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KMID : 1013220170150020140
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Jouranl of the Korean Society of Clinical Toxicology
2017 Volume.15 No. 2 p.140 ~ p.147
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Analysis of Characteristics in Children and Adolescents with Poisoning at Emergency Department
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Kim Do-Young
Kim Ji-Hye
Paik Jin-Hui
Han Seung-Baik
Jung Hyun-Min
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Abstract
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Purpose: This study was designed to analyze the features of poisoning in age 0~18 years in order to understand characteristics and eventually to prevent poisoning.
Methods: We retrospectively analyzed poisoning children and adolescents (0~18 years) who visited emergency department of one tertiary hospital from January 2003 through December 2013. We collected data include their age and sex, reasons of poisoning, components and dose of poisoned material, result of treatment, and psychiatric diagnosis.
Results: During the study period, there were total 436 cases of poisoning, male 47.2% (n=206), female 52.8% (n=230). We classified age into four groups (0~1 years, 2~5 years, 6~12 years, 13~18years). The most common cause of poisoning in all age group was accidental poisoning (72.9%), but intentional poisoning increased as age increased (p<0.001). And intentional poisoning was more occurred to female than male (p<0.001). The most common poisoning material was drugs (41.7%). Among intentional poisoning patients, 62.7% patients had consulted to psychiatrist, and their most diagnosis was adjustment disorder (44.6%).
Conclusion: The most common cause of poisoning in age 0~18 years was accidental poisoning, while intentional poisoning was most common in adolescents group. Their guardian’s special care and caution will be needed to prevent accidental poisoning. And consultation to psychiatrist and national moderation will be needed to prevent intentional poisoning.
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KEYWORD
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Adolescent, Child, Poisoning, Psychiatry
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