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this provides more consistent results, such as the stable incidence in poisonings for any reason during the prepandemic and pandemic periods, in contrary to the data provided by the Spanish Suicide Observatory.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> We also agree with other results from the EDEN group: an overall decrease in the number of recreational drug poisonings during the pandemic, an increase in the mean age of poisoned individuals, and a progressive rise in suicidal poisonings.</p><p id="par0020" class="elsevierStylePara elsevierViewall">As an additional strength, we would like to highlight the significance provided by EDEN in conducting this population analysis in those over 65 years of age. This age group has specific epidemiological and clinical characteristics that differ from the rest of the population, as do other populations (such as children and adolescents), in whom notable differences were detected during this same period.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Reinforcing these results, we would like to contribute the conclusions of a recently published subgroup analysis of those older than 65 years of age in our study population (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>65, 6.43%).<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> These results lend strength to the stability found over the three periods analyzed, with no significant increase in suicidal poisonings following lockdown, which did occur in those younger than 15 years of age (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 801 "Ancho" => 1405 "Tamanyo" => 72895 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Comparison between suicidal poisonings in groups younger than 18 years of age to those older than 65 years in three time periods (<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Apuntes sobre las intoxicaciones agudas atendidas en un Servicio de Urgencias" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "B. Espinosa" 1 => "G. Burillo-Putze" 2 => "C. Fernández" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Rev Clin Esp" "fecha" => "2023" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intoxicaciones agudas atendidas en un servicio de urgencia: de la prepandemia a la nueva normalidad" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A.F. Caballero-Bermejo" 1 => "J. Ortega-Pérez" 2 => "G. Frontera-Juan" 3 => "C. Homar-Amengual" 4 => "B. Barceló-Martín" 5 => "J. Puiguriguer-Ferrando" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rce.2022.02.003" "Revista" => array:6 [ "tituloSerie" => "Rev Clin Esp." "fecha" => "2022" "volumen" => "222" "paginaInicial" => "406" "paginaFinal" => "411" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/35570179" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Observatorio del Suicidio en España. Estadísticas 2020. [Accessed 16 Jan. 2023]. Available at: <a target="_blank" href="http://file:///C:/Users/52781978Z/Downloads/Observatorio%20del%20Suicidio%20en%20Espa%C3%B1a-2020-Informe-Final.pdf">file:///C:/Users/52781978Z/Downloads/Observatorio%20del%20Suicidio%20en%20Espa%C3%B1a-2020-Informe-Final.pdf</a>." ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hospital encounters for pediatric ingestions before and during the COVID-19 pandemic" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B.R.E. Schultz" 1 => "J.A. Hoffmann" 2 => "C. Clancy" 3 => "S. Ramgopal" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/15563650.2021.1925687" "Revista" => array:6 [ "tituloSerie" => "Clin Toxicol." 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