Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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Systematic review for economic benefit of poison control center

중독관리센터의 경제적 효과에 대한 체계적 고찰

  • Han, Eunah (Department of Emergency Medicine, Yonsei University Medical College) ;
  • Hwang, Hyuna (Department of Emergency Medicine, Yonsei University Medical College) ;
  • Yu, Gina (Department of Emergency Medicine, Yonsei University Medical College) ;
  • Ko, Dong Ryul (Department of Emergency Medicine, Yonsei University Medical College) ;
  • Kong, Taeyoung (Department of Emergency Medicine, Yonsei University Medical College) ;
  • You, Je Sung (Department of Emergency Medicine, Yonsei University Medical College) ;
  • Choa, Minhong (Department of Emergency Medicine, Yonsei University Medical College) ;
  • Chung, Sung Phil (Department of Emergency Medicine, Yonsei University Medical College)
  • 한은아 (연세대학교 의과대학 응급의학교실) ;
  • 황현아 (연세대학교 의과대학 응급의학교실) ;
  • 유지나 (연세대학교 의과대학 응급의학교실) ;
  • 고동률 (연세대학교 의과대학 응급의학교실) ;
  • 공태영 (연세대학교 의과대학 응급의학교실) ;
  • 유제성 (연세대학교 의과대학 응급의학교실) ;
  • 좌민홍 (연세대학교 의과대학 응급의학교실) ;
  • 정성필 (연세대학교 의과대학 응급의학교실)
  • Received : 2021.01.21
  • Accepted : 2021.03.29
  • Published : 2021.06.30
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Abstract

Purpose: The purpose of this study was to conduct a systematic review to investigate the socio-economic benefits of the poison control center (PCC) and to assess whether telephone counseling at the poison control center affects the frequency of emergency room visits, hospitalization, and length of stay of patients with acute poisoning. Methods: The authors conducted a medical literature search of the PubMed, EMBASE, and Cochrane Library databases. Two reviewers evaluated the abstracts for eligibility, extracted the data, and assessed the study quality using a standardized tool. Key results such as the cost-benefit ratio, hospital stay days, unnecessary emergency room visits or hospitalizations, and reduced hospital charges were extracted from the studies. When meta-analysis was possible, it was performed using RevMan software (RevMan version 5.4). Results: Among 299 non-duplicated studies, 19 were relevant to the study questions. The cost-benefit ratios of PCC showed a wide range from 0.76 to 36 (average 6.8) according to the level of the medical expense of each country and whether the study included intentional poisoning. PCC reduced unnecessary visits to healthcare facilities. PCC consultation shortened the length of hospital stay by 1.82 (95% CI, 1.07-2.57) days. Conclusion: The systematic review and meta-analysis support the hypothesis that the PCC operation is cost-beneficial. However, when implementing the PCC concept in Korea in the future, it is necessary to prepare an institutional framework to ensure a costeffective model.

Keywords

References

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