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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한임상독성학회 대한임상독성학회지 대한임상독성학회지 제17권 제2호
발행연도
2019.1
수록면
108 - 117 (10page)

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초록· 키워드

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Purpose: The study examined the poisoned patients’ characteristics nationwide in Korea by using data from the National Emergency Department Information System (NEDIS). Methods: Among the patients’ information sent to NEDIS from January 1, 2013 to December 31, 2015, the included subjects’ main diagnosis in ED showed poisoning according to the 7th edition of the Korean Standard Disease Classification (KCD-7). We analyzed the patients’ gender, age, initial vital signs, visit time, stay time of staying in ED, results of ED care, main diagnosis in ED, length of hospitalization, and results of hospitalization. Results: A total of 106,779 ED visits were included in the analysis. There were 55,878 males (52.3%), which was more than the number of females. The number of intentional poisoning was 49,805 (59.6%). 75,499 cases (70.8%) were discharged, and 25,858 cases (24.2%) were hospitalized. The numbers of poisoning patients per 1,000 ED visits were 14 in Chungnam and 11.9 in Jeonbuk. The most common cause of poisoning, according to the main diagnosis, was venomous animals. It was the same for hospitalized patients, and pesticide was next. Pesticide was the most common cause of mortality in ED (228 cases, 46.1%) and after hospitalization (584 cases, 54.9%). The incidence of poisoning by age group was frequent for patients in their 30s to 50s, and mortality in ED and post-hospitalization were frequent for patients in their 60s to 80s. Conclusion: This study investigated the characteristics of poisoning patients reported in the past 3 years. Pesticide poisoning had a high mortality rate for patients in ED and in-hospital. For mortality, there was a high proportion of elderly people over 60. Thus, policy and medical measures are needed to reduce this problem. Since it is difficult to identify the poison substance in detail due to nature of this study, it is necessary to build a database and monitoring system for monitoring the causative substance and enacting countermeasures.

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참고문헌 (11)

참고문헌 신청
Gummin DD / 2018 / Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 35th Annual Report / Clin Toxicol (Phila) 56:1213~1415 google schola Holly H / Drugs most frequently involved in drug overdose deaths: United States, 2011-2016: National vital statistics reports google schola CPSC’s National Electronic Injury Surveillance System (NEISS): U.S / Consumer Product Safety Commission google schola Health Insurance Review & Assessment Service / National Health Insurance Statistical Yearbook 2016 google schola Health Insurance Review & Assessment Service / National Health Insurance Statistical Yearbook 2011 google schola

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