2008 Database of Korean Toxic Exposures: A Preliminary Study

2008년 국내 중독환자 실태조사; 예비연구

  • So, Byung-Hak (Department of Emergency Medicine, College of Medicine, The Catholic University of Korea) ;
  • Lee, Mi-Jin (Department of Emergency Medicine, College of Medicine, Konyang University) ;
  • Kim, Hyun (Department of Emergency Medicine, Wonju College of Medicine, Yonsei University) ;
  • Moon, Jeong-Mi (Department of Emergency Medicine, School of Medicine Chonnam National University) ;
  • Park, Kyung-Hye (Department of Emergency Medicine, School of Medicine, Jeju National University) ;
  • Sung, Ae-Jin (Department of Emergency Medicine, School of Medicine, Sungkyunkwan University) ;
  • Yeom, Seok-Ran (Department of Emergency Medicine, School of Medicine, Pusan National University) ;
  • Oh, Seong-Beom (Department of Emergency Medicine, College of Medicine, Dankook University) ;
  • You, Ji-Young (Department of Emergency Medicine, School of Medicine, Hallym University) ;
  • Lee, Kyung-Woo (Department of Emergency Medicine, School of Medicine, Gyeongsang National University) ;
  • Lee, Kyung-Won (Department of Emergency Medicine, College of Medicine, Catholic University of Daegu)
  • 소병학 (가톨릭대학교 의과대학 응급의학과) ;
  • 이미진 (건양대학교 의과대학 응급의학과) ;
  • 김현 (연세대학교 원주의과대학 응급의학과) ;
  • 문정미 (전남대학교 의과대학 응급의학과) ;
  • 박경혜 (제주대학교 의과대학 응급의학과) ;
  • 성애진 (성균관대학교 의과대학 응급의학과) ;
  • 염석란 (부산대학교 의과대학 응급의학과) ;
  • 오성범 (단국대학교 의과대학 응급의학과) ;
  • 유지영 (한림대학교 의과대학 응급의학과) ;
  • 이경우 (경상대학교 의과대학 응급의학과) ;
  • 이경원 (대구카톨릭대학교 의과대학 응급의학과)
  • Received : 2010.11.24
  • Accepted : 2010.12.07
  • Published : 2010.12.31

Abstract

Purpose: The aim of this study was to investigate toxic exposures in emergency centers with using a toxic exposure surveillance system-based report form as a preliminary study. Methods: We retrospectively reviewed the medical records of toxic exposure patients who visited emergency centers from January to December 2008. Results: 3,157 patients from 11 emergency centers were enrolled. Males were involved in 47.9% of the total cases of exposure and in 60.1% of the cases of fatal exposure. Suicidal intent was the most common (61.0%) reason and most (87.4%) fatal exposures were suicidal. Pesticides were involved in 30.7% of the cases and sedative/hypnotics/antipsychotics were involved in 20.5%. The substances most frequently involved in fatalities were pesticides, and a 48.4% fatality rate was recorded for paraquat exposure. Conclusion: The toxic exposure data showed the preliminary poisoning events in emergency centers. It is recommended that toxicology professionals should develop a toxic surveillance system and serial reporting should be performed.

Keywords