Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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Trends of Intentional Poisoning: A Retrospective Single Center Study During 15 Years

의도성 중독의 변화 양상: 15년간의 후향적 단일병원 연구

  • Kong, Sung Kyu (Department of Emergency Medicine, College of Medicine, The Catholic University of Korea) ;
  • Oh, Sang Hoon (Department of Emergency Medicine, College of Medicine, The Catholic University of Korea) ;
  • Park, Kyu Nam (Department of Emergency Medicine, College of Medicine, The Catholic University of Korea) ;
  • Kim, Han Joon (Department of Emergency Medicine, College of Medicine, The Catholic University of Korea)
  • 공성규 (가톨릭대학교 의과대학 응급의학교실) ;
  • 오상훈 (가톨릭대학교 의과대학 응급의학교실) ;
  • 박규남 (가톨릭대학교 의과대학 응급의학교실) ;
  • 김한준 (가톨릭대학교 의과대학 응급의학교실)
  • Received : 2016.05.14
  • Accepted : 2016.05.27
  • Published : 2016.06.30
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Abstract

Purpose: Intentional poisoning is a major public health issue in many parts of the world. This study was conducted to provide details regarding the epidemiology of intentional poisoning in a metropolitan emergency department and to identify the changing patterns and epidemiology of poisoning. Methods: A retrospective study was conducted to evaluate intentional poisoning of patients who visited the emergency department in a tertiary teaching hospital between 2001 and 2015. All intentional poisoning-related emergency department visits over three five year periods (2001-2005 (P1), 2006-2010 (P2) and 2011-2015 (P3)) were reviewed to investigate trends in intentional poisoning patients. Information regarding patient sex, age, time from episode to admission, psychiatric history, type of intoxicants, alcohol co-ingestion, gastric lavage, charcoal administration, any previous suicide attempts, need for hospitalization and death before discharge was reviewed. Results: A total of 1269 patients were enrolled in this study. The number of patients admitted during each period was P1=515, P2=439 and P3=315. Comparison of the three groups revealed significant differences according to age (p<0.001), psychiatric history (p<0.001), alcohol co-ingestion (p=0.013), gastric lavage (p<0.001), charcoal administration (p<0.001), need for hospitalization (p=0.044), repeated attempt (p<0.001) and type of intoxicants (p<0.001). Conclusion: The average age of intentional poisoning patients has increased. While the use of sedatives and multiple drugs increased, the use of pesticides and the antihistamine decreased.

Keywords

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