National Carbon Monoxide Poisoning Surveillance Framework and Recent Estimates

Autor: Jeneita M. Bell, Shahed Iqbal, Jacquelyn H. Clower, Fuyuen Y. Yip, Michael King
Rok vydání: 2012
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
Population
Poison control
050105 experimental psychology
Occupational safety and health
Carbon Monoxide Poisoning
Young Adult
03 medical and health sciences
Sex Factors
0302 clinical medicine
Injury prevention
medicine
Humans
National Health Interview Survey
0501 psychology and cognitive sciences
030212 general & internal medicine
Child
Healthcare Cost and Utilization Project
education
Aged
Hyperbaric Oxygenation
education.field_of_study
business.industry
Data Collection
Research
Public health
05 social sciences
Infant
Newborn
Public Health
Environmental and Occupational Health
Infant
Emergency department
Middle Aged
medicine.disease
Health Surveys
United States
Hospitalization
Child
Preschool
Population Surveillance
Female
Seasons
Medical emergency
Emergency Service
Hospital
business
Zdroj: Public Health Reports. 127:486-496
ISSN: 1468-2877
0033-3549
DOI: 10.1177/003335491212700504
Popis: Objectives. Unintentional, non-fire-related (UNFR) carbon monoxide (CO) poisoning is a leading cause of poisoning in the United States. A comprehensive national CO poisoning surveillance framework is needed to obtain accurate estimates of CO poisoning burden and guide prevention efforts. This article describes the current national CO poisoning surveillance framework and reports the most recent national estimates. Methods. We analyzed mortality data from the National Vital Statistics System multiple cause-of-death file, emergency department (ED) and hospitalization data from the Healthcare Cost and Utilization Projects Nationwide Emergency Department Sample and Nationwide Inpatient Sample, hyperbaric oxygen treatment (HBOT) data from HBOT facilities, exposure data from the National Poison Data System, and CO alarm prevalence data from the American Housing Survey and the National Health Interview Survey. Results. In the United States, 2,631 UNFR CO deaths occurred from 1999 to 2004, an average of 439 deaths annually. In 2007, there were 21,304 (71 per one million population) ED visits and 2,302 (eight per one million population) hospitalizations for confirmed cases of CO poisoning. In 2009, 552 patients received HBOT, and from 2000 to 2009, 68,316 UNFR CO exposures were reported to poison centers. Most nonfatal poisonings were among children (65 years of age). More poisonings occurred during winter months and in the Midwest and Northeast. Conclusions. UNFR CO poisoning poses a significant public health burden. Systematic evaluation of data sources coupled with modification and expansion of the surveillance framework might assist in developing effective prevention strategies.
Databáze: OpenAIRE
Externí odkaz: