Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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Trends in Korean Pediatric Poisoning Patients: Retrospective Analysis of National Emergency Department Information System

한국 소아청소년 중독 환자의 경향: 국가응급진료정보망을 이용한 후향적 연구

  • Lee, Kyeongjae (partment of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Kim, Kyung Hwan (partment of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Shin, Dong Wun (partment of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Park, Junseok (partment of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Kim, Hoon (partment of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Jeon, Woochan (partment of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Park, Joon Min (partment of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Kim, Hyunjong (partment of Emergency Medicine, Inje University Ilsan Paik Hospital)
  • 이경재 (인제대학교 일산백병원 응급의학과) ;
  • 김경환 (인제대학교 일산백병원 응급의학과) ;
  • 신동운 (인제대학교 일산백병원 응급의학과) ;
  • 박준석 (인제대학교 일산백병원 응급의학과) ;
  • 김훈 (인제대학교 일산백병원 응급의학과) ;
  • 전우찬 (인제대학교 일산백병원 응급의학과) ;
  • 박준민 (인제대학교 일산백병원 응급의학과) ;
  • 김현종 (인제대학교 일산백병원 응급의학과)
  • Received : 2017.06.10
  • Accepted : 2017.12.08
  • Published : 2017.12.31
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Abstract

Purpose: This study reports the clinical features of infant, child, school aged and adolescent patients treated for acute poisoning in nationwide emergency departments (EDs). Methods: We retrospectively analyzed clinical data pertaining to patients under 19 years of age who were treated for acute poisoning in nationwide EDs from 2013 to 2015. The data were collected by the National Emergency Department Information System (NEDIS). All patients were divided into three groups: 'Infant and child group' (0 to 5 years), 'school age group' (6 to 12 years) and 'adolescent group' (13 to 18 years). General characteristics, Korea Standard Classification of Disease $7^{th}$ (KCD-7) codes and results of care were collected. Results: There were 14,500 pediatric poisoning cases during the study period. The distribution of patient age was bimodal with two peaks among infant, child and adolescent group. The proportion of alert mentality at the ED visit of the infant and child group was 99.3%, while that of the adolescent group was 86.4%. The proportion of intentional intoxication was higher in the adolescent group (40.7%) than other age groups. Among children less than 13 years of age, various poisonous substances and therapeutic drugs were common. Conclusion: There were some clinical differences in acute poisoning patients between age groups. It is necessary to establish a preventive plan considering characteristics by age. Since the KCD-7 code has limitations in analyzing the characteristics of poisoning patients, it is necessary to consider the registration system of poisoning patients.

Keywords

References

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