Rates of Pediatric Hospitalization, ICU Admission Rise Due to Opioid Ingestion

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There were 3647 opioid-related hospitalizations in 31 hospitals, of which 42.9% required pediatric intensive care unit admission.
There were 3647 opioid-related hospitalizations in 31 hospitals, of which 42.9% required pediatric intensive care unit admission.

HealthDay News — Nationally, the rate of hospitalization and pediatric intensive care unit (PICU) admission for opioid ingestions increased from 2004 to 2015, according to a study published online in Pediatrics.

Jason M. Kane, MD, from the University of Chicago, and colleagues assessed trends in the rate of PICU admission for opioid-related ingestion over time using billing data from the Pediatric Health Information System (2004 to 2015).

The researchers found that there were 3647 opioid-related hospitalizations in 31 hospitals, of which 42.9% required PICU care. Overall mortality was 1.6%, with annual deaths decreasing from 2.8% to 1.3% over the study period (P <.001).

However, the rate of PICU admission for opioid-related hospitalization increased significantly over the study period, from 24.9 to 35.9 per 10,000 PICU admissions (P <.001). For opioid-related PICU admissions, 37.0% required mechanical ventilator support and 20.3% required vasopressors.

"Current efforts to reduce adult opioid use have not curtailed the incidence of pediatric opioid ingestions, and additional efforts are needed to reduce preventable opioid exposure in children," the authors write.

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Reference

Kane JM, Colvin JD, Barlett AH, Hall M. Opioid-related critical care resource use in US children's hospitals [published online March 5, 2018]. Pediatrics. doi: 10.1542/peds.2017-3335

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