Medical Cannabis is permitted in 39 states and Washington DC while 18 sates and Washington DC has legalized recreational cannabis use. As cannabis products become more available, pediatric exposure has also increased.
A retrospective study of National Poison Data System involving children < 6 years from 2017 and 2021 showed: Pre-COVID (2017-2019) & COVID (2020-2021)
7043 exposures: (increase of 1375%)
2017: 207
2021: 3054
Residential exposure: 97% (n=6842)
Common Clinical effects
CNS depression: 70% (n=3381)
Pre-COVID: 61.6% --> COVID: 72.9% (p<0.05)
Tachycardia: 11.4% (N=548)
Pre-COVID: 10.3% -->COVID: 11.6% (p,0.05)
Vomiting: 9.5% (n=4827)
Pre-COVID: 7.5% -->COVID: 10.0% (p<0.05)
Ataxia: 7.4% (n=352)
Confusion: 6.1% (n=294)
Mydriasis: 5.9% (n=284)
Respiratory depression: 3.1%
Disposition
Admission: 22.7%
Critical care: 8.1% (n=533)
Pre-COVID: 6.6% -->COVID: 8.6% (increase of 30%) (p<0.05)
Non-critical care: 14.6% (n=1027)
Pre-COVID: 9.7% -->COVID: 16.3% (increase of 68%)(p<0.05)
Conclusion
Pediatric cannabis exposure has increased between 2017 and 2021. consequently, more pediatrics patients developing toxicity and being hospitalized.
References
Tweet MS, Nemanich A, Wahl M. Pediatric Edible Cannabis Exposures and Acute Toxicity: 2017–2021. Pediatrics. 2023;151(2):e2022057761
