Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
권호 표지
DOI QR코드

DOI QR Code

Research of Acute Poisoning on a Local Emergency Medical Facility in an Urban-Rural Area

일개 도농복합지역 지역응급의료기관 환자의 급성 중독 실태

  • Choi, Hyo-Sun (Department of Emergency Medicine, College of Medicine, Dongguk University) ;
  • Choi, Dai-Hai (Department of Emergency Medicine, College of Medicine, Dongguk University) ;
  • Lee, Kwan (Department of Preventiv Medicine, College of Medicine, Dongguk University)
  • 최효선 (동국대학교 의과대학 응급의학교실) ;
  • 최대해 (동국대학교 의과대학 응급의학교실) ;
  • 이관 (동국대학교 의과대학 예방의학교실)
  • Published : 2008.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The aim of this study was to investigate the characteristics of acute poisoning cases admitted to a local emergency department in an urban-rural area. Methods: This retrospective study included all patients with acute poisoning who admitted the emergency department between June 2004 and May 2005. We analyzed the medical records for etiological and demographical characteristics of the acutely poisoned patients. Results: There were 155(1.0%) poisoning cases among 15,457 admitted to the emergency department. Of the admitted cases, 51.0% were female and 49.0% male. The poisoning made a peak in the age range of 30-39 and over 60. The seasonal distribution in poisoning patients suggested a peak in spring(38.1%) and summer(24.5%). The majority of exposures(95.5%) occurred in patient's home, 81.8% were deliberate. The most common agents of acute poisoning in deliberate causes were drugs(p<0.01). All of deliberate cases were suicidal attempts. The most common poisoning cases were pesticides in male, but in female were medications(p<0.01). Overall mortality rate of total cases were 12.9%. The overall mortality rate was higher in male(p<0.05), increasing age(p<0.05) and intentional ingestion(p<0.05), pesticides poisoning(p<0.05). Conclusions: The study forms a foundation for future work on poisoning epidemiology which hopefully will facilitate the allocation of preventive services in order to reduce the incidence as well as morbidity and mortality of toxic exposures.

Keywords

References

  1. Shadnia S, Esmaily H, Sasanian G, Pajoumand A, Hassanian-Moghaddam H, Abdollahi M. Pattern of acute poisoning in Tehran-Iran in 2003. Hum Exp Toxicol 2007;26(9):753-756 https://doi.org/10.1177/0960327107083017
  2. Hovda KE, Bjornaas MA, Skog K, Opdahl A, Drottning P, Ekeberg O, Jacobsen D. Acute poisonings treated in hospitals in Oslo: a one-year prospective study (I): pattern of poisoning. Clin Toxicol (Phila) 2008;46(1):35-41 https://doi.org/10.1080/15563650601185969
  3. Akbaba M, Nazlican E, Demirhindi H, Sutoluk Z, Gokel Y. Etiological and demographical characteristics of acute adult poisoning in Adana, Turkey. Hum Exp Toxicol 2007;26(5):401-406 https://doi.org/10.1177/0960327107076818
  4. Goksu S, Yildirim C, Kocoglu H, Tutak A, Oner U. Characteristics of acute adult poisoning in Gaziantep, Turkey. J Toxicol Clin Toxicol 2002;40(7):833-837 https://doi.org/10.1081/CLT-120016953
  5. Korean Centers for Disease Control and Prevention. Injury surveillance report. 2008 Available from: URL: http://www.cdc.go.kr/
  6. 김기운, 윤상규, 정윤석. 임상독성학. 군자출판사, 2006, 3-8쪽
  7. Kang BS. Toxicants reported in research on fatal toxic exposure in Korea. J Korean Soc Emerg Med 2007;18(1):32-40(Korean)
  8. Uges D.R.A. What is the definition of a poisoning? J Clin Forensic Med 2001;8(1):30-33 https://doi.org/10.1054/jcfm.2000.0465
  9. Van der Hoek W, Konradsen F. Analysis of 8000 hospital admissions for acute poisoning in a rural area of Sri Lanka. Clin Toxicol (Phila) 2006;44(3):225-231 https://doi.org/10.1080/15563650600584246
  10. Kristinsson J, Palsson R, Gudjonsdottir GA, Blondal M, Gudmundsson S, Snook CP. Acute poisonings in Iceland: a prospective nationwide study. Clin Toxicol (Phila) 2008;46(2):126-132 https://doi.org/10.1080/15563650701438268
  11. Kang JH, Lee HN, Jin YH, Lee JB. A Clinical analysis of acute drug intoxication in emergency department setting. J Korean Soc Emerg Med 1999;10(3): 431-440 (Korean)
  12. Lee JH, Han ST. Comparative analysis of acute drug intoxication between 1980s and 1990s. J Korean Soc Emerg Med 1999;10(3):441-446(Korean)
  13. Korean Centers for Disease Control and Prevention. The 3rd national hospital discharge survey. 2008 Available from: URL: http://www.cdc.go.kr/
  14. Park J, Kim S, Ji S, Lee J. Secular trends of suicide mortality in Korea. Korean J Epidemiol 2003;25(2):84-91(Korean)
  15. Lester D. Monthly variation in suicide is still strong in the USA. Br J Psychiatry 2001;179;370 https://doi.org/10.1192/bjp.179.4.370
  16. Petridou E, Papadopoulos FC, Frangakis CE, Skalkidou A, Trichopoulos D. Sunshine suicide incidence. Epidemiology 2002;13(4):492-493 https://doi.org/10.1097/00001648-200207000-00023
  17. Abdollahi M, Jalali N, Sabzevari O, Hoseini R, Ghanea T. A retrospective study of poisoning in Tehran. J Toxicol Clin Toxicol 1997;35:387-393 https://doi.org/10.3109/15563659709043371
  18. Kim SJ, Kim KS, Choi JM, Choi SW, Kim IB, Lee YS. An epidemiological study of patients with acute poisoning in urban and rural areas. J Korean Soc Emerg Med 1995;6(2):454-458(Korean)
  19. Gyeongju City Hall. The general characteristics of Gyeongju. Available from: URL:http://www.gyeongju.go.kr/
  20. Karbakhsh M, Zandi NS. Pattern of poisoning in the elderly: An experience from Tehran. Clin Toxicol (Phila) 2008;46(3):211-217 https://doi.org/10.1080/15563650701638982
  21. Oh BJ, Kim Won, Cho GC, Kang HD, Shon YD, Lee JH, Lim KS. Research on poisoning data collection using toxic exposure surveillance system: retrospective preliminary survey. J Korean Soc Clin Toxicol 2006;4(1):32-43(Korean)

Cited by

  1. Influencing Factors and Trend of Suicidal Ideation in the Elderly: Using the Korea National Health and Nutrition Examination Survey(2001, 2005, 2010) vol.31, pp.5, 2014, https://doi.org/10.14367/kjhep.2014.31.5.45