잠시만 기다려 주세요. 로딩중입니다.

응급실 일산화탄소 중독 환자 추이 분석: 국가응급의료정보체계

Trends of carbon monoxide poisoning patients in emergency department: NEDIS (National Emergency Department Information System)

대한응급의학회지 2021년 32권 1호 p.27 ~ 35
이순형, 이지숙, 김경환, 박준석, 신동운, 김현종, 박준민, 김훈, 전우찬, 김정언,
소속 상세정보
이순형 ( Lee Soon-Hyung ) - Inje University Ilsan Paik Hospital Department of Emergency Medicine
이지숙 ( Lee Ji-Sook ) - Ajou University School of Medicine Department of Emergency Medicine
김경환 ( Kim Kyung-Hwan ) - Inje University Ilsan Paik Hospital Department of Emergency Medicine
박준석 ( Park Jun-Seok ) - Inje University Ilsan Paik Hospital Department of Emergency Medicine
신동운 ( Shin Dong-Wun ) - Inje University Ilsan Paik Hospital Department of Emergency Medicine
김현종 ( Kim Hyun-Jong ) - Inje University Ilsan Paik Hospital Department of Emergency Medicine
박준민 ( Park Joon-Min ) - Inje University Ilsan Paik Hospital Department of Emergency Medicine
김훈 ( Kim Hoon ) - Inje University Ilsan Paik Hospital Department of Emergency Medicine
전우찬 ( Jeon Woo-Chan ) - Inje University Ilsan Paik Hospital Department of Emergency Medicine
김정언 ( Kim Jung-Eon ) - Inje University Ilsan Paik Hospital Department of Emergency Medicine

Abstract


Objective: We aimed to investigate the epidemiological characteristics and trends of carbon monoxide (CO) poisoning in the National Emergency Department Information System (NEDIS).

Methods: Using the NEDIS data from 2014 to 2018, we included patients who had visited the emergency department (ED) with CO poisoning (T58.0 in 7th Korean Standard Classification of Diseases [KCD-7]). We excluded patients with an uncertain time of onset, uncertain intentionality of poisoning, mental state, and unknown clinical outcome. We surveyed age, sex, time of onset, the intentionality of poisoning, mental state, results of emergency treatment, the proportion of admissions to intensive care units (ICU), the outcome of hospitalization, and the regional distribution. We analyzed the rate of incidence and trends of CO poisoning in patients using time series analysis.

Results: A total of 18,533 patients, including 10,671 (57.6%) males and 7,862 (42.4%) females, with a mean age of 40.38±18.41 years, were included in this study. Gyeonggi Province (n=6,354, 34.3%) had the highest distribution of patients, followed by Seoul (n=3,357, 18.1%). The incidence of unintentional CO poisoning was more frequent in January and December, and less frequent in August and September. However, the incidence of intentional CO poisoning showed no seasonal variation. The severity, ICU hospitalization rate, and mortality rate for intentional CO poisoning were higher than unintentional CO poisoning (4.1% vs. 0.8%, 29.9% vs. 16.7%, and 2.0% vs. 0.8% respectively) (P<0.001). Applying Winter’s additive method, we could predict that the rate of unintentional CO poisoning would continue to increase and the seasonal fluctuation, such as cases increasing in January-December and decreasing in August-September, would also increase.

Conclusion: Intentional CO poisoning showed higher severity than unintentional CO poisoning. In the time series analysis, the rate of unintentional CO poisoning and seasonal fluctuation is predicted to increase.

키워드

Carbon monoxide poisoning; Intention; Trends

원문 및 링크아웃 정보

등재저널 정보