J Korean Med Sci.  2018 Sep;33(39):e254. 10.3346/jkms.2018.33.e254.

Analysis of Patients with Acute Toxic Exposure between 2009 and 2013: Data from the Korea Health Insurance Review and Assessment Service and the National Emergency Department Information System

• Yoon YH
• Kim JY
• Choi SH

• KMID: 2432231
• DOI: http://doi.org/10.3346/jkms.2018.33.e254

Abstract

BACKGROUND
According to domestic studies, patients visiting the emergency departments (ED) with acute toxic exposure comprise 0.68%-5.5% of all ED patients, with various causes and motives. The purpose of this study is to investigate the clinical and social characteristics of patients with toxic exposure visiting the ED.
METHODS
This study spanned a period of five years, from January 1, 2009 to December 31, 2013. The data were extracted using the National Emergency Department Information System (NEDIS) and The Korea Health Insurance Review and Assessment Service (HIRA).
RESULTS
From the HIRA database, during the study period (2009-2013); 310,159 (2009), 289,829 (2010), 288,906 (2011), 285,514 (2012), and 279,575 (2013) patients, respectively, visited EDs with diagnoses related to exposure to toxic substances. The number of patients who presented with acute toxic exposure compared to all ED visits significantly decreased consistently (7.8%, 6.9%, 6.0%, 5.0%, 4.1%) over 5 years. Regarding the cause of toxic exposure, substances other than drugs accounted for the largest percentage, and increased annually. Acetylcysteine was the most commonly prescribed antidote, and patients in their 40s and 50s showed the most frequent visits. The monthly distribution was highest in July-September, and higher in January than in other months.
CONCLUSION
This study found that the percentage of patients visiting the ED is decreasing, the exposure to quasi-drugs was the most common, and the exposure to antipsychotic drugs was the most frequent.

Keyword

Poisoning; Epidemiology; Emergency Medical Services

MeSH Terms

Acetylcysteine
Antipsychotic Agents
Diagnosis
Emergencies*
Emergency Medical Services
Emergency Service, Hospital*
Epidemiology
Humans
Information Systems*
Insurance, Health*
Korea*
Poisoning
Sociological Factors
Acetylcysteine
Antipsychotic Agents