Browse > Article
http://dx.doi.org/10.22537/jksct.2020.18.2.85

Analysis of Poisoning Patients Using 2017-18 ED Based Injury in-depth Surveillance Data  

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)
Publication Information
Journal of The Korean Society of Clinical Toxicology / v.18, no.2, 2020 , pp. 85-93 More about this Journal
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
Annual reports; Drug overdose; Poisoning;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 National emergency medical center. Seoul. Annual report on the severe patients who visit the Eds of 2018; 2019. Available at: http://e-gen.or.kr/nemc. Accessed September 2, 2020.
2 Korea national statistical office. Daejeon: Annual report on the cause of death statistics of 2018; 2018. Available at: http://kostat.go.kr/portal/korea/index.action. Accessed September 2, 2020.
3 Vassilev ZP, Marcus SM. The Impact of a Poison Control Center on the Length of Hospital Stay for Patients With Poisoning. J Toxicol Environ 2007;70:107-10.
4 Waring WS, McGettigan P. Clinical toxicology and drug regulation: A United Kingdom perspective. Clin Toxicol 2011;49: 452-6.   DOI
5 Kim SJ, Choa MH, Park JS, et al. Different characteristics of toxic substance/poison exposure data that collected from prehospital telephone response and emergency department. J Korean Soc Clin Toxicol 2014;12:1-7.
6 Chung SP, Lee MJ, Kang H, et al. Analysis of poisoning patients using 2016 ED based injury in-depth surveillance data J Korean Soc Clin Toxicol 2017;15:86-93.   DOI
7 Bum JH, Rhee NG, Kim MJ, et al. Extended blood drug concentrations in extended release formulated acetaminophen overdose patients. J Korean Soc Clin Toxicol 2011;9:71-6.
8 Kim DY, Kim JH, Paik JH, et al. Analysis of characteristics in children and adolescents with poisoning at emergency department. J Korean Soc Clin Toxicol 2017;15:140-7.   DOI
9 Park J, Shin S, Seo Y, et al. The Risk Factors of Acute Cardiovascular and Neurological Toxicity in Acute CO Poisoning Patients and Epidemiologic Features of Exposure Routes. Journal of the Korean Society of Clinical Toxicology 2020;18:34-41.   DOI
10 Huang CC, Ho CH, Chen YC, et al. Hyperbaric Oxygen Therapy Is Associated With Lower Short- and Long-Term Mortality in Patients With Carbon Monoxide Poisoning. Chest 2017;152: 943-53.   DOI
11 Song YW, Choi SC, You YY, et al. Veiled Paraquat PoisoningA Focus on Clinical Characteristics. Journal of the Korean Society of Clinical Toxicology 2011;9:14-9.
12 Davies JO, Eddleston M, Buckley NA. Predicting outcome in acute organophosphorus poisoning with a poison severity score or the Glasgow coma scale. QJM: An Int J Med. 2008;101:371-9.   DOI