Trends in Emergency Department Visits for Unsupervised Pediatric Medication Exposures, 2004-2013

Pediatrics
Maribeth C LovegroveDaniel S Budnitz

Abstract

After reports of increasing emergency department (ED) visits for unsupervised pediatric medication exposures in the 2000s, renewed efforts to improve safety packaging and education were initiated. National data on current trends can help further target interventions. We used nationally representative data from the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance project (2004-2013) to assess trends in ED visits for unsupervised medication exposures in children aged <6 years. For 2010 through 2013, the dosage form and prescription status of implicated medications were identified. Based on 13,268 cases, there were an estimated 640,161 ED visits (95% confidence interval: 512,885 to 767,436) for unsupervised medication exposures from 2004 through 2013. From 2004 through 2010, ED visits for unsupervised exposures increased by an average of 5.7% annually, peaking at 75,842. After 2010, this trend reversed, and visits decreased by an average of 6.7% annually to 59,092 in 2013. From 2010 through 2013, 91.0% of unsupervised exposure visits involved 1 medication, most commonly an oral prescription solid (45.9%), oral over-the-counter (OTC) solid (22.3%), or oral OTC liquid (12.4%). More than 260 ...Continue Reading

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Citations

Mar 31, 2016·Pediatric Emergency Care·Erica Y Chung, Sonny T Tat
Oct 28, 2016·Journal of Community Health·Corey H BaschAmairany Martinez
Oct 14, 2016·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Ian M PaulJody L Green
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Jan 8, 2017·Inflammopharmacology·Dipak J Kanabar
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Jan 18, 2018·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Jane C BellNatasha Nassar
Jan 8, 2019·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Jennifer N Fishe, Sean Lynch
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Jan 3, 2019·Pediatric Emergency Care·Pallavi GhoshMichele Nichols
Dec 9, 2020·Pediatrics·Douglas R RoehlerAlana M Vivolo-Kantor

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