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응급실 손상환자 심층조사 자료를 이용한 2017-2018년 중독 환자의 분석
고지윤 ( Jiyoon Koh ),전우찬 ( Woochan Jeon ),강형구 ( Hyunggoo Kang ),김양원 ( Yang Weon Kim ),김현 ( Hyun Kim ),오범진 ( Bum Jin Oh ),이미진 ( Mi Jin Lee ),전병조 ( Byeong Jo Chun ),정성필 ( Sung Phil Chung ),김경환 ( Kyung Hwa 대한임상독성학회 2020 대한임상독성학회지 Vol.18 No.2
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.
한국 소아청소년 중독 환자의 경향: 국가응급진료정보망을 이용한 후향적 연구
이경재 ( Kyeongjae Lee ),김경환 ( Kyung Hwan Kim ),신동운 ( Dong Wun Shin ),박준석 ( Junseok Park ),김훈 ( Hoon Kim ),전우찬 ( Woochan Jeon ),박준민 ( Joon Min Park ),김현종 ( Hyunjong Kim ) 대한임상독성학회 2017 대한임상독성학회지 Vol.15 No.2
Purpose: This study reports the clinical features of infant, child, school aged and adolescent patients treated for acute poisoning in nationwide emergency departments (EDs). Methods: We retrospectively analyzed clinical data pertaining to patients under 19 years of age who were treated for acute poisoning in nationwide EDs from 2013 to 2015. The data were collected by the National Emergency Department Information System (NEDIS). All patients were divided into three groups: ‘Infant and child group’ (0 to 5 years), ‘school age group’ (6 to 12 years) and ‘adolescent group’ (13 to 18 years). General characteristics, Korea Standard Classification of Disease 7<sup>th</sup> (KCD-7) codes and results of care were collected. Results: There were 14,500 pediatric poisoning cases during the study period. The distribution of patient age was bimodal with two peaks among infant, child and adolescent group. The proportion of alert mentality at the ED visit of the infant and child group was 99.3%, while that of the adolescent group was 86.4%. The proportion of intentional intoxication was higher in the adolescent group (40.7%) than other age groups. Among children less than 13 years of age, various poisonous substances and therapeutic drugs were common. Conclusion: There were some clinical differences in acute poisoning patients between age groups. It is necessary to establish a preventive plan considering characteristics by age. Since the KCD-7 code has limitations in analyzing the characteristics of poisoning patients, it is necessary to consider the registration system of poisoning patients.
일산화탄소 중독의 역학적 특징: 전국 20개 병원 응급실 손상환자 표본 심층조사
배소현 ( Sohyun Bae ),이지숙 ( Jisook Lee ),김경환 ( Kyunghwan Kim ),박준석 ( Junseok Park ),신동운 ( Dongwun Shin ),김현종 ( Hyunjong Kim ),박준민 ( Joonmin Park ),김훈 ( Hoon Kim ),전우찬 ( Woochan Jeon ) 대한임상독성학회 2016 대한임상독성학회지 Vol.14 No.2
Purpose: This study was conducted to describe the characteristics of patients with carbon monoxide (CO) poisoning. Methods: We retrospectively surveyed data from the Emergency Department based Injury In-depth Surveillance of 20 hospitals (2011-2014). We included patients whose mechanism of injury was acute CO poisoning caused by inhalation of gases from charcoal or briquettes. We surveyed the annual frequency, gender, age, result of emergency treatment, rate of intensive care unit (ICU) admission, result of admission, association with alcohol, and place of accident. We also surveyed the cause and experience of past suicide attempts by intentional poisoning. Results: A total of 3,405 patients were included (2,015 (59.2%) and 1,390 (40.8%) males and females, respectively) with a mean age of 39.83±18.51 year old. The results revealed that the annual frequency of CO poisoning had increased and the frequency of unintentional CO poisoning was higher than that of intentional CO poisoning in January, February and December. The mean age of intentional CO poisoning was younger than that of unintentional CO poisoning (38.41±13.03 vs 40.95±21.83) (p<0.001). The rates of discharge against medical advice (DAMA), ICU care and alcohol association for intentional CO poisoning were higher than for unintentional CO poisoning (36.4% vs 14.0%, 17.8% vs 4.7%, 45.2% vs 5.6%) (p<0.001). The most common place of CO poisoning was in one`s residence. Conclusion: The annual frequency of total CO poisoning has increased, and unintentional CO poisoning showed seasonal variation. DAMA, ICU care, and alcohol association of intentional CO poisoning were higher than those of unintentional CO poisoning.