대한임상독성학회지 (Journal of The Korean Society of Clinical Toxicology)

  • 제19권2호
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  • Pages.110-126
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  • 2021
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  • 1738-1320(pISSN)
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  • 2508-6332(eISSN)
대한임상독성학회 (Korean society of Clincal Toxicology)
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응급실로 내원하는 급성중독환자의 원인물질 분석을 위한 중독 분석실 이용 현황 및 이용 만족도 조사: 전국 권역 및 지역응급의료센터 설문조사

A satisfaction survey of toxicological laboratory: Survey of regional and local emergency medical centers

  • 손동우 (인제대학교 부산백병원 응급의학과) ;
  • 강지훈 (인제대학교 부산백병원 응급의학과) ;
  • 김양원 (인제대학교 부산백병원 응급의학과) ;
  • 박철호 (인제대학교 부산백병원 응급의학과) ;
  • 윤유상 (인제대학교 부산백병원 응급의학과) ;
  • 지재구 (인제대학교 부산백병원 응급의학과)
  • Son, Dong Woo (Department of Emergency Medicine, Inje University Busan Paik Hospital) ;
  • Kang, Ji Hun (Department of Emergency Medicine, Inje University Busan Paik Hospital) ;
  • Kim, Yang Weon (Department of Emergency Medicine, Inje University Busan Paik Hospital) ;
  • Park, Chul Ho (Department of Emergency Medicine, Inje University Busan Paik Hospital) ;
  • Yoon, Yoo Sang (Department of Emergency Medicine, Inje University Busan Paik Hospital) ;
  • Ji, Jae Gu (Department of Emergency Medicine, Inje University Busan Paik Hospital)
  • 투고 : 2021.09.01
  • 심사 : 2021.10.22
  • 발행 : 2021.12.31
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초록

Purpose: The purpose of this study is to find out the current status of toxicology laboratory operated by six locations nationwide and to investigate the satisfaction of emergency medical professionals who working at local and regional emergency medical centers. Methods: This survey was conducted prospective. It was conducted on 665 emergency medical professionals working at regional and regional emergency medical centers across the South Korea. Among them, the analysis was conducted with data that 510 emergency medical professionals who respond to this survey. The questionnaire was conducted on an online basis for a month. To ensure statistical significance, consider a dropout rate of 10% based on a minimum response recovery rate of 70%. 506 people were selected for the survey. Results: According to a survey on the status of addiction analysis room usage, the average monthly usage of addiction test rooms among respondents were 406 cases.71.0 cases (17.4%) of toxicology laboratory in Seoul and 71 cases (17.4%) in Gwangju. 32 cases (7.8%), 118 cases (29.0%) requested by toxicology laboratory in Busan, and the toxicology laboratory in Daegu. Eighty two cases (20.1%), Daejeon area 25 cases (6.1%), Wonju area toxicology laboratory was 78 (19.6%). According to a survey on the satisfaction of the addiction analysis room,Seoul (4.9±2.71) and Gwangju (4.8±2.52) showed high satisfaction. Conclusion: Due to the limited operation time of the four addiction analysis rooms currently in operation, the satisfaction level of addiction analysis by emergency medical professionals in the area is low due to the delay until the result is notified.

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참고문헌

  1. Jae-Gu Ji, Kim Y-W, Kang J-H, et al. Analysis of social factors influencing authenticity of suicide for patient who attempt to suicide inemergency department: Retrospective study based Post-suicidal Care Program data. Journal of The Korean Society of Clinical Toxicology 2021;19(1):8-16. https://doi.org/10.22537/JKSCT.2021.19.1.8
  2. Lam SW, Engebretsen KM, Bauer SR. Toxicology today: what you need to know now. Journal of pharmacy practice 2011;24(2):174-88. https://doi.org/10.1177/0897190011400552
  3. Marco CA, Kelen GD. Acute intoxication. Emerg Med Clin North Am 1990;8(4):731-48. https://doi.org/10.1016/S0733-8627(20)30234-0
  4. Kwon YH, S BH, Jeong WJ. Effect of ETCO2 monitoring of poisoning patients with decreased mental state in ED. Korean Society of Clinical Toxicology 2021;19(1):44-50.
  5. Koh J, Woochan Jeon, Hyunggoo Kang, et al. Analysis of Poisoning Patients Using 2017-18 ED Based Injury in-depth Surveillance Data. Korean Society of Clinical Toxicology 2020;18(2):85-93.
  6. Kim IC, Won S, Lee A, et al. Laboratory analysis of acute acetaminophen overdose patients in Emergency Medical Centers: including analysis of one toxicological laboratory data. Journal of the Korean society of clinical toxicology 2021;19(1):31-7. https://doi.org/10.22537/JKSCT.2021.19.1.31
  7. Eunah Han, Hwang H, Gina Yu, et al. Systematic review for economic benefit of poison control center. Journal of the Korean society of clinical toxicology 2021;19(1):1-7. https://doi.org/10.22537/JKSCT.2021.19.1.1
  8. Park JM, Tae Ho Le, Lee SM, et al. Factors affecting the satisfaction of emergency medical services in capital and non-capital areas. Journal of the Korean Society of Emergency Medicine 2019;30(2):111-9.
  9. Spiller HA, Griffith JR. The value and evolving role of the US Poison Control Center System. Public Health Reports 2009;124(3):359-63. https://doi.org/10.1177/003335490912400303
  10. Berger BA, Stolz U, Colvin J, et al. Epidemiology of cannabidiol related cases reported in the National Poison Data System-2019-2020. The American Journal of Emergency Medicine 2021;48:218-23. https://doi.org/10.1016/j.ajem.2021.04.065
  11. Jun-Hua S, Jin-Song Z, Li Q, et al. Epidemiological analysis of single center of acute poisoning cases based on poisoning treatment platform. Medicine 2021;100(27).
  12. Dubrana LE, Knoll-Gellida A, Bourcier LM, et al. An Antidote Screening System for Organophosphorus Poisoning Using Zebrafish Larvae. ACS Chemical Neuroscience 2021.
  13. Hepler BR, Sutheimer CA, Sunshine I. The role of the toxicology laboratory in emergency medicine.II: Study of an integrated approach. J Toxicol Clin Toxicol 1984;22(6):503-28. https://doi.org/10.3109/15563658408992581
  14. Panas M. [Role and duties performed by a toxicologic laboratory in diagnosis of acute poisoning]. Folia Med Cracov 1990;31(4):217-24.
  15. Choi H, Ok JS, An SY. [Evaluation of Validity of the Korean Triage and Acuity Scale]. J Korean Acad Nurs 2019;49(1):26-35. https://doi.org/10.4040/jkan.2019.49.1.26
  16. Gummin DD, Mowry JB, Beuhler MC, et al. 2019 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 37th Annual Report. Clin Toxicol (Phila) 2020;58(12):1360-541. https://doi.org/10.1080/15563650.2020.1834219
  17. Zgheib NK. The Pharmacogenetics Laboratory of the Department of Pharmacology and Toxicology at the American University of Beirut Faculty of Medicine. Pharmacogenomics 2017;18(14):1311-6. https://doi.org/10.2217/pgs-2017-0122
  18. Jaraczewska W, Czerczak S, Kotwica M. The National Poison Information Center in Poland. J Toxicol Clin Toxicol 1996;34(6):669-72. https://doi.org/10.3109/15563659609013827