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Master Thesis

Épidémiologie et facteurs prédictifs de gravité des intoxications de l'enfant à Saint-Denis de La Réunion

Abstract : Background: An epidemiological study of poisoning in children (0-18 years old) in Saint-Denis (Reunion Island) and statistical analysis to determine predictive factors of the severity of those poisonings. Method: Retrospective analysis of the Reunion database of poisonings, completed by a secondary data collection of medical history, treatments, clinical signs and medical care provided, all found in the medical records. Then a case-control study (severe vs non-severe) to determine predictive factors of severity. Results: We analysed data from 190 children who were admitted for acute poisoning from 2011 to 2018, 38 cases of which were severe. The majority of the poisonings were drug-related (68,9%), often intentional (64,2%) and mainly concerned girls (56,3%). Drug-related poisonings were significantly more severe (p=0,019). The median time between exposure and arrival at the emergency department was 4 hours, in most cases the patients were symptomatic 92,1%. Conclusion: As in previous studies, most poisonings concerned 1 to 2 year olds and 15 to 16 year olds. Unlike previous studies, many of the poisonings were caused by antipsychotics. Poisonings by house cleaning products were less severe than observed in medical literature. Many of the poisonings occurred with the patients’ usual treatments. Psychiatric history was frequent amongst the studied cohort.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02368118
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Submitted on : Monday, November 18, 2019 - 1:11:32 PM
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  • HAL Id : dumas-02368118, version 1

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Elliott Chaumont. Épidémiologie et facteurs prédictifs de gravité des intoxications de l'enfant à Saint-Denis de La Réunion. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02368118⟩

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