J Korean Soc Clin Toxicol.
2020 Dec;18(2):85-93. 10.22537/jksct.2020.18.2.85.
Analysis of Poisoning Patients Using 2017-18 ED Based Injury in-depth Surveillance Data
- Affiliations
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- 1Department of Emergency Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea
- 2Hanyang University College of Medicine, Seoul, Korea
- 3Inje University College of Medicine, Busan, Korea
- 4Yonsei University Wonju College of Medicine, Wonju, Korea
- 5Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- 6School of Medicine, Kyungpook National University, Daegu, Korea
- 7Chonnam National University, School of Medicine, Gwangju, Korea
- 8Yonsei University College of Medicine, Seoul, Korea
- KMID: 2512256
- DOI: http://doi.org/10.22537/jksct.2020.18.2.85
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.
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