Intentional paediatric poisoning presentations to emergency departments during the COVID‐19 pandemic

Author:

Gatenby Jennifer12ORCID,Low Gary KK345,Rahman Muhammad A678ORCID,Salter Mark910ORCID,Bhurawala Habib111213ORCID

Affiliation:

1. Department of Paediatrics Blue Mountains Hospital, Nepean Blue Mountains Local Health District Sydney New South Wales Australia

2. Paediatrics and Child Health, The Children's Hospital at Westmead Sydney Children's Hospital Network Sydney New South Wales Australia

3. Research Operations Nepean Hospital, Nepean Blue Mountains Local Health District Sydney New South Wales Australia

4. Sydney Medical School, Faculty of Medicine and Health The University of Sydney Sydney New South Wales Australia

5. Professional Unit, The George Institute for Global Health The University of New South Wales Sydney New South Wales Australia

6. Institute of Health and Wellbeing Federation University Australia Melbourne Victoria Australia

7. Department of Noncommunicable Diseases Bangladesh University of Health Sciences Dhaka Bangladesh

8. Faculty of Public Health Universitas Airlangga Surabaya Indonesia

9. Department of Emergency Medicine Nepean Hospital, Nepean Blue Mountains Local Health District Sydney New South Wales Australia

10. New South Wales Poisons Information Centre Sydney New South Wales Australia

11. Department of Paediatrics Nepean Hospital, Nepean Blue Mountains Local Health District Sydney New South Wales Australia

12. Discipline of Paediatrics, The University of Sydney Nepean Clinical School, Faculty of Medicine and Health The University of Sydney Sydney New South Wales Australia

13. School of Medicine The University of Notre Dame Australia Sydney New South Wales Australia

Abstract

AbstractObjectiveTo characterise paediatric poisoning presentations to EDs and determine if the advent of the COVID‐19 pandemic was associated with increased intentional paediatric poisoning presentations.MethodsWe performed a retrospective analysis of paediatric poisoning presentations to three EDs (two regional and one metropolitan). Simple and multiple logistic regression analysis were performed to determine the association between COVID‐19 and intentional poisoning events. In addition, we calculated the frequency with which patients reported various psychosocial risk factors as being an implicating factor in engaging in an intentional poisoning event.ResultsA total of 860 poisoning events met inclusion criteria during the study period (January 2018–October 2021), with 501 being intentional, and 359 unintentional. There was an increased proportion of intentional poisoning presentations during the COVID‐19 pandemic (261 intentional and 218 unintentional in the pre‐COVID‐19 period vs 241 intentional and 140 unintentional during the COVID‐19 period). In addition, we found a statistically significant association between intentional poisoning presentations and an initial COVID‐19 lockdown (adjusted odds ratio 26.32, P < 0.05). ‘The COVID‐19 lockdown’ or ‘COVID‐19’ was reported to be implicating factor for psychological stress in patients who presented with intentional poisonings during the COVID‐19 pandemic.ConclusionsIntentional paediatric poisoning presentations increased during the COVID‐19 pandemic in our study population. These results may support an emerging body of evidence that the psychological strain of COVID‐19 disproportionately impacts adolescent females.

Publisher

Wiley

Subject

Emergency Medicine

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