대한임상독성학회지 (Journal of The Korean Society of Clinical Toxicology)

  • 제17권2호
  • /
  • Pages.94-101
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  • 2019
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  • 1738-1320(pISSN)
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  • 2508-6332(eISSN)
대한임상독성학회 (Korean society of Clincal Toxicology)
권호 표지
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일개 응급의료센터에 내원한 노인 중독 환자의 중증도 예측인자

Severity Predictors of Elderly Poisoning Patients Admitted to an Emergency Medical Center

  • 박창용 (가톨릭대학교 의과대학 성빈센트병원 응급의학과) ;
  • 차경만 (가톨릭대학교 의과대학 성빈센트병원 응급의학과) ;
  • 소병학 (가톨릭대학교 의과대학 성빈센트병원 응급의학과) ;
  • 정원중 (가톨릭대학교 의과대학 성빈센트병원 응급의학과)
  • Park, Chang Yong (Department of Emergency Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Cha, Kyung Man (Department of Emergency Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) ;
  • So, Byung Hak (Department of Emergency Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jeong, Won Jung (Department of Emergency Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea)
  • 투고 : 2019.06.18
  • 심사 : 2019.08.16
  • 발행 : 2019.12.31
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초록

Purpose: This study examined the clinical characteristics of severe elderly poisoning patients to determine the factors that can prevent them. Methods: Data were collected from patients over 65 years of age presenting to the emergency center with poisoning from 2013 to 2018. Their medical records were analyzed retrospectively, and patients with a poisoning severity score of three or more were defined as the severe poisoning group. The risk factors were evaluated by univariate and multivariate analysis. Results: This study analyzed 292 patients, of whom 37 (12.7%) belonged to the severe poisoning group. The severe poisoning group showed a significantly higher association with pesticide poisoning and intentional suicide attempts. Loneliness and somatization were the cause of the suicidal ideas. No significant differences in age, sex, drinking, ingestion time, poisonous materials other than pesticides, and neuropsychological consultation were observed between the two groups. Conclusion: The severe elderly poisoning patients were the result of intentional poisoning for suicide. Loneliness and somatization were the most influential causes of suicidal poisoning. Therefore, psychiatric screening and frequent medical treatment for elderly people are required to prevent severe poisoning in elderly patients.

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참고문헌

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