Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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Characteristics and Prognostic Factors of Carbamate Poisoning in Korea

카바메이트 중독의 국내 현황 및 예후 인자

  • Kwon, Woon-Yong (Department of Emergency Medicine, Seoul National University College of Medicine) ;
  • Park, Joon-Seok (Department of Emergency Medicine, College of Medicine, Konyang University) ;
  • Eo, Eun-Kyung (Department of Emergency Medicine, School of Medicine, Ewha Womans University) ;
  • Oh, Bum-Jin (Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Mi-Jin (Department of Emergency Medicine, College of Medicine, The Catholic University of Korea) ;
  • Lee, Sung-Woo (Department of Emergency Medicine, College of Medicine, The Catholic University of Korea) ;
  • Suh, Joo-Hyun (Department of Emergency Medicine, Korea University College of Medicine) ;
  • Roh, Hyung-Keun (Department of Internal Medicine, Gachon University of Medicine and Science) ;
  • Suh, Gil-Joon (Department of Emergency Medicine, Seoul National University College of Medicine)
  • 권운용 (서울대학교 의과대학 응급의학교실) ;
  • 박준석 (건양대학교 의과대학 응급의학교실) ;
  • 어은경 (이화여자대학교 의학전문대학원 응급의학교실) ;
  • 오범진 (울산의대 서울아산병원 응급의학과) ;
  • 이미진 (가톨릭대학교 의과대학 응급의학교실) ;
  • 이성우 (고려대학교 의과대학 응급의학교실) ;
  • 서주현 (가천의과학대학교 내과학교실) ;
  • 노형근 (가천의과학대학교 내과학교실) ;
  • 서길준 (서울대학교 의과대학 응급의학교실)
  • Published : 2007.06.13
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Abstract

Purpose: The aim of this study was to evaluate the characteristics and the prognostic factors of carbamate poisoned patients who visited emergency departments. Methods: From August 2005 to July 2006, we investigated the demographic feature, dose of exposure, time of exposure, alcohol intake, route of exposure, reason of exposure, site of exposure, pre-existing medical condition, time from exposure to emergency department (ED), transfer from other hospitals, vital sign at ED arrival, symptom or sign at ED arrival, and result of care of the patients who visited the ED of thirty-eight hospitals in Korea. According to the result of care, we divided the patients into two groups, the survival and the dead. To evaluated the prognostic factors, we calculated the odds ratio of each factor for the survival. Results: Among the sixty-eight patients, fifty-five patients (80.9%) were survival and thirteen patients (19.1%) were dead. The patients in the dead were older than the patients in the survival. The Glasgow coma scale (GCS) of the patients in the dead was lower than the GCS in the survival. The odds ratio of the GCS at ED arrival for the survival was 1.58 (95% CI; 1.23-2.05). Other factors showed no statistical significances. Conclusion: The GCS at emergency department arrival was the prognosis factor of the carbamate poisoned patients who visited emergency departments. If the carbamate poisoned patients showed altered mentalities, they should be provided intensive care, immediately.

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