J Korean Soc Clin Toxicol.
2017 Dec;15(2):86-93. 10.22537/jksct.2017.15.2.86.
Analysis of Poisoning Patients Using 2016 ED Based Injury in-depth Surveillance Data
- Affiliations
-
- 1Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea.
- 2Department of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.
- 3Department of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea.
- 4Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
- 5Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
- 6Department of Emergency Medicine, Inje University College of Medicine, Busan, Korea.
- 7Department of Emergency Medicine, Chonnam National University, School of Medicine, Gwangju, Korea.
- 8Department of Emergency Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea. emdrkimk@gmail.com
- KMID: 2402612
- DOI: http://doi.org/10.22537/jksct.2017.15.2.86
Abstract
- PURPOSE
Some advanced countries have reported annual statistics for poisoning based on data from poison control centers. This study was conducted to propose a baseline format and statistics of poisoning in Korea from a national representative database.
METHODS
This study was a retrospective analysis of poisoning patients based on data from an emergency department (ED) based injury in-depth surveillance project by the Korea Centers for Disease Control and Prevention in 2016. Bite or sting injuries were not included. Variables related to poisoning were summarized using a similar format as the National Poison Data System in the United States.
RESULTS
A total of 7,820 poisoning patients presented to 23 EDs. Adults ≥20 years accounted for 84% of the population, while the proportion of intentional poisoning was 59.4%. The most common poisoning substances were therapeutic drugs (45%), gas (21%), pesticides (15%), and artificial toxic substances (13%). Overall, 34.5% of patients were admitted for further treatment. The mortality was 3.2% (248 cases), and the most common causative substances were carbon monoxide, glyphosate, and paraquat, in order.
CONCLUSION
This study showed the recent status of poisoning in Korea. However, a comprehensive poisoning registry based on poison control centers may be required to provide more accurate national statistics in the future.
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