RT Journal Article
T1 International Variability in Gastrointestinal Decontamination With Acute Poisonings.
A1 Mintegi, Santiago
A1 Dalziel, Stuart R
A1 Azkunaga, Beatriz
A1 Prego, Javier
A1 Arana-Arri, Eunate
A1 Acedo, Yordana
A1 Martinez-Indart, Lorea
A1 Benito, Javier
A1 Kuppermann, Nathan
A1 Pediatric Emergency Research Networks (PERN) Poisoning Working Group, 
AB Identifying international differences in the management of acute pediatric poisonings may help improve the quality of care. The objective of this study was to assess the international variation and appropriateness of gastrointestinal decontamination (GID) procedures performed in children and adolescents who present with acute poisonings to emergency departments. This was an international, multicenter, cross-sectional prospective study including children  We included 1688 patients, 338 of whom (20.0%, 95% confidence interval 18.1%-22.0%) underwent the following GID procedures: activated charcoal (166, 49.1%), activated charcoal and gastric lavage (122, 36.1%), gastric lavage (47, 13.9%), and ipecac (3, 0.9%). In 155 (45.8%, 40.5%-51.2%), the GID procedure was considered appropriate, with significant differences between regions. Independent risk factors for GID procedures included age, toxin category, mechanism of poisoning, absence of symptoms, and the region where the intoxication occurred (P  Globally, there are substantial differences in the use and appropriateness of GID procedures in the management of pediatric poisonings. International best practices need to be better implemented.
YR 2017
FD 2017
LK https://hdl.handle.net/10668/26616
UL https://hdl.handle.net/10668/26616
LA en
DS RISalud
RD Apr 8, 2025