Fatalities and hospitalisations due to acute poisoning among New Zealand adults

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dc.contributor.author Peiris-John, Roshini en
dc.contributor.author Kool, B en
dc.contributor.author Ameratunga, S en
dc.contributor.editor Szer, J en
dc.date.accessioned 2018-10-08T02:46:13Z en
dc.date.available 2018-10-08T02:46:13Z en
dc.date.issued 2014-03 en
dc.identifier.issn 1444-0903 en
dc.identifier.uri http://hdl.handle.net/2292/39387 en
dc.description.abstract Background: Acute poisoning accounts for a significant proportion of the total burden of disease worldwide. While the rate of poisoning fatalities in New Zealand is comparable to other industrialised countries, demographic trends in incidence, particularly including socio-economic indicators and substances involved, are less well known. Aim: To determine demographic patterns and substances related to acute poisoning fatalities and hospital admissions in New Zealand among people at the age of 25 years or older. Methods: Records with a poisoning external cause of injury code were identified using the national mortality (1999–2008) and hospital discharge (2000–2009) databases, and population-based incidence and trends were analysed. Results: The 1841 fatalities and 29 881 primary hospital admissions over the 10-year period accounted for mean annual rates of 7.1 and 115.4/100 000, respectively. The majority of deaths from acute poisoning were among males with the converse for hospitalisations for self-poisoning. While hospitalisation for intentional poisoning decreased with advancing age, admissions for unintentional poisoning increased, especially in Pacific people at the age of 65 years or older. Overall, fatality and hospitalisation rates increased with increasing deprivation. Two thirds of deaths and hospitalisations were due to intentional self-poisoning. Carbon monoxide was involved in most fatal intentional self-poisoning events, while pharmaceuticals were the main agent involved in fatal unintentional poisonings and poisoning admissions, irrespective of intent. Conclusions: The majority of hospitalisations and deaths due to poisoning in New Zealand adults are intentional self-harm episodes. A comprehensive approach to monitoring poisoning, the underlying risks and the implementation of interventions is required to minimise risks. en
dc.relation.ispartofseries Internal Medicine Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Fatalities and hospitalisations due to acute poisoning among New Zealand adults en
dc.type Journal Article en
dc.identifier.doi 10.1111/imj.12364 en
pubs.issue 3 en
pubs.begin-page 273 en
pubs.volume 44 en
dc.rights.holder Copyright: The author en
pubs.author-url http://onlinelibrary.wiley.com/doi/10.1111/imj.12364/abstract en
pubs.declined 2017-10-29T17:12:48.617+1300 en
pubs.declined 2017-11-26T20:16:08.198+1300 en
pubs.declined 2018-02-11T20:02:49.63+1300 en
pubs.declined 2018-04-15T17:02:26.507+1200 en
pubs.declined 2018-10-14T17:07:12.2+1300 en
pubs.end-page 281 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 440433 en
pubs.org-id Faculty of Medical & Hlth Sci en
pubs.org-id Population Health en
pubs.org-id Epidemiology & Biostatistics en
dc.identifier.eissn 1445-5994 en
pubs.record-created-at-source-date 2014-06-03 en


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