Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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Factor Analysis of Intoxicated Patients Disposition in Pediatric Emergency Department

소아응급의료센터에 내원한 중독 환자의 입원 결정과 관련 있는 요인 분석

  • Lee, Hyun Jung (Department of Emergency Medicine, Soonchunhyang University College of Medicine) ;
  • Cho, Youngsoon (Department of Emergency Medicine, Soonchunhyang University College of Medicine) ;
  • Jang, Hye Young (Department of Emergency Medicine, Soonchunhyang University College of Medicine) ;
  • Lim, Hoon (Department of Emergency Medicine, Soonchunhyang University College of Medicine) ;
  • Hwang, Bo Young (Department of Preventive Medicine, Soonchunhyang University College of Medicine)
  • 이현정 (순천향대학교 의과대학 응급의학교실) ;
  • 조영순 (순천향대학교 의과대학 응급의학교실) ;
  • 장혜영 (순천향대학교 의과대학 응급의학교실) ;
  • 임훈 (순천향대학교 의과대학 응급의학교실) ;
  • 황보영 (순천향대학교 의과대학 예방의학교실)
  • Received : 2017.06.09
  • Accepted : 2018.02.02
  • Published : 2018.06.30
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Abstract

Purpose: This study was conducted to analyze the factors associated with intoxicated patient's disposition in the pediatric emergency department. Methods: We retrospectively evaluated pediatric intoxicated patients visiting the pediatric emergency department of a hospital between January 1, 2011 and December 31, 2013. Specifically, we analyzed the association between hospitalization recommended rate and the following variables: patient age group, symptoms, intentional poisoning, decontamination and toxic level of substance. Results: We collected data from 345 patients. A high incidence was noted in the 1-4 years of age group and 10-15 years of age group. Unintentional poisoning occurred in 306 patients (88.7%). A total of 115 patients (33.3%) had symptoms when visiting. Forty three patients (12.5%) ingested cleaning substances, which was the most common agent. Potentially-toxic level was the most common level of the substance. The hospitalization recommended rate associated with visits in 2011 was 2.5 times greater than in 2012 and 2013, decontamination was 2.0 times greater than no decontamination, and poisoning with potentially-toxic substances was 2.6 times greater than poisoning with other toxic substances. Additionally, the hospitalization recommended rate associated with symptomatic patients was 2.4 times greater than that of asymptomatic patients and intentional poisoning was 2.4 times greater than unintentional poisoning. Conclusion: Patients with decontamination, ingestion of potentially-toxic substances, symptoms and intentional poisoning had increased hospitalization rates. In addition, the hospitalization rate for patients who visited in 2011 was greater than that of patients who visited in 2012 or 2013.

Keywords

References

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