Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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Overview of Poisoning Admission in Korea - based on the hospital discharge injury surveillance data -

중독손상으로 퇴원한 환자에서 중독 양상 비교 - 전국 입원손상환자 조사사업 자료를 이용 -

  • Jung, Si-Young (Department of Emergency Medicine, School of Medicine, Ewha Womans University) ;
  • Eo, Eun-Kyung (Department of Emergency Medicine, School of Medicine, Ewha Womans University) ;
  • Kim, Chan-Woong (Department of Emergency Medicine, Yong-San Hospital, Chung-Ang University) ;
  • Park, Hye-Sook (Department of Preventive Medicine, School of Medicine, Ewha Womans University) ;
  • Kim, Young-Tak (Division of Chronic Disease Surveillance, Korea Center for Disease Control and Prevention)
  • 정시영 (이화여자대학교 의학전문대학원 응급의학교실) ;
  • 어은경 (이화여자대학교 의학전문대학원 응급의학교실) ;
  • 김찬웅 (중앙대학교 용산병원 응급의학과) ;
  • 박혜숙 (이화여자대학교 의학전문대학원 예방의학교실) ;
  • 김영택 (질병관리본부 만성병조사팀)
  • Published : 2008.06.12
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Abstract

Purpose: There has been no nationwide surveillance survey of poisoning cases in Korea. This study examined the clinical characteristics of poisoning admissions in order to obtain preliminary data for future planning. Methods: This study retrospectively reviewed the data on poisoning admissions of 150 hospitals based on the hospital discharge injury surveillance data of Center for Disease Control and Prevention in Korea from January to December in 2004. The demographic data, poisons used, causes of poisoning, reasons for attempted suicide and mortality rate was investigated according to the age group. The factors associated with mortality were also evaluated. Results: A total 836 patients admitted for poisoning were analyzed. Their mean age was $46.5{\pm}19.5$ years (male 415, female 421). The most frequent age group was the 4th and 5th decades. The most common poisons involved were pesticides (45%) and medications (23%). The majority (64%) involved intentional poisoning except for those in the 1st decade. The most common reason for the attempted suicide was family problems. However, individual disease was the most common reason in those over 60 years. The overall mortality rate was 8.7% (73/836). Pesticides and being elderly (over 65 years old) were strongly correlated with fatality. Conclusion: The incidence of intentional poisoning increases from the 2nd decade making it a preventable injury. "Overall, the incidence of intentional poisoning increases from the 2nd decade". Therefore, there is a need to frame a prevention policy corresponding to each factor related to fatality, such as an elderly population and pesticides.

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