ArticleBMC public health2019
Carbon monoxide poisoning surveillance in the Veterans Health Administration, 2010-2017.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Multimodal intervention reduces seasonal carbon monoxide poisoning incidence and myocardial injury: a retrospective cohort study accounting for environmental temperature.BMC public health · 2026Article
- Hospitalization for carbon monoxide poisoning is associated with substance use and mood disorders.Internal and emergency medicine · 2025Article
- Claims-Based Algorithm to Identify Pre-Exposure Prophylaxis Indications for Tenofovir Disoproxil Fumarate and Emtricitabine Prescriptions (2012-2014): Validation Study.JMIR formative research · 2024Article
- Article
- Promotion of training course on ICD-10 Poisoning coding : necessity to adopt preventive strategies.BMC medical education · 2023Article
- Morbidity and Mortality of Unintentional Carbon Monoxide Poisoning: United States 2005 to 2018.Annals of emergency medicine · 2023Article
- Robust Estimation of Carbon Monoxide Measurements.Sensors (Basel, Switzerland) · 2020Article
- Injury Burden in the United States: Accurate, Reliable, and Timely Surveillance Using Electronic Health Care Data.American journal of public health · 2019Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExposure to carbon monoxide (CO), the odorless, colorless gas resulting from incomplete combustion of hydrocarbons, is preventable. Despite the significant risk of morbidity and mortality associated with CO poisoning, there currently exists no active national CO surveillance system in the United States (U.S.). Our study aims to use electronic health record data to describe the epidemiology of CO poisoning in the Veterans Health Administration healthcare population.
methodsWe identified unique inpatient and outpatient encounters coded with International Classification of Diseases (ICD) codes for CO poisoning and analyzed relevant demographic, laboratory, treatment, and death data from January 2010 through December 2017 for Veterans across all 50 U.S. states and Puerto Rico. Statistical methods used were 95% CI calculations and the two-tailed z test for proportions.
resultsWe identified 5491 unique patients with CO poisoning, of which 1755 (32%) were confirmed/probable and 3736 (68%) were suspected. Unintentional poisoning was most common (72.9%) overall. Age less than 65 years, residence in Midwest U.S. Census region versus South or West, and winter seasonal trend were characteristics associated with confirmed/probable CO poisoning. Twenty-six deaths (1.5%) occurred within 30 days of confirmed/probable CO poisoning and were primarily caused by cardiovascular events (42%) or anoxic encephalopathy (15%).
conclusionsOur findings support the use of ICD-coded data for targeted CO poisoning surveillance, however, improvements are needed in ICD coding to reduce the percentage of cases coded with unknown injury intent and/or CO poisoning source. Prevalence of CO poisoning among Veterans is consistent with other U.S. estimates. Since most cases are unintentional, opportunities exist for provider and patient education to reduce risk.
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