Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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Analysis of Poisoning Patients Using 2017-18 ED Based Injury in-depth Surveillance Data

응급실 손상환자 심층조사 자료를 이용한 2017-2018년 중독 환자의 분석

  • Koh, Jiyoon (Department of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Jeon, Woochan (Department of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Kang, Hyunggoo (Hanyang University College of Medicine) ;
  • Kim, Yang Weon (Inje University College of Medicine) ;
  • Kim, Hyun (Yonsei University Wonju College of Medicine) ;
  • Oh, Bum Jin (Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Mi Jin (School of Medicine, Kyungpook National University) ;
  • Chun, Byeong Jo (Chonnam National University, School of Medicine) ;
  • Chung, Sung Phil (Yonsei University College of Medicine) ;
  • Kim, Kyung Hwan (Department of Emergency Medicine, Inje University Ilsan Paik Hospital)
  • 고지윤 (인제대학교 일산백병원 응급의학과) ;
  • 전우찬 (인제대학교 일산백병원 응급의학과) ;
  • 강형구 (한양대학교 의과대학 응급의학교실) ;
  • 김양원 (인제대학교 부산백병원 응급의학과) ;
  • 김현 (연세대학교 원주의과대학 응급의학교실) ;
  • 오범진 (울산의대 서울아산병원 응급의학과) ;
  • 이미진 (경북대학교 의과대학 응급의학교실) ;
  • 전병조 (전남대학교 의과대학 응급의학교실) ;
  • 정성필 (연세대학교 의과대학 응급의학교실) ;
  • 김경환 (인제대학교 일산백병원 응급의학과)
  • Received : 2020.09.10
  • Accepted : 2020.10.16
  • Published : 2020.12.31
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Abstract

Purpose: The annual statistics for poisoning are reported based on the data from poison control centers in many advanced countries. In 2016 a study was conducted to analyze the 2016 Korea Poisoning status. This study was conducted to make a better annual report for poisoning statistics in Korea from a 2017-2018 national representative database. Methods: This study was a retrospective analysis of poisoning patients based on the data from an emergency department (ED) based injury in-depth surveillance project by the Korea Centers for Disease Control and Prevention in 2017-2018. Bite or sting injuries were not included. Results: A total of 17714 patients presented to 23 EDs because of poisoning. Adults above 20 years old age accounted for 84.6% of the population, while the proportion of intentional poisoning was 60.8%. The poisoning substance presented in the ED were therapeutic drugs (51.2%), gas (20.3%), pesticides (16.4%), and artificial substances (11.4%). Overall, 35% of patients were admitted for further treatment. The mortality was 2.4% (422 cases), and the most common fatal substances in order were carbon monoxide, other herbicides, and paraquat. Conclusion: This study showed the 2017-2018 status of poisoning in Korea. The prognosis is different from the cause of poisoning and the initial mental state of the patient. Therefore, appropriate methods for preventing poisoning and therapeutic plans in specific situations are needed.

Keywords

References

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