The effects of COVID-19 on poisonings in the paediatric emergency department

Abstract Objectives The purpose of this study is to describe the impact of the pandemic on poisoning in children under 18 years presenting to a tertiary care paediatric emergency department (ED) in Canada. Methods We utilized the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) su...

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Published in:Paediatrics & child health 2022-06, Vol.27 (Supplement_1), p.S4-S8
Main Authors: Zhang, Evangeline W J, Davis, Adrienne, Finkelstein, Yaron, Rosenfield, Daniel
Format: Article
Language:English
Subjects:
COVID-19
Drug use
Original
Pandemics
Pediatrics
Poisoning
Recreational drugs
Self destructive behavior
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creator Zhang, Evangeline W J
Davis, Adrienne
Finkelstein, Yaron
Rosenfield, Daniel
description Abstract Objectives The purpose of this study is to describe the impact of the pandemic on poisoning in children under 18 years presenting to a tertiary care paediatric emergency department (ED) in Canada. Methods We utilized the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) surveillance data to identify children presenting to the Hospital for Sick Children for poisonings during two time periods: pre-pandemic (March 11 to December 31, 2018 and 2019) and pandemic (March 11 to December 31, 2020). Primary outcomes investigated the change in proportion for total poisonings, unintentional poisonings, recreational drug use, and intentional self-harm exposures over total ED visits. Secondarily, we examined the change in proportion of poisonings between age, sex, substance type, and admission requirement pre-pandemic versus during pandemic. Results The proportions significantly increased for total poisonings (122.5%), unintentional poisonings (127.8%), recreational drug use (160%), and intentional self-harm poisonings (104.2%) over total ED visits. The proportions over all poisoning cases also significantly increased for cannabis (44.3%), vaping (134.6%), other recreational drugs (54.5%), multi-substance use (29.3%), and admissions due to poisonings (44.3%) during the pandemic. Conclusion Despite an overall decrease in ED visits, there was a significant increase in poisoning presentations to our ED during the pandemic compared with pre-pandemic years. Our results will provide better insight into care delivery and public health interventions for paediatric poisonings.
doi_str_mv 10.1093/pch/pxab100
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Methods We utilized the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) surveillance data to identify children presenting to the Hospital for Sick Children for poisonings during two time periods: pre-pandemic (March 11 to December 31, 2018 and 2019) and pandemic (March 11 to December 31, 2020). Primary outcomes investigated the change in proportion for total poisonings, unintentional poisonings, recreational drug use, and intentional self-harm exposures over total ED visits. Secondarily, we examined the change in proportion of poisonings between age, sex, substance type, and admission requirement pre-pandemic versus during pandemic. Results The proportions significantly increased for total poisonings (122.5%), unintentional poisonings (127.8%), recreational drug use (160%), and intentional self-harm poisonings (104.2%) over total ED visits. The proportions over all poisoning cases also significantly increased for cannabis (44.3%), vaping (134.6%), other recreational drugs (54.5%), multi-substance use (29.3%), and admissions due to poisonings (44.3%) during the pandemic. Conclusion Despite an overall decrease in ED visits, there was a significant increase in poisoning presentations to our ED during the pandemic compared with pre-pandemic years. Our results will provide better insight into care delivery and public health interventions for paediatric poisonings.</description><identifier>ISSN: 1205-7088</identifier><identifier>EISSN: 1918-1485</identifier><identifier>DOI: 10.1093/pch/pxab100</identifier><identifier>PMID: 35620562</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>COVID-19 ; Drug use ; Original ; Pandemics ; Pediatrics ; Poisoning ; Recreational drugs ; Self destructive behavior</subject><ispartof>Paediatrics &amp; child health, 2022-06, Vol.27 (Supplement_1), p.S4-S8</ispartof><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the Canadian Paediatric Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2022</rights><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the Canadian Paediatric Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the Canadian Paediatric Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-b3fd6f2c75872294319aca9fa8eab5f9792cb6c7f12313de561b3b90d69521463</citedby><cites>FETCH-LOGICAL-c370t-b3fd6f2c75872294319aca9fa8eab5f9792cb6c7f12313de561b3b90d69521463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9126273/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9126273/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35620562$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Evangeline W J</creatorcontrib><creatorcontrib>Davis, Adrienne</creatorcontrib><creatorcontrib>Finkelstein, Yaron</creatorcontrib><creatorcontrib>Rosenfield, Daniel</creatorcontrib><title>The effects of COVID-19 on poisonings in the paediatric emergency department</title><title>Paediatrics &amp; child health</title><addtitle>Paediatr Child Health</addtitle><description>Abstract Objectives The purpose of this study is to describe the impact of the pandemic on poisoning in children under 18 years presenting to a tertiary care paediatric emergency department (ED) in Canada. Methods We utilized the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) surveillance data to identify children presenting to the Hospital for Sick Children for poisonings during two time periods: pre-pandemic (March 11 to December 31, 2018 and 2019) and pandemic (March 11 to December 31, 2020). Primary outcomes investigated the change in proportion for total poisonings, unintentional poisonings, recreational drug use, and intentional self-harm exposures over total ED visits. Secondarily, we examined the change in proportion of poisonings between age, sex, substance type, and admission requirement pre-pandemic versus during pandemic. Results The proportions significantly increased for total poisonings (122.5%), unintentional poisonings (127.8%), recreational drug use (160%), and intentional self-harm poisonings (104.2%) over total ED visits. The proportions over all poisoning cases also significantly increased for cannabis (44.3%), vaping (134.6%), other recreational drugs (54.5%), multi-substance use (29.3%), and admissions due to poisonings (44.3%) during the pandemic. Conclusion Despite an overall decrease in ED visits, there was a significant increase in poisoning presentations to our ED during the pandemic compared with pre-pandemic years. Our results will provide better insight into care delivery and public health interventions for paediatric poisonings.</description><subject>COVID-19</subject><subject>Drug use</subject><subject>Original</subject><subject>Pandemics</subject><subject>Pediatrics</subject><subject>Poisoning</subject><subject>Recreational drugs</subject><subject>Self destructive behavior</subject><issn>1205-7088</issn><issn>1918-1485</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp90c1LHDEYBvBQlPrVU-8lIIhQRvMx-boIsm2tsODF9hoymWQ3spNMkxmp_30ju5Xag6cE3h9P3vAA8BGjC4wUvRzt-nL8bTqM0DtwiBWWDW4l26t3glgjkJQH4KiUB4RaLBF5Dw4o43XEySFY3q8ddN47OxWYPFzc_bz90mAFU4RjCiXFEFcFhginCkfj-mCmHCx0g8srF-0T7N1o8jS4OJ2AfW82xX3Yncfgx7ev94vvzfLu5nZxvWwsFWhqOup77okVTApCVEuxMtYob6QzHfNKKGI7boXHhGLaO8ZxRzuFeq4YwS2nx-BqmzvO3eB6W5_OZqPHHAaTn3QyQb-exLDWq_SoFSacCFoDzncBOf2aXZn0EIp1m42JLs1FEy4wES1GotLT_-hDmnOs33tWTHImGarq81bZnErJzr8sg5F-bknXlvSupao__bv_i_1bSwVnW5Dm8c2kPxOXmwA</recordid><startdate>202206</startdate><enddate>202206</enddate><creator>Zhang, Evangeline W J</creator><creator>Davis, Adrienne</creator><creator>Finkelstein, Yaron</creator><creator>Rosenfield, Daniel</creator><general>Oxford University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K6X</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202206</creationdate><title>The effects of COVID-19 on poisonings in the paediatric emergency department</title><author>Zhang, Evangeline W J ; 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child health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Evangeline W J</au><au>Davis, Adrienne</au><au>Finkelstein, Yaron</au><au>Rosenfield, Daniel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effects of COVID-19 on poisonings in the paediatric emergency department</atitle><jtitle>Paediatrics &amp; child health</jtitle><addtitle>Paediatr Child Health</addtitle><date>2022-06</date><risdate>2022</risdate><volume>27</volume><issue>Supplement_1</issue><spage>S4</spage><epage>S8</epage><pages>S4-S8</pages><issn>1205-7088</issn><eissn>1918-1485</eissn><abstract>Abstract Objectives The purpose of this study is to describe the impact of the pandemic on poisoning in children under 18 years presenting to a tertiary care paediatric emergency department (ED) in Canada. Methods We utilized the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) surveillance data to identify children presenting to the Hospital for Sick Children for poisonings during two time periods: pre-pandemic (March 11 to December 31, 2018 and 2019) and pandemic (March 11 to December 31, 2020). Primary outcomes investigated the change in proportion for total poisonings, unintentional poisonings, recreational drug use, and intentional self-harm exposures over total ED visits. Secondarily, we examined the change in proportion of poisonings between age, sex, substance type, and admission requirement pre-pandemic versus during pandemic. Results The proportions significantly increased for total poisonings (122.5%), unintentional poisonings (127.8%), recreational drug use (160%), and intentional self-harm poisonings (104.2%) over total ED visits. The proportions over all poisoning cases also significantly increased for cannabis (44.3%), vaping (134.6%), other recreational drugs (54.5%), multi-substance use (29.3%), and admissions due to poisonings (44.3%) during the pandemic. Conclusion Despite an overall decrease in ED visits, there was a significant increase in poisoning presentations to our ED during the pandemic compared with pre-pandemic years. Our results will provide better insight into care delivery and public health interventions for paediatric poisonings.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>35620562</pmid><doi>10.1093/pch/pxab100</doi><oa>free_for_read</oa></addata></record>
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1918-1485
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source Oxford Journals Online; PubMed Central
subjects COVID-19
Drug use
Original
Pandemics
Pediatrics
Poisoning
Recreational drugs
Self destructive behavior
title The effects of COVID-19 on poisonings in the paediatric emergency department
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