{"id":17076,"date":"2023-12-01T11:56:54","date_gmt":"2023-12-01T16:56:54","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=17076"},"modified":"2024-03-25T14:31:24","modified_gmt":"2024-03-25T18:31:24","slug":"unintentional-pediatric-poisonings-before-and-during-the-covid-19-pandemic","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/unintentional-pediatric-poisonings-before-and-during-the-covid-19-pandemic\/","title":{"rendered":"Unintentional pediatric poisonings before and during the COVID-19 pandemic: a population-based study"},"content":{"rendered":"<p><strong>Objectives<\/strong> \u2014 The impact of coronavirus disease 2019 (COVID-19) on unintentional pediatric poisonings is unclear. We examined changes in emergency department (ED) visits and hospitalizations for poisonings before and during the COVID-19 pandemic. We compared changes in cannabis vs non-cannabis poisoning events given the recent legalization of cannabis in October 2018 and cannabis edibles in January 2020.<\/p>\n<p><strong>Study Design<\/strong> \u2014 Interrupted time-series (ITS) analyses of changes in population-level ED visits and hospitalizations for poisonings in children aged 0\u20139\u202fyears in Ontario, Canada (annual population of 1.4 million children), over two time periods: pre-pandemic (January 2010\u2013March 2020) and pandemic (April 2020\u2013December 2021).<\/p>\n<p><strong>Results<\/strong> \u2014 Overall, there were 28,292 ED visits and 2641 hospitalizations for unintentional poisonings. During the pandemic, poisonings per 100,000 person-years decreased by 14.6% for ED visits (40.15 pre- vs. 34.29 during) and increased by 35.9% for hospitalizations (3.48 pre- vs. 4.73 during). ED visits dropped immediately (Incidence Rate Ratio [IRR], 0.76; 95% CI, 0.70\u20130.82) at the onset of the pandemic, followed by a gradual return to baseline (quarterly change, IRR 1.04, 95%CI 1.03\u20131.06), while hospitalizations had an immediate increase (IRR 1.34; 95% CI, 1.08\u20131.66) and no gradual change. The only increase in poisonings was for cannabis which had a 10.7-fold for ED visits (0.45 to 4.83 per 100,000 person-years) and a 12.1-fold increase for hospitalizations (0.16 to 1.91 per 100,000 person-years). Excluding cannabis, there was no overall increase in poisoning hospitalizations.<\/p>\n<p><strong>Conclusions<\/strong> \u2014 The COVID-19 pandemic was not associated with increases in any type of unintentional pediatric poisonings, with the exception of cannabis poisonings. Increased cannabis poisonings may be explained by the legalization of non-medical cannabis edibles in Canada in January 2020.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objectives \u2014 The impact of coronavirus disease 2019 (COVID-19) on unintentional pediatric poisonings is unclear. We examined changes in emergency department (ED) visits and hospitalizations for poisonings before and during the COVID-19 pandemic. We compared changes in cannabis vs non-cannabis poisoning events given the recent legalization of cannabis in October 2018 and cannabis edibles in [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[39,55,46,31,35],"migration-helper-qa-sample-set":[],"class_list":["post-17076","journal_article","type-journal_article","status-publish","hentry","topic-infectious-diseases","topic-injuries-and-accidents","topic-internal-medicine","topic-pharmacy","topic-public-health"],"acf":{"citation":"Myran DT, Gaudreault A, McCarthy SDS, Pugliese M, Tanuseputro P, Finkelstein Y. <em>Am J Emerg Med<\/em>. 2023; Dec 1 [Epub ahead of print].","source_url":"https:\/\/doi.org\/10.1016\/j.ajem.2023.11.042","ices_scientist":[1107,1229,17551],"site":"","research_program":[6740],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":[17611],"downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Unintentional pediatric poisonings before and during the COVID-19 pandemic: a population-based study<\/title>\n<meta name=\"description\" content=\"Objectives \u2014 The impact of coronavirus disease 2019 (COVID-19) on unintentional pediatric poisonings is unclear. We examined changes in emergency\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/unintentional-pediatric-poisonings-before-and-during-the-covid-19-pandemic\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Unintentional pediatric poisonings before and during the COVID-19 pandemic: a population-based study\" \/>\n<meta property=\"og:description\" content=\"Objectives \u2014 The impact of coronavirus disease 2019 (COVID-19) on unintentional pediatric poisonings is unclear. 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