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Descriptive Epidemiology of Hospital Admissions Due to Carbon Monoxide Poisoning in England, between 2008 and 2015

机译:2008年至2015年,英格兰一氧化碳中毒由于一氧化碳中毒因素录取的描述性流行病学

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Background Data on carbon monoxide poisoning (COp) for England and other high-income countries are relatively limited. We aimed to provide updated data on hospital admissions for intentional, accidental non-fire related (ANFR), and unknown causes of COp in England (2008-2015). Methods Hospital admissions for England with a primary diagnosis of COp were collected. Rates per 100,000 inhabitants were estimated by age group, sex, calendar-year and ethnicity, using population estimates for England, and used to analyse temporal trends with log-linear models. Changes are shown as Annual Percent Change (APC). Deprivation, defined as quintiles of the Carstairs index, and seasonal patterns were also investigated. Results Overall, we identified 3,686 COp hospital admissions (58% accidental of which 89% were ANFR; 35% intentional, and 6% of unknown cause), corresponding to an average of 460 COp admissions/year. Preliminary results show a significant decrease in the number of intentional COp admissions in both men (APC: -9.63%, p<0.05) and women (APC: -8.03%, p<0.05) over the 8 year period; ANFR COp admissions decreased significantly only in women (APC: -6.35%). The largest proportions of ANFR COp cases occurred during the winter months (males: 30.8%; females: 35.5%), among the most deprived (~28%, both genders) and in patients over 80yrs (men: 1.59 OR; women: 1.38 OR). Intentional COp was most common among men aged 30-60yrs and showed no seasonal pattern. Higher rates of ANFR and intentional COp were found in black/black British and white/white British, respectively. Conclusions Nationally, this study shows a significant decrease over the study period in hospital admissions for intentional COp in both genders, and for ANFR COp in women. We found demographic differences, with a greater proportion of hospital admissions for ANFR COp in women, the over 80 year olds, black/black British and highly deprived groups. The reasons for these changes are being investigated.
机译:英格兰和其他高收入国家的一氧化碳中毒(COP)的背景数据相对有限。我们的目标是为有意,意外非火相关(ANFR)的医院入院提供更新数据,以及英格兰警察的未知原因(2008-2015)。方法收集了英格兰的医院录取委托警察的主要诊断。每100,000名居民的费率由年龄组,性别,日历和种族估计,使用英格兰的人口估计,并用于分析利用对数线性模型的时间趋势。更改显示为年度百分比变化(APC)。剥夺,定义为持储指数的丝石,也调查了季节性模式。结果总体而言,我们确定了3,686名缔约方会议医院入学(58%的偶然的89%是ANFR; 35%的意图,占6%的未知原因),相当于平均460届会议招生/年度。初步结果显示,在8年期间,男性(APC:-9.63%,P <0.05)和女性(APC:-8.03%,P <0.05)的故意缔约方录取数量显着下降; ANFR COP入学仅在女性中显着减少(APC:-6.35%)。最大的ANFR COP病例的比例在冬季(男性:30.8%;女性:35.5%),其中贫困(〜28%,两者)和80岁以上的患者(男性:1.59或;女性:1.38或者)。故意警察在30-60岁的男性中最常见,并且没有季节性模式。在黑/黑人英国和白色/白色英国人中发现了更高的ANFR和故意警察的税率。结论本研究表明,在医院招生的学习期间,在两个人的故意缔约方会议和妇女的安教局委员会的研究期间显着下降。我们发现人口统计差异,妇女ANFR警察的医院招生比例更大,超过80岁,黑人/黑人英国和高度贫困的群体。正在调查这些变化的原因。

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