Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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Research on Poisoning Data Collection using Toxic Exposure Surveillance System: Retrospective Preliminary Survey

중독감시체계를 이용한 중독정보 수집 및 분석: 후향적 기초조사

  • Oh Bum-Jin (Department of Emergency Medicine, Asan Medical Center, Ulsan University) ;
  • Kim Won (Department of Emergency Medicine, Asan Medical Center, Ulsan University) ;
  • Cho Gyu-Chong (Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University) ;
  • Kang Hui-Dong (Department of Emergency Medicine, Gangneung Hospital, Ulsan University) ;
  • Shon Yoo-Dong (Department of Emergency Medicine, Dong Sang Medical Center, Keimyung University) ;
  • Lee Jae-Ho (Department of Emergency Medicine, Asan Medical Center, Ulsan University) ;
  • Lim Kyoung-Soo (Department of Emergency Medicine, Asan Medical Center, Ulsan University)
  • 오범진 (울산대학교 서울아산병원 응급의학과) ;
  • 김원 (울산대학교 서울아산병원 응급의학과) ;
  • 조규종 (한림대학교 강동성심병원 응급의학과) ;
  • 강희동 (울산대학교 강릉아산병원 응급의학과) ;
  • 손유동 (계명대학교 동산병원 응급의학과) ;
  • 이재호 (울산대학교 서울아산병원 응급의학과) ;
  • 임경수 (울산대학교 서울아산병원 응급의학과)
  • Published : 2006.06.01
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Abstract

Purpose: Toxic Exposure Surveillance System (TESS) is widely used for poisoning data collection and making a counterplan. But, there were few reports about poisoning data collection using TESS in Korea. The aim was to collect poisoning data using TESS report form and investigate the recognition of emergency physician about the necessity of TESS as preliminary survey. Methods: Retrospectively, we gathered data from hospital records about the patient who admitted hospital emergency room due to poisoning. Date were gathered by paper and/or web client system report form in patients recruited by ICD-10 codes Results: From Jun 2004 to May 2005,3,203 patients were enrolled in 30 hospitals and their mean age was $44.9{\pm}20.3years$ old(male: female = 1,565: 1,638). The most frequent site of exposure was their own residence (73.2%, 2,345/3,203) and most of reported patients were older than 20 years(89.7%, 2,871/3,203). Frequent substances involved in poisoning were medication(41.9%) and pesticide(33.3%). Intentional poisoning was 60.7%(1,954). In fatality, overall frequency was 5.1%(162/3,203) and the most frequent route of exposure was ingestion(96.3%, 156/162) and the most frequent substance was pesticide(85.2%, 138/ 162). Antidotes were administered in 202 patients(2-PAM, atropine, antivenin, N-acetylcystein, vitamin K, flumazenil, ethanol, methylene blue, naloxone, calcium compound). 19 of 20 emergency physicians agreed with necessity of TESS. Conclusion: Data collection using TESS report form showed preliminary poisoning events in Korea. Frequent poisoning substance were medication and pesticide. The fatality was mainly related with pesticide ingestion. Many doctors in emergency room recognized the necessity of TESS.

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