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중독관리센터의 경제적 효과에 대한 체계적 고찰

Other Titles
 Systematic review for economic benefit of poison control center 
Authors
 한은아  ;  황현아  ;  유지나  ;  고동률  ;  공태영  ;  유제성  ;  좌민홍  ;  정성필 
Citation
 Journal of the Korean Society of Clinical Toxicology (대한임상독성학회지), Vol.19(1) : 1-7, 2021-06 
Journal Title
Journal of the Korean Society of Clinical Toxicology(대한임상독성학회지)
ISSN
 1738-1320 
Issue Date
2021-06
Keywords
Poison Control Center ; Cost-Benefit Analysis ; Length of Stay ; Systematic Review
Abstract
Purpose: The purpose of this study was to conduct a systematic review to investigate the socio-economic benefits of the poison
control center (PCC) and to assess whether telephone counseling at the poison control center affects the frequency of emergency
room visits, hospitalization, and length of stay of patients with acute poisoning.
Methods: The authors conducted a medical literature search of the PubMed, EMBASE, and Cochrane Library databases. Two
reviewers evaluated the abstracts for eligibility, extracted the data, and assessed the study quality using a standardized tool. Key
results such as the cost-benefit ratio, hospital stay days, unnecessary emergency room visits or hospitalizations, and reduced hos pital charges were extracted from the studies. When meta-analysis was possible, it was performed using RevMan software
(RevMan version 5.4).
Results: Among 299 non-duplicated studies, 19 were relevant to the study questions. The cost-benefit ratios of PCC showed a
wide range from 0.76 to 36 (average 6.8) according to the level of the medical expense of each country and whether the study
included intentional poisoning. PCC reduced unnecessary visits to healthcare facilities. PCC consultation shortened the length of
hospital stay by 1.82 (95% CI, 1.07-2.57) days.
Conclusion: The systematic review and meta-analysis support the hypothesis that the PCC operation is cost-beneficial. However,
when implementing the PCC concept in Korea in the future, it is necessary to prepare an institutional framework to ensure a cost effective model.
Files in This Item:
T202125785.pdf Download
DOI
10.22537/jksct.2021.19.1.1
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
Ko, Dong Ryul(고동률) ORCID logo https://orcid.org/0000-0002-3098-2784
Kong, Tae Young(공태영) ORCID logo https://orcid.org/0000-0002-4182-7245
You, Je Sung(유제성) ORCID logo https://orcid.org/0000-0002-2074-6745
Yu, Gina(유지나)
Chung, Sung Phil(정성필) ORCID logo https://orcid.org/0000-0002-3074-011X
Choa, Min Hong(좌민홍) ORCID logo https://orcid.org/0000-0003-0338-994X
Hwang, Hyuna(황현아)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/188187
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