21: Severe Alcohol Intoxication Among Canadian Adolescents: Data from First 18 Months of Surveillance
Notice bibliographique
Résumé
Alcohol is the most commonly used drug by Canadian adolescents, and can lead to a host of negative short and long-term outcomes. Understanding more about youth drinking can help develop more effective strategies for treatment and prevention. This study, gathering data through the Canadian Pediatric Surveillance Program (CPSP), has been initiated to fill in knowledge gaps and provide epidemiologic data about severe alcohol intoxication among Canadian adolescents. The objectives of the surveillance study included: 1) To obtain national epidemiological data outlining the incidence of severe alcohol intoxication among adolescents. 2) To describe the demographics, presentation to hospital, co-ingestions, co-morbidities, management and short-term outcomes. 3) To use the data to increase awareness and education. 4) To facilitate harm reduction strategies. Through the established methodology of the CPSP, paediatric physicians have been actively surveyed on a monthly basis for identified cases of severe alcohol intoxication. A detailed questionnaire was then completed for each new case. The case definition includes any adolescent meeting the following criteria: Between 11–15 years of age Blood alcohol level >0 g/L (if drawn) Presenting with severe intoxication with impaired consciousness requiring prolonged ER observation (≥6 h) or hospital admission. Interim analysis from the initial 18 months of data collection yielded 42 reported cases, and 37 completed questionnaires. Of these, 31 cases met the case definition. There were 15 males and 16 females, with a mean age of 14.4 years. Cases were reported from across the country, except from Manitoba and the Territories. The age of first-ever alcohol use was unknown for the majority of cases (n=22, 73.3%), and only 13.3% of these adolescents were known to have a prior ER visit related to alcohol use. The mean blood alcohol level was 2.4 g/L. There was no difference in blood alcohol level between sexes. Twenty seven cases contained information on type of alcohol use, with the majority of cases (21, 77.8%) indicating the use of “spirits”. Alcohol was frequently consumed outside of the parents' home, at friends, parties or outdoors (22/30 cases, 73%). Concurrent use of other substances was common (11/28, 39.3%), most frequently cannabis. Ten (32.3%) of these adolescents required mechanical respiratory assistance. No child died from severe alcohol intoxication. Follow-up was provided for 20 (66.7%) cases, the majority from adolescent medicine subspecialty clinics. To date, a number of Canadian adolescents with severe alcohol intoxication have presented to pediatric ERs, or were admitted at pediatric hospitals, with very high blood alcohol levels. Almost 1/3 of cases required some respiratory support. Concurrent use with other substances was high.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,006 | 0,008 |
| Études des sciences et des technologies | 0,002 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».