119와 1339에 접수되는 중독 상담 정보의 변화 비교: 응급의료정보센터(1339) 통합 이후의 소방구급상황센터(119)에서의 병원 전 독성 물질 노출자료 현황 분석 = Changes of Poison Data Characteristics Collected from Telephone Response in 1339 and 119: Discrepancy in Characteristics of Post-toxin Exposure Data Obtained through Telephone Counselling Provided by 1339 and 119

다국어 초록 (Multilingual Abstract)

Purpose: The aim of this study was to compare the toxicologic profiles and outcome of poisoned patients by comparing the data obtained through telephone counselling, each provided by emergency medical information center (1339) and emergency dispatch center (119).
Methods: We analyzed the telephone-based poison exposure data before and after Seoul 1339 merged to 119. We compared the Seoul 1339 call response data in 2008 with Seoul and Busan 119 call response data between 2014 and 2016. We analyzed the changes in the trend and quality of data obtained, as well as the quality of service provided by each center before and after this reallocation, by comparing the data each obtained through telephone counselling.
Results: The data was collected for a total of 2260 toxin exposure related calls made to Seoul 1339 in 2009, and 1657 calls to 119 in Seoul and Busan between 2014 and 2016. Significant difference was observed for age, sex, and reason for exposure to toxic substance between the two groups.
Conclusion: After the integration of 1339 with 119, 119 focused on role of field dispatch and hospital transfer, lacking the consulting on drug poisoning. Moreover, data on exposure to toxic substances at the pre-hospital stage indicate that drug information and counseling are missing or unknown. In addition, first aid or follow-up instructions are not provided. Thus, systematic approach and management are required.

참고문헌 (Reference)

1 Oh BJ, "Research on poisoning data collection using toxic exposure surveillance system: retrospective preliminary survey" 6 : 32-43, 2006

2 Sung AJ, "Multicenter survey of intoxication cases in Korean emergency departments: 2nd annual report, 2009" 10 : 22-32, 2012

3 Kim SJ, "Different characteristics of toxic Substance/poison exposure data that collected from pre-hospital telephone response and emergency department" 6 : 1-7, 2014

4 Kim HJ, "Comparison between emergency patient poisoning cases and Tox-Info system database" 10 : 8-14, 2012

5 Korea Centers for disease control and prevention, "Center for national injury surveillance system management and cooperation" 26-29, 2012

6 Korea Centers for disease control and prevention, "Center for national injury surveillance system management and cooperation" 27-30, 2012

7 Korea Centers for disease control and prevention, "Center for national injury surveillance system management and cooperation" 38-41, 2012

8 Korea Centers for disease control and prevention, "Center for national injury surveillance system management and cooperation" 32-35, 2012

9 Mowry JB, "Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS):33rd Annual Report" 54 : 924-1109, 2016

10 Mowry JB, "Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS):32nd Annual Report" 53 : 962-1147, 2015

11 Kim YJ, "Analysis of Clinical Characteristics by Gender in Children and Adolescents with Intentional Poisoning at Emergency Department" 12 : 63-69, 2014

12 Kim K, "A nationwide study of patients hospitalized for poisoning in Korea based on Korea National Hospital Discharge In-Depth Injury Survey data from 2005 to 2009" 5 (5): e008823-, 2015