Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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Analysis of Poisoning Patients Using 2016 ED Based Injury in-depth Surveillance Data

2016년 응급실 손상환자 심층조사 자료를 이용한 중독 환자의 분석

  • Chung, Sung Phil (Department of Emergency Medicine, Yonsei University College of Medicine) ;
  • Lee, Mi Jin (Department of Emergency Medicine, School of Medicine, Kyungpook National University) ;
  • Kang, Hyunggoo (Department of Emergency Medicine, Hanyang University College of Medicine) ;
  • Oh, Bum Jin (Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Hyun (Department of Emergency Medicine, Yonsei University Wonju College of Medicine) ;
  • Kim, Yang Weon (Department of Emergency Medicine, Inje University College of Medicine) ;
  • Chun, Byeong Jo (Department of Emergency Medicine, Chonnam National University, School of Medicine) ;
  • Kim, Kyung Hwan (Department of Emergency Medicine, Inje University Ilsan Paik Hospital)
  • 정성필 (연세의대 응급의학교실) ;
  • 이미진 (경북의대 응급의학교실) ;
  • 강형구 (한양의대 응급의학교실) ;
  • 오범진 (울산의대 서울아산병원 응급의학과) ;
  • 김현 (연세대학교 원주의과대학 응급의학교실) ;
  • 김양원 (인제대학교 부산백병원 응급의학과) ;
  • 전병조 (전남대학교 의과대학 응급의학교실) ;
  • 김경환 (인제대학교 일산백병원 응급의학과)
  • Received : 2017.10.26
  • Accepted : 2017.11.15
  • Published : 2017.12.31
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Abstract

Purpose: Some advanced countries have reported annual statistics for poisoning based on data from poison control centers. This study was conducted to propose a baseline format and statistics of poisoning in Korea from a national representative database. Methods: This study was a retrospective analysis of poisoning patients based on data from an emergency department (ED) based injury in-depth surveillance project by the Korea Centers for Disease Control and Prevention in 2016. Bite or sting injuries were not included. Variables related to poisoning were summarized using a similar format as the National Poison Data System in the United States. Results: A total of 7,820 poisoning patients presented to 23 EDs. Adults ${\geq}20$ years accounted for 84% of the population, while the proportion of intentional poisoning was 59.4%. The most common poisoning substances were therapeutic drugs (45%), gas (21%), pesticides (15%), and artificial toxic substances (13%). Overall, 34.5% of patients were admitted for further treatment. The mortality was 3.2% (248 cases), and the most common causative substances were carbon monoxide, glyphosate, and paraquat, in order. Conclusion: This study showed the recent status of poisoning in Korea. However, a comprehensive poisoning registry based on poison control centers may be required to provide more accurate national statistics in the future.

Keywords

References

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