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

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

대한임상독성학회지 2020년 18권 2호 p.85 ~ 93
고지윤, 전우찬, 강형구, 김양원, 김현, 오범진, 오범진, 이미진, 전병조, 정성필, 김경환,
소속 상세정보
고지윤 ( Koh Ji-Yoon ) - Inje University Ilsan Paik Hospital Department of Emergency Medicine
전우찬 ( Jeon Woo-Chan ) - Inje University Ilsan Paik Hospital Department of Emergency Medicine
강형구 ( Kang Hyung-Goo ) - Hanyang University College of Medicine Department of Emergency Medicine
김양원 ( Kim Yang-Weon ) - Inje University Busan Paik Hospital Department of Emergency Medicine
김현 ( Kim Hyun ) - Yonsei University Wonju College of Medicine Department of Emergency Medicine
오범진 ( Oh Bum-Jin ) - University of Ulsan College of Medicine Asan Medical Center Department of Emergency Medicine
오범진 ( Oh Bum-Jin ) - University of Ulsan College of Medicine Asan Medical Center
이미진 ( Lee Mi-Jin ) - Kyungpook National University School of Medicine Department of Emergency Medicine
전병조 ( Chun Byeong-Jo ) - Chonnam National University Medical School Department of Emergency Medicine
정성필 ( Chung Sung-Phil ) - Yonsei University College of Medicine Department of Emergency Medicine
김경환 ( Kim Kyung-Hwan ) - Inje University Ilsan Paik Hospital Department of Emergency Medicine

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.

키워드

Annual reports; Drug overdose; Poisoning

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