Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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Availability of Toxicologic Screening Tests in the Emergency Department

응급센터에서 시행하는 약물선별현장검사의 유용성

  • Um, In-Kyung (Department of Emergency Medicine, Korea University College of Medicine) ;
  • Park, Jong-Su (Department of Emergency Medicine, Korea University College of Medicine) ;
  • Han, Kap-Su (Department of Emergency Medicine, Korea University College of Medicine) ;
  • Cho, Han-Jin (Department of Emergency Medicine, Korea University College of Medicine) ;
  • Choi, Sung-Hyuck (Department of Emergency Medicine, Korea University College of Medicine) ;
  • Lee, Sung-Woo (Department of Emergency Medicine, Korea University College of Medicine) ;
  • Hong, Yun-Sik (Department of Emergency Medicine, Korea University College of Medicine)
  • 엄인경 (고려대학교 의과대학 응급의학교실) ;
  • 박종수 (고려대학교 의과대학 응급의학교실) ;
  • 한갑수 (고려대학교 의과대학 응급의학교실) ;
  • 조한진 (고려대학교 의과대학 응급의학교실) ;
  • 최성혁 (고려대학교 의과대학 응급의학교실) ;
  • 이성우 (고려대학교 의과대학 응급의학교실) ;
  • 홍윤식 (고려대학교 의과대학 응급의학교실)
  • Received : 2011.05.16
  • Accepted : 2011.05.25
  • Published : 2011.06.16
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Abstract

Purpose: The role of a point of care test (POCT) is currently becoming important when treating patients and making decisions in the emergency department. It also plays a role for managing patients presenting with drug intoxication. But the availability of the test has not yet been studied in Korea. Therefore, we investigated the utility and the availability of POCT for drug screening used in the emergency department. Methods: This was a retrospective study for those patients with drug intoxication between January 2007 and December 2010 in an urban emergency department. Results: Between the study period, 543 patients were examined with a Triage$^{(R)}$-TOX Drug Screen. Among those, 248 (45.7%) patients showed negative results and 295 (54.3%) patients showed positive results. The sensitivity of the test for benzodiazepine, acetaminophen and tricyclic antidepressants were 85.9%, 100%, 79.2%, respectively. Conclusion: POCT of drug screening in emergency department showed good accuracy especially in patient with benzodiazepine, acetaminophen and tricyclic antidepressant intoxication. Therefore, it can be useful diagnostic tool for the management of intoxicated patients.

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