J Korean Soc Clin Toxicol.  2010 Dec;8(2):51-60.

2008 Database of Korean Toxic Exposures: A Preliminary Study

Affiliations
  • 1Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Korea.
  • 2Department of Emergency Medicine, College of Medicine, Konyang University, Korea. emmam@catholic.ac.kr
  • 3Department of Emergency Medicine, Wonju College of Medicine, Yonsei University, Korea.
  • 4Department of Emergency Medicine, School of Medicine, Chonnam National University, Korea.
  • 5Department of Emergency Medicine, School of Medicine, Jeju National University, Korea.
  • 6Department of Emergency Medicine, School of Medicine, Sungkyunkwan University, Korea.
  • 7Department of Emergency Medicine, School of Medicine, Pusan National University, Korea.
  • 8Department of Emergency Medicine, College of Medicine, Dankook University, Korea.
  • 9Department of Emergency Medicine, School of Medicine, Hallym University, Korea.
  • 10Department of Emergency Medicine, School of Medicine, Gyeongsang National University, Korea.
  • 11Department of Emergency Medicine, College of Medicine, Catholic University of Daegu, Korea.

Abstract

PURPOSE
The aim of this study was to investigate toxic exposures in emergency centers with using a toxic exposure surveillance system-based report form as a preliminary study.
METHODS
We retrospectively reviewed the medical records of toxic exposure patients who visited emergency centers from January to December 2008.
RESULTS
3,157 patients from 11 emergency centers were enrolled. Males were involved in 47.9% of the total cases of exposure and in 60.1% of the cases of fatal exposure. Suicidal intent was the most common (61.0%) reason and most (87.4%) fatal exposures were suicidal. Pesticides were involved in 30.7% of the cases and sedative/hypnotics/antipsychotics were involved in 20.5%. The substances most frequently involved in fatalities were pesticides, and a 48.4% fatality rate was recorded for paraquat exposure.
CONCLUSION
The toxic exposure data showed the preliminary poisoning events in emergency centers. It is recommended that toxicology professionals should develop a toxic surveillance system and serial reporting should be performed.

Keyword

Poisoning; Epidemiology; Database

MeSH Terms

Emergencies
Humans
Male
Medical Records
Paraquat
Pesticides
Retrospective Studies
Toxicology
Paraquat
Pesticides
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