Evaluation and referral for child maltreatment in pediatric poisoning victims

Child Abuse & Neglect
Joanne N WoodCindy W Christian

Abstract

Although the majority of poisonings in young children are due to exploratory ingestions and might be prevented through improved caregiver supervision, the circumstances that warrant evaluation for suspected maltreatment and referral to Child Protective Services (CPS) are unclear. Therefore the objective of this study was to determine the percentage and characteristics of young poisoning victims who were evaluated for child maltreatment by the hospital team (social work and/or child protection team) and/or referred to CPS. Retrospective study of poisoning victims<6 years old seen at an urban children's hospital from 2006 to 2008. Logistic regression was performed to evaluate the associations between the outcomes (evaluation for maltreatment by hospital team and/or referral to CPS) and predictor variables (demographics and circumstances, type and severity of poisoning). Among 928 poisonings, 41% were from household products, 20% from over-the-counter drugs, 7% from prescription narcotics/sedatives, 29% from other prescription drugs, and ≤ 1% each from ethanol, illicit drugs, or other substances. Most children were asymptomatic (69%) or stable (28%); 3% were critically ill. Only 13% were evaluated by the hospital team and 4% were ...Continue Reading

References

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Citations

Nov 28, 2013·Emergency Medicine Clinics of North America·Diane P Calello, Fred M Henretig
Apr 17, 2015·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Mahmood Dhahir Al-Mendalawi
Feb 4, 2014·Pediatric Emergency Care·Hiu-Fai Fong, Allison A Muller
Dec 29, 2012·Trauma, Violence & Abuse·Ricardo Jorge Dinis-Oliveira, Teresa Magalhães
Jan 5, 2018·Journal of Analytical Toxicology·M SoichotB Delhotal-Landes
Oct 10, 2018·Clinical Pediatrics·Rachel Silliman CohenAmy Goldberg
Oct 9, 2019·Pediatric Emergency Care·Christopher E Gaw, Kevin C Osterhoudt
May 15, 2013·Therapeutic Drug Monitoring·Nadia FucciNadia De Giovanni
Jan 23, 2020·International Journal of Legal Medicine·Fritz PragstSven Hartwig

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