Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
권호 표지
DOI QR코드

DOI QR Code

Analysis of Characteristics in Children and Adolescents with Poisoning at Emergency Department

응급실로 내원한 소아 청소년 중독 환자의 특성 분석

  • Kim, Do Young (Department of Emergency Medicine, Inha University School of Medicine) ;
  • Kim, Ji Hye (Department of Emergency Medicine, Inha University School of Medicine) ;
  • Paik, Jin Hui (Department of Emergency Medicine, Inha University School of Medicine) ;
  • Han, Seung Baek (Department of Emergency Medicine, Inha University School of Medicine) ;
  • Jung, Hyun Min (Department of Emergency Medicine, Inha University School of Medicine)
  • 김도영 (인하대학교 의과대학 응급의학교실) ;
  • 김지혜 (인하대학교 의과대학 응급의학교실) ;
  • 백진휘 (인하대학교 의과대학 응급의학교실) ;
  • 한승백 (인하대학교 의과대학 응급의학교실) ;
  • 정현민 (인하대학교 의과대학 응급의학교실)
  • Received : 2017.06.29
  • Accepted : 2017.07.31
  • Published : 2017.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was conducted to analyze the features of poisoning in individuals aged 0-18 years to understand the characteristics of potential victims and eventually prevent poisoning. Methods: We retrospectively analyzed poisoned children and adolescents (0-18 years) who visited the emergency department of one tertiary hospital from January 2003 through December 2013. We collected data including their age, sex, reason for poisoning, components and dose of poison, results of treatment, and psychiatric diagnosis. Results: During the study period, there were 436 cases of poisoning (male 47.2% (n=206); female 52.8% (n=230)). Subjects were classified into four groups (0-1 years, 2-5 years, 6-12 years, 13-18 years). The most common cause of poisoning in all age groups was accidental poisoning (72.9%), but intentional poisoning increased as age increased (p<0.001). Moreover, females were more often subject to intentional poisoning than males (p<0.001). The most common poisoning material was drugs (41.7%). Among intentional poisoning patients, 62.7% patients had consulted a psychiatrist, and their most common diagnosis was adjustment disorder (44.6%). Conclusion: The most common cause of poisoning in individuals aged 0-18 years was accidental poisoning, while intentional poisoning was most common among adolescents. Guardians should take care to prevent accidental poisoning, while psychiatric consultation and national moderation will be needed to prevent intentional poisoning.

Keywords

References

  1. Korea Consumer Agency. Available from: http://www.kca.go.kr/brd/m_46/view.do?seq=569&itm_seq_1=3 [cited 12 September 2006].
  2. Korea Consumer Agency. Available from: https://www.kca.go.kr/brd/m_367/view.do?seq=441 [cited 17 March 2015].
  3. Korean Statistical Information Service. Available from: http://kosis.kr/upsHtml/online/downSrvcFile.do?PUBCODE=YG&FILE_NAME=/YG/1301.pdf&SEQ=424 [cited 17 April 2017].
  4. Park JH, Wi DH. Clinical analysis of the suicidal attempters visiting emergency center. J Korean Soc Emerg Med 1999;10:568-78.
  5. 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;10:431-40.
  6. American Association of Poison Control Centers. Available from: http://www.aapcc.org/
  7. Lee WJ, Choi SM, Kyong YY, Kim HM, Youn CS, Jeong SK. Clinical Analysis of Acute Poisoning in Elderly Patients. J Korean Geriatr Soc 2009:13(1):24-30. https://doi.org/10.4235/jkgs.2009.13.1.24
  8. Suh JH, Eo EK. The differences of clinical aspects in children and adolescents poisoning. J Korean Soc Clin Toxicol 2006;4:17-24.
  9. Ministry of Food and Drug Safety. Available from: http://www.mfds.go.kr/index.do?mid=1013&seq=11053&cmd=v [cited 23 August 2016].
  10. Han CS, Jeon WC, Min YG, Choi SC, Lee JS. Retrospective Analysis on the Clinical Differences of Children and Adolescents Treated for Acute Pediatric Poisoning in an Emergency Department. J Korean Soc Emerg Med 2013;24:742-9.
  11. Statistics Korea. Available from: http://kostat.go.kr/portal/korea [cited Feburary 2017].
  12. 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.
  13. Yi YJ, Pyo EY, Jeong JN, An JY. Analysis of Individual, Social, and Environmental Factors influencing Korean Adolescents'Depression and Suicidal Ideation by Gender. J Korean Soc Sch Health 2016;29:189-200 https://doi.org/10.15434/kssh.2016.29.3.189
  14. Howson MA, Yates KM, Hatcher S. Re-presentation and suicide rates in emergency department patients who selfharm. Emerg Med Australas 2008;20:322-7.
  15. Gibbons RD, Brown CH, Hur K, Marcus SM, Bhaumik DK, Mann JJ. Relationship between antidepressants and suicide attempts: an analysis of the Veterans Health Administration data sets. Am J Psychiatry 2007;164:1044-9. https://doi.org/10.1176/ajp.2007.164.7.1044
  16. Lee JH, Yang SJ, Eun SW, Jin SC, Choi WI, Jung SW. Limitation of Psychiatric Intervention for Suicidal Drug Intoxication Patients in Emergency Room. J Korean Soc Clin Toxicol 2016;14:37-46.
  17. Cho JK, Park IC, Yoon YS, Kim SH, Lee KR. Psychiatric follow-up after ED discharge in cases of intentional poisoning. J Korean Soc Emerg Med 2005;16:158-63.
  18. Lee JC, Kang HG, Kim CS, Oh JH, Lim TH, Ahn DH, et al. The factors affecting the registration rates for emergency department based post-suicidal care program. J Korean Soc Clin Toxicol 2015;13:25-32.
  19. Kim HJ, Kim HM, Kim HJ, Cho YS, Lee MG, Jun DH, et al. Association of prescribed drug intoxication and neuropsychiatric history. J Korean Soc Clin Toxicol 2011;9:77-80.

Cited by

  1. 응급실 손상환자 심층조사 자료를 이용한 2017-2018년 중독 환자의 분석 vol.18, pp.2, 2020, https://doi.org/10.22537/jksct.2020.18.2.85