触的建议，以获取未遵循的建议，而紧急情况（ED）/紧急护理/紧急护理代替初始PCC接触。将确定贡献因素和未接触PCC的成本。基于初步研究，对电子记录的回顾性回顾将链接来自三个来源的数据：PCC毒品暴露电话，医院行政急诊科/紧急护理/住院数据以及机构国家电子伤害监视系统（NEISS）数据。电子记录评论将仅限于中西部城市地区不到6岁的儿童，并向地区认证的PCC报告中毒暴露和/或在当地儿童医院ED/紧急护理中心接受治疗。将排除中毒的电话或ED/紧急护理访问昆虫叮咬或蜜蜂s的访问。将在4年期间（2001-2004）审查大约22,725个PCC电话和600次ED/紧急护理访问。使用概率记录链接软件，将标准化3个来源的数据，然后通过现有标识符系统地链接。特定年龄的中毒发病率将每年计算，而PCC依从性，违规行为以及未能联系PCC。有助于接触PCC的因素将使用逻辑回归分析确定。中毒仍然是一个主要的公共卫生问题，在医疗保健资金和资源中可能是昂贵的。中毒不成比例地影响幼儿，少数族裔和低收入。这项研究将开发出更全面的年龄特异性中毒发病率，确定非PCC依从性的率，并确定非PCC使用中的模式。这项研究中测试的方法将在随后的研究中使用，以监测中毒发生率的趋势，确定目标人群，并确定标准化的教育干预措施对减少中毒对幼儿的影响以及减少不适用于中毒的影响。