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Hospital usage of TOXBASE in Great Britain: Temporal trends in accesses 2008 to 2015

Lookup NU author(s): Professor Simon ThomasORCiD

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Abstract

AIM: To examine temporal trends in accesses to the UK's National Poison Information Service's TOXBASE database in Britain. METHODS: Generalized additive models were used to examine trends in daily numbers of accesses to TOXBASE from British emergency departments between January 2008 and December 2015. Day-of-the-week, seasonality and long-term trends were analysed at national and regional levels (Wales, Scotland and the nine English Government Office Regions). RESULTS: The long-term trend in daily accesses increases from 2.8 (95% confidence interval (CI): 2.6-3.0) per user on 1 January 2008 to 4.6 (95% CI: 4.3-4.9) on 31 December 2015, with small but significant differences in population-corrected accesses by region ( p < 0.001). There are statistically significant seasonal and day of the week patterns ( p < 0.001) across all regions. Accesses are 18% (95% CI: 14-22%) higher in summer than in January and at the weekend compared to weekdays in all regions; there is a 7.5% (95% CI: 6.1-8.9%) increase between Friday and Sunday. CONCLUSIONS: There are consistent in-year patterns in access to TOXBASE indicating potential seasonal patterns in poisonings in Britain, with location-dependent rates of usage. This novel descriptive work lays the basis for future work on the interaction of TOXBASE use with emergency admission of patients into hospital.

Publication metadata

Author(s): Pyper K, Eddleston M, Bateman DN, Lupton D, Bradberry S, Sandilands E, Thomas S, Thompson JP, Robertson C

Publication type: Article

Publication status: Published

Journal: Human & Experimental Toxicology

Year: 2018

Volume: 37

Issue: 11

Pages: 1207-1214

Print publication date: 01/11/2018

Online publication date: 20/02/2018

Acceptance date: 02/04/2016

ISSN (print): 0960-3271

ISSN (electronic): 1477-0903

Publisher: Sage Publications Ltd

URL: https://doi.org/10.1177/0960327118759405

DOI: 10.1177/0960327118759405

PubMed id: 29460637

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