대한임상독성학회지 (Journal of The Korean Society of Clinical Toxicology)

  • 제20권2호
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  • Pages.66-74
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  • 2022
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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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코로나바이러스감염증-19 대유행 전, 후의 응급실로 내원한 중독 환자의 특성

Characteristics of poisoning patients visiting emergency departments before and after the COVID-19 pandemic

  • 기승재 (한양대학교 의과대학 응급의학교실) ;
  • 조용일 (한양대학교 의과대학 응급의학교실) ;
  • 강형구 (한양대학교 의과대학 응급의학교실) ;
  • 임태호 (한양대학교 의과대학 응급의학교실) ;
  • 오재훈 (한양대학교 의과대학 응급의학교실) ;
  • 고벽성 (한양대학교 의과대학 응급의학교실) ;
  • 이준철 (한양대학교 의과대학 응급의학교실)
  • Seung Jae Kee (Department of Emergency Medicine, Hanyang University College of Medicine) ;
  • Yongil Cho (Department of Emergency Medicine, Hanyang University College of Medicine) ;
  • Hyunggoo Kang (Department of Emergency Medicine, Hanyang University College of Medicine) ;
  • Tae Ho Lim (Department of Emergency Medicine, Hanyang University College of Medicine) ;
  • Jaehoon Oh (Department of Emergency Medicine, Hanyang University College of Medicine) ;
  • Byuk Sung Ko (Department of Emergency Medicine, Hanyang University College of Medicine) ;
  • Juncheol Lee (Department of Emergency Medicine, Hanyang University College of Medicine)
  • 투고 : 2022.09.21
  • 심사 : 2022.10.27
  • 발행 : 2022.12.31
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초록

Purpose: This study investigates the characteristics and prognosis of acute poisoning patients visiting nationwide emergency departments before and after the Coronavirus disease 2019 (COVID-19) pandemic. Data were obtained from the National Emergency Department Information System (NEDIS). Methods: This nationwide retrospective observational study included acute poisoning patients who visited the emergency departments between February 1 to December 31, 2020, which has been determined as the pandemic period. The same periods in 2018 and 2019 were designated as the control periods. The primary outcome assessed was the length of stay in emergency departments (EDLOS). The secondary outcomes examined were intensive care unit admission rate and in-hospital mortality rate before and after the pandemic. A subgroup analysis was performed for inpatients and intentional poisoning patients. Results: A total of 163,560 patients were included in the study. During the pandemic, the proportion of women increased from 50.0% in 2018 and 50.3% in 2019 to 52.5% in 2020. Patients aged 20-29 years increased from 13.4% in 2018 and 13.9% in 2019 to 16.6% in 2020. A rise in cases of intentional poisoning was also noted - from 33.9% in 2018 and 34.0% in 2019 to 38.4% in 2020. Evaluating the hospitalized poisoned patients revealed that the EDLOS increased from 3.8 hours in 2018 and 3.7 hours in 2019 to 4.2 hours in 2020. ICU admissions were also markedly increased (2018, 48.2%; 2019, 51.8%; 2020, 53.2%) among hospitalized patients. Conclusion: The COVID-19 pandemic has changed the epidemiology, clinical characteristics, and prognosis of acute poisoning patients visiting nationwide emergency departments in Korea. The proportion of young adults, women, and intentional poisoning patients has increased after the COVID-19 pandemic. Prolonged length of stay at the emergency department and an increased rate of intensive care unit admissions were determined in hospitalized acute poisoning patients.

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과제정보

이 논문은 중앙응급의료센터의 승인 하에 국가응급의료이용자료 (심의번호 제2022-05-04호)를 이용한 연구임.

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