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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

119와 1339에 접수되는 중독 상담 정보의 변화 비교: 응급의료정보센터(1339) 통합 이후의 소방구급상황센터(119)에서의 병원 전 독성 물질 노출자료 현황 분석

  • Park, Kwang Hoon (Department of Emergency Medicine, College of Medicine, Korea University) ;
  • Park, Jong Su (Department of Emergency Medicine, College of Medicine, Korea University) ;
  • Lee, Sung-Woo (Department of Emergency Medicine, College of Medicine, Korea University) ;
  • Kim, Su-Jin (Department of Emergency Medicine, College of Medicine, Korea University) ;
  • Han, Kap Su (Department of Emergency Medicine, College of Medicine, Korea University) ;
  • Lee, Eui Jung (Department of Emergency Medicine, College of Medicine, Korea University)
  • 박광훈 (고려대학교 의과대학 응급의학교실) ;
  • 박종수 (고려대학교 의과대학 응급의학교실) ;
  • 이성우 (고려대학교 의과대학 응급의학교실) ;
  • 김수진 (고려대학교 의과대학 응급의학교실) ;
  • 한갑수 (고려대학교 의과대학 응급의학교실) ;
  • 이의중 (고려대학교 의과대학 응급의학교실)
  • Received : 2017.09.05
  • Accepted : 2017.10.18
  • Published : 2017.12.31

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.

Keywords

References

  1. Kim SJ, Choa MH, Park JS, Lee SW, Hong YS. Different characteristics of toxic Substance/poison exposure data that collected from pre-hospital telephone response and emergency department. J Korean Soc Clin Toxicol 2014;6:1-7.
  2. Kim HJ, Kim YW, Kim H, Park CB, So BH, Lee KR, et al. Comparison between emergency patient poisoning cases and Tox-Info system database. J Korean Soc Clin Toxicol 2012;10:8-14.
  3. Sung AJ, Lee KW, So BH, Lee MJ, Kim H, Park KH, et al. Multicenter survey of intoxication cases in Korean emergency departments: 2nd annual report, 2009. J Korean Soc Clin Toxicol 2012;10:22-32.
  4. Kim YJ, So BH, Kim HM, Jeong WJ, Cha KM, Kim SW. Analysis of Clinical Characteristics by Gender in Children and Adolescents with Intentional Poisoning at Emergency Department. J Korean Soc Clin Toxicol 2014;12:63-9.
  5. Oh BJ, Kim W, Cho GC, Kang HD, Shon YD, Lee JH. et al. Research on poisoning data collection using toxic exposure surveillance system: retrospective preliminary survey. J Korean Soc Clin Toxicol 2006;6:32-43.
  6. Kim K, Choi JW, Park MS, Kim MS, Lee ES. 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. BMJ Open 2015;5(11):e008823. https://doi.org/10.1136/bmjopen-2015-008823
  7. Korea Centers for disease control and prevention, Center for national injury surveillance system management and cooperation. Injury surveillance report. 2012;1:38-41.
  8. Korea Centers for disease control and prevention, Center for national injury surveillance system management and cooperation. Injury surveillance report. 2012;2:32-5.
  9. Korea Centers for disease control and prevention, Center for national injury surveillance system management and cooperation. Injury surveillance report. 2012;3:27-30.
  10. Korea Centers for disease control and prevention, Center for national injury surveillance system management and cooperation. Injury surveillance report. 2012;4:26-9.
  11. Mowry JB, Spyker DA, Brooks DE, McMillan N, Schauben. JL. 2014 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 32nd Annual Report. Clin Toxicol (Phila) 2015;53:962-1147. https://doi.org/10.3109/15563650.2015.1102927
  12. Mowry JB, Spyker DA, Brooks DE, McMillan N, Schauben. JL. 2015 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 33rd Annual Report. Clin Toxicol (Phila) 2016;54:924-1109. https://doi.org/10.1080/15563650.2016.1245421

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