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KMID : 1013220070050010001
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Jouranl of the Korean Society of Clinical Toxicology
2007 Volume.5 No. 1 p.1 ~ p.7
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Characteristics and Prognostic Factors of Carbamate Poisoning in Korea
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Kwon Woon-Yong
Eo Eun-Kyung
Oh Bum-Jin
Lee Mi-Jin
Lee Sung-Woo
Suh Gil-Joon
Park Joon-Seok
Seo Joo-Hyun
Roh Hyung-Keun
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Abstract
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Purpose: The aim of this study was to evaluate the characteristics and the prognostic factors of carbamate poisoned patients who visited emergency departments.
Methods: From August 2005 to July 2006, we investigated the demographic feature, dose of exposure, time of exposure, alcohol intake, route of exposure, reason of exposure, site of exposure, pre-existing medical condition, time from exposure to emergency department (ED), transfer from other hospitals, vital sign at ED arrival, symptom or sign at ED arrival, and result of care of the patients who visited the ED of thirty-eight hospitals in Korea. According to the result of care, we divided the patients into two groups, the survival and the dead. To evaluated the prognostic factors, we calculated the odds ratio of each factor for the survival.
Results: Among the sixty-eight patients, fifty-five patients (80.9%) were survival and thirteen patients (19.1%) were dead. The patients in the dead were older than the patients in the survival. The Glasgow coma scale (GCS) of the patients in the dead was lower than the GCS in the survival. The odds ratio of the GCS at ED arrival for the survival was 1.58 (95% CI; 1.23-2.05). Other factors showed no statistical significances.
Conclusion: The GCS at emergency department arrival was the prognosis factor of the carbamate poisoned patients who visited emergency departments. If the carbamate poisoned patients showed altered mentalities, they should be provided intensive care, immediately.
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KEYWORD
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Carbamate, Poisonings, Prognosis
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