Hydrocarbon ingestions among individuals younger than 20 years old reported to United States Poison Centers, 2000–2021

Injury Epidemiology

Original Contribution

Sandhya Kistamgari¹  Jingzhen Yang²  Motao Zhu²  Marcel J. Casavant³  Gary A. Smith⁴  Samiza B. Palmer⁵  Henry A. Spiller⁶  Natalie I. Rine⁶ 

[1] Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children’s Hospital, 700 Children’s Drive, 43205, Columbus, OH, USA;Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children’s Hospital, 700 Children’s Drive, 43205, Columbus, OH, USA;Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA;Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children’s Hospital, 700 Children’s Drive, 43205, Columbus, OH, USA;Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA;Central Ohio Poison Center, Nationwide Children’s Hospital, Columbus, OH, USA;Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children’s Hospital, 700 Children’s Drive, 43205, Columbus, OH, USA;Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA;Child Injury Prevention Alliance, Columbus, OH, USA;Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children’s Hospital, 700 Children’s Drive, 43205, Columbus, OH, USA;Drexel University College of Medicine, Philadelphia, PA, USA;Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA;Central Ohio Poison Center, Nationwide Children’s Hospital, Columbus, OH, USA;

关键词: Hydrocarbons;    Ingestion;    Aspiration;    Poisoning;    Pediatric;   

DOI  :  10.1186/s40621-023-00461-6

 received in 2023-06-22, accepted in 2023-09-30,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundHydrocarbon-based products have many household and commercial uses and exposure to these substances is common. Severe clinical effects can occur if these products are ingested. This study investigated the characteristics and trends of hydrocarbon ingestions reported to United States Poison Centers.MethodsData from the National Poison Data System were analyzed for cases of hydrocarbon ingestion among individuals < 20 years old reported to United States Poison Centers from January 1, 2000 through December 31, 2021.ResultsThere were 284,085 hydrocarbon ingestions reported during the 22-year study period in which a hydrocarbon was the first-ranked substance. Most of these cases occurred among children < 6 years old (83.2%), males (64.6%), at a residence (96.5%), were single-substance exposures (98.3%), and were managed on-site rather than in a health care facility (74.9%). However, 4.5% of cases were associated with a serious medical outcome, including 34 deaths. Thirty-two deaths were among children < 6 years old and most were associated with aspiration. Gasolines accounted for 24.6% of total cases, followed by lubricating oils and/or motor oils (19.9%), other types of hydrocarbons (14.9%), lamp oils (11.3%), and lighter fluids and/or naphtha (10.3%). The rate of hydrocarbon ingestions among United States youth < 20 years old decreased significantly (p < 0.0001) by 66.5% from 2000 to 2021. The greatest rate decrease was observed among lamp oils (− 78.4%, p < 0.0001), followed by gasolines (− 75.9%, p < 0.0001).ConclusionsAlthough the rate of hydrocarbon ingestions decreased during the study period and most reported cases resulted in non-serious outcomes, the number of cases remains high with a non-trivial minority (4.5%) of cases associated with a serious medical outcome, including death. Most deaths were among children < 6 years old. This underscores the need to increase primary prevention efforts, especially for young children.

【 授权许可】

CC BY   
© Columbia University Center for Injury Epidemiology and Prevention 2023

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