ArticleClinical toxicology (Philadelphia, Pa.)2016
Regional variations in pediatric medication exposure: Spatial analysis of poison center utilization in western Pennsylvania.
Article in Clinical toxicology (Philadelphia, Pa.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Comparing Prehospital Time Among Pediatric Poisoning Patients in Rural and Urban Settings.The western journal of emergency medicine · 2025Article
- Toxicologic Exposures in California Emergency Departments in 2011 and Its Risk Factors.The western journal of emergency medicine · 2021Article
- Epidemiological and sociocultural assessment of childhood poisonings.Turkish journal of emergency medicine · 2019Article
- Aligning Partners in Pediatric Health: Using Geographical Information Systems to Plan Community Coalitions.Journal of primary care & community healthArticle
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Authors and funding
4 authors.
Funding
Abstract
contextMedication drug exposures among young children continue to rise despite current poison prevention efforts. These exposures result in increased healthcare utilization and medical costs. New tactics are needed to reduce injuries related to pediatric drug exposures.
objectiveWe aimed to identify cluster patterns in: (1) calls for pediatric medication drug exposures and (2) a subset of calls that resulted in medical evaluation referrals. We identified and evaluated population characteristics associated with cluster patterns.
methodsWe analyzed 26,685 pharmaceutical drug exposures involving children <5 years of age based on calls reported to the Pittsburgh Poison Center from 1 January 2006 to 31 December 2010. We performed spatial statistics to assess for clustering. We used logistic regression to estimate population characteristics associated with clustering.
resultsSpatial analysis identified 22 exposure clusters and five referral clusters. Sixty-five percent of 89 ZIP codes in the clusters of drug exposure with healthcare facility (HCF) referral were not identified in the exposure clusters. ZIP codes in the HCF referral clusters were characterized as rural, impoverished, and with high rates of unemployment and school dropouts. DISCUSSION: Our principal findings demonstrate pediatric drug exposures do exist in discrete geographic clusters and with distinct socioeconomic characteristics.
conclusionThis study offers a starting point for subsequent investigations into the geographic and social context of pediatric medication drug exposures. This is an important step in revising pediatric poison prevention strategies.
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