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급성 중독으로 응급실에 내원하여 사망한 환자의 원인물질 및 시간 분포

Other Titles
 Causative Substance and Time of Mortality Presented to Emergency Department Following Acute Poisoning: 2014-2018 National Emergency Department Information System (NEDIS) 
Authors
 이현재  ;  좌민홍  ;  한은아  ;  고동률  ;  고재욱  ;  공태영  ;  조준호  ;  정성필 
Citation
 Journal of the Korean Society of Clinical Toxicology (대한임상독성학회지), Vol.19(2) : 65-71, 2021-12 
Journal Title
Journal of the Korean Society of Clinical Toxicology(대한임상독성학회지)
ISSN
 1738-1320 
Issue Date
2021-12
Keywords
Poisoning ; Drug Overdose ; Mortality
Abstract
Purpose: The purpose of this study was to investigate the cause of acute fatal poisoning and the time of death by analyzing the National Emergency Department Information System (NEDIS) of South Korea. Methods: The NEDIS data from 2014 to 2018 excluding non-medical visits were used for this study. The patients with acute poisoning were extracted using diagnostic codes. The toxic substances were classified into pharmaceuticals, pesticides, gases, artificial poisonous substances, and natural toxic substances. Patients were classified according to the time of death, place of death, and region. In each case, the most causative substances of poisoning were identified. Results: There were 380,531 patients including poisoning-related diagnoses, of which 4,148 (1.1%) died, and the WHO age-standardized mortality rate was 4.8 per 100,000. Analysis of 2,702 death patients whose primary diagnosis was acute poisoning, the most common cause of poisoning death was pesticides (62%), followed by therapeutic drugs, gas, and artificial toxic substances. Herbicides were the most common pesticides at 64.5%. The proportion of mortality by time, hyperacute (<6 h) 27.9%, acute (6-24 h) 32.6%, subacute (1-7 d) 29.7%, and delayed period (>7 d) were 9.8%. Conclusion: This study suggests that the most common cause of poisoning death was pesticides, and 60% of deaths occurred within 24 hours. The 71% of mortality from pesticides occurred within 6-24 hours, but mortality from gas was mostly within 6 hours. According to the geographic region, the primary cause of poisoning death was varied to pesticides or pharmaceuticals.
Files in This Item:
T202125903.pdf Download
DOI
10.22537/jksct.2021.19.2.65
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
Chung, Sung Phil(정성필) ORCID logo https://orcid.org/0000-0002-3074-011X
Cho, Junho(조준호) ORCID logo https://orcid.org/0000-0003-2240-3989
Choa, Min Hong(좌민홍) ORCID logo https://orcid.org/0000-0003-0338-994X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/188247
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