의도적 중독으로 응급센터에 내원한 환자에 대한 연령별 비교 분석
Comparison of Epidemiology and Outcomes of Patients with Intentional Poisoning by Age Groups: Single Center Observation Study
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초록
Purpose: This study was conducted to compare demographic and characteristic differences in self-poisoned patients by age groups using a comprehensive trauma database. Methods: This study included 1,823 patients who were admitted to the emergency room following self-poisoning. Three age groups were defined: young patients (less than 19 years), adult patients (19 to 64 years) and elderly patients (65 years and old). From January 2011 to December 2015, data were obtained from in a single emergency medical center. We investigated the materials of poisoning, ingestion time, GCS, systolic blood pressure, heart rate, and outcomes of patients. Results: A total of 1,823 self-poisoned patients visited the hospital during 5 years. Among these, 130 (7.1%) were categorized as young, 1,460 (80.1%) were adults and 233 (12.8%) were elderly. The most common drug of self-poisoning substances was antipyretics (50.0%) for those in the young group, sedative drugs (45.0%) for adults, and pesticides (41.2%) for the elderly. Mortality was 2.7% in the adult group and 14.6% in the elderly group. After adjusting for all factors related to mortality, the odds ratio (OR) of mortality was 2.63 in the elderly group (95% confidence interval [CI]: 1.44-4.81). Conclusion: There were definite differences in the characteristics of three groups. The younger patients used drugs that could be easily obtained while older patients used more lethal drugs.
Abstract
Purpose: This study was conducted to compare demographic and characteristic differences in self-poisoned patients by age groups using a comprehensive trauma database. Methods: This study included 1,823 patients who were admitted to the emergency room following self-poisoning. Three age groups were defined: young patients (less than 19 years), adult patients (19 to 64 years) and elderly patients (65 years and old). From January 2011 to December 2015, data were obtained from in a single emergency medical center. We investigated the materials of poisoning, ingestion time, GCS, systolic blood pressure, heart rate, and outcomes of patients. Results: A total of 1,823 self-poisoned patients visited the hospital during 5 years. Among these, 130 (7.1%) were categorized as young, 1,460 (80.1%) were adults and 233 (12.8%) were elderly. The most common drug of self-poisoning substances was antipyretics (50.0%) for those in the young group, sedative drugs (45.0%) for adults, and pesticides (41.2%) for the elderly. Mortality was 2.7% in the adult group and 14.6% in the elderly group. After adjusting for all factors related to mortality, the odds ratio (OR) of mortality was 2.63 in the elderly group (95% confidence interval [CI]: 1.44-4.81). Conclusion: There were definite differences in the characteristics of three groups. The younger patients used drugs that could be easily obtained while older patients used more lethal drugs.
참고문헌 (19)
- "2013 National survey on Suicide" (2013)[URL]
- Kim BR, "Characteristics of methods of suicide attempts in Korea: Korea National Suicide Survey (KNSS)", J Affective Disorders, 188, pp.218~225 (2015)
- "OECD-libirary.org"[URL]
- Kim DM, "Comparison of prescription patterns and clinical features according to clinical departments in sedative-hypnotic intoxication", J Korean Soc Clin Toxicol, 12(2), pp.54~62 (2014)
- Sorge M, "Self-poisoning in the acute care medicine 2005-2012", J Anaesthesist, 64, pp.456~462 (2015)
- Mauri MC, "Parasuicide and drug selfpoisoning:analysis of the epidemiological and clinical variables of the patients admitted to the Poisoning Treatment Centre (CAV), Niguarda General Hospital, Milan", J Clin Pract Epidemiol Ment Health, 1(1), pp.5~ (2005)
- Spiller HA, "Epidemiological trends of suicide and attempted suicide by poisoning in the US:2000-2008", J Legal Med, 12, pp.177~183 (2010)
- Kim BK, "Characteristics of elderly patients with acute poisoning", J Korean Soc Clin Toxicol, 8, pp.61~68 (2010)
- Kim YJ, "Analysis of clinical characteristics by gender in children and adolescents with intentional poisoning at emergency department", J Korean Soc Clin Toxicol, 12(2), pp.63~69 (2014)
- Yong-Sil Kweon, "Characteristics of Drug Overdose in Young Suicide Attempters", Clinical Psychopharmacology and Neuroscience, 10(3), pp.180~184 (2012), 대한정신약물학회
- Miranda Arto P, "Acute poisoning in patients over 65 years of age", An Sist Sanit Navar, 37(1), pp.99~108 (2014)
- Kim YR, "Elderly suicide attempters by self-poisoning in Korea", Int Psychogeriatrics, 23(6), pp.979~985 (2011)
- Zakharov S, "Suicide attempts by deliberate self-poisoning in children and adolescents", Psychiatry Res, 210(1), pp.302~307 (2013)
- Kaplan MS, "Use of alcohol before suicide in the United States", J Ann Epidemiol, 24, pp.588~592 (2014)
- Yi SW, "Usual alcohol consumption and suicide mortalityamong the Korean elderly in rural communities: Kangwah Cohort Study", J Epidemiol Community Health, 0, pp.1~6 (2016)
- 이운정, "급성 중독 환자의 임상 양상에 알코올 섭취가 미치는 영향", 대한응급의학회지, 20(1), pp.115~121 (2009), 대한응급의학회
- Kim H, "Effects of alcohol in intoxicated patients", J Clin Toxocol, 2(2), pp.96~100 (2004)
- Chan CH, "Changes in South Korean urbanicity and suicide rates, 1992 to 2012", BMJ open, 5, pp.e009451~ (2015)
- Sung AJ, "Multicenter survey of intoxication cases in Korean emergency departments: 2nd annual report, 2009", J Korean Soc Clinl Toxicol, 10(1), pp.22~32 (2009)