{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T16:34:28Z","timestamp":1792427668961,"version":"4.5.0"},"reference-count":37,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Acute poisoning remains one of the leading causes of emergency department admissions, hospitalizations, and preventable mortality worldwide. To gain an in-depth understanding of the clinical characteristics of acute poisoning and provide a basis for formulating precise prevention and control strategies, this study aims to evaluate the clinical characteristics and trend changes of acute poisoning admitted to the emergency department of a hospital in Zunyi City from 2021 to 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study retrospectively collected basic data on acute poisoning cases admitted to the emergency department of a tertiary general hospital in Zunyi City from January 1, 2021, to December 31, 2024. A descriptive analysis was performed on multiple characteristics, including age, gender, regional distribution, spring, and clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 3,146 acute poisoning cases were admitted, 2,789 valid cases were obtained, with an effective rate of 88.65%. The three most common poisoning types were drug poisoning (1,192 cases, 42.74%), pesticide poisoning (611 cases, 21.91%), and chemical poisoning (593 cases, 21.26%). Ages were mainly concentrated in the 10\u201320 and \u2265 60\u202fyears age groups, and there was a statistically significant differences in the age composition of different types of acute poisoning (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      =\u202f365.831,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u202f0.001). The number of female patients (1,604 cases) was higher than male patients (1,185 cases), and the gender difference was statistically significant (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      =\u202f42.068,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u202f0. 001). The incidence had obvious seasonal characteristics, with the highest number of cases in winter (830 cases, 29.76%), and the difference in seasonal distribution was statistically significant (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      =\u202f473.396,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u202f0. 001). There was no statistically significant difference in regional distribution (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      =\u202f11.702,\n                      <jats:italic>p<\/jats:italic>\n                      =\u202f0.470), but the number of cases in county areas was the highest (421 cases, 15.10%). Temporal trends showed that the number of drug poisoning cases increased significantly in 2022 while chemical poisoning cases decreased, and both pesticide and food poisoning cases peaked in 2023. In terms of clinical outcome, 91.43% (2,550 cases) of patients were cured or in stable condition at discharge, with pesticide poisoning having the highest mortality rate (2.6%), followed by drug poisoning (0.7%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among the acute poisoning cases collected in this study, drug poisoning was the main type and showed an upward trend. The high-risk groups were the aged 10\u201320 and \u226560\u202fyears groups, and females, with the highest incidence in winter and no significant difference in regional distribution. Therefore, we should strengthen public education activities, enhance prevention and control for key populations, promote rational drug use, strengthen problem-solving strategies for proper drug storage, and improve the drug management and supervision system.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1816492","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T05:56:41Z","timestamp":1778651801000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Characteristics and trends of acute poisoning in emergency departments: a single-center retrospective study in Zunyi, China (2021\u20132024)"],"prefix":"10.3389","volume":"14","author":[{"given":"Xianjuan","family":"Gou","sequence":"first","affiliation":[{"name":"Department of Emergency, The Affiliated Hospital of Zunyi Medical University","place":["Zunyi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoli","family":"He","sequence":"additional","affiliation":[{"name":"Department of Emergency, The Affiliated Hospital of Zunyi Medical University","place":["Zunyi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Na","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Emergency, The Affiliated Hospital of Zunyi Medical University","place":["Zunyi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"He","sequence":"additional","affiliation":[{"name":"Department of Emergency, The Affiliated Hospital of Zunyi Medical University","place":["Zunyi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Emergency, The Affiliated Hospital of Zunyi Medical University","place":["Zunyi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiyan","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Emergency, The Affiliated Hospital of Zunyi Medical University","place":["Zunyi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,13]]},"reference":[{"key":"ref1","year":""},{"key":"ref2","doi-asserted-by":"publisher","first-page":"3136","DOI":"10.1186\/s12889-025-24468-4","article-title":"Epidemiological and clinical characteristics of acute poisoning with the impact of the COVID-19 pandemic: a multicenter retrospective study in Jiangsu province, China from 2017 to 2023","volume":"25","author":"Wang","year":"2025","journal-title":"BMC Public Health"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1080\/15563650.2023.2268981","article-title":"2022 annual report of the National Poison Data System(\u00ae) (NPDS) from America's poison centers(\u00ae): 40th annual report","volume":"61","author":"Gummin","year":"2023","journal-title":"Clin Toxicol (Phila)"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1052","DOI":"10.46234\/ccdcw2023.197","article-title":"Characteristics of poisoning cases admitted to outpatient and emergency department \u2013 China, 2019","volume":"5","author":"Deng","year":"2023","journal-title":"China CDC Wkly"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1090","DOI":"10.1186\/s12889-020-09201-7","article-title":"Analysis of lifetime death probability for major causes of death among residents in China","volume":"20","author":"Yuan","year":"2020","journal-title":"BMC Public Health"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1186\/1476-069X-10-9","article-title":"Knowns and unknowns on burden of disease due to chemicals: a systematic review","volume":"10","author":"Pr\u00fcss-Ust\u00fcn","year":"2011","journal-title":"Environ Health"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"E160","DOI":"10.9778\/cmajo.20220089","article-title":"The impact of poisoning in British Columbia: a cost analysis","volume":"11","author":"Rajabali","year":"2023","journal-title":"CMAJ Open"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1016\/j.pedneo.2018.04.001","article-title":"Clinical spectrum of acute poisoning in children admitted to the pediatric emergency department","volume":"60","author":"Lee","year":"2019","journal-title":"Pediatr Neonatol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"546","DOI":"10.4103\/2249-4863.174285","article-title":"A retrospective review of 911 calls to a regional poison control center","volume":"4","author":"Bosak","year":"2015","journal-title":"J Family Med Prim Care"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"370","DOI":"10.4103\/0019-5049.84860","article-title":"Profile and outcome of patients with acute toxicity 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drug categories, United States, 1999\u20132022","volume":"114","author":"Nguyen","year":"2024","journal-title":"Am J Public Health"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1816492\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T05:56:48Z","timestamp":1778651808000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1816492\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,13]]},"references-count":37,"alternative-id":["10.3389\/fpubh.2026.1816492"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1816492","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,13]]},"article-number":"1816492"}}