KMID : 1013220170150020069
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Jouranl of the Korean Society of Clinical Toxicology 2017 Volume.15 No. 2 p.69 ~ p.78
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Trends in Korean Pediatric Poisoning Patients: Retrospective Analysis of National Emergency Department Information System
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Lee Kyeong-Jae
Kim Kyung-Hwan Shin Dong-Wun Park Jun-Seok Kim Hoon Jeon Woo-Chan Park Joon-Min Kim Hyun-Jong
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Abstract
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Purpose: This study reports the clinical features of infant and child, school age and adolescent patients treated for acute poisoning at nationwide emergency departments (EDs).
Method: We retrospectively analyzed clinical data of the patients under 19 years old treated for acute poisoning in nationwide EDs from 2013 to 2015. The data was collected by National Emergency Department Information System (NEDIS). All patents were divided into three groups, ¡®Infant and child group¡¯ from 0 to 5 years, ¡®school age group¡¯ from 6 to 12 years and ¡®adolescents group¡¯ from 13 to 18 years. General characteristics, Korea Standard Classification of Disease 7th (KCD-7) codes and results of care were collected.
Result: There were 14,500 pediatric poisoning cases during the study period. The distribution of patient age was bimodal with two peaks during infant and child group and adolescents group. The proportion of alert mentality at ED visit of infant and child group was 99.3% and that of adolescents group was 86.4%. The proportion of intentional intoxication was higher in adolescents group (40.7%) then 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 among the 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.
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KEYWORD
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Korea, Pediatrics, Poisoning
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