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J Korean Soc Emerg Med > Volume 17(1); 2006 > Article
Journal of The Korean Society of Emergency Medicine 2006;17(1): 79-85.
Risk Factors for Developing Pneumonia in Acute Drug-intoxicated Patients
Yong Jin Park, Sun Pyo Kim, Soo Hyung Cho, Nam Soo Cho, Chul Gab Lee
1Department of Emergency Medicine, College of Medicine, Chosun University, Gwangju, Korea. chosooh@hanmail.net
2Department of Occupational and Environmental Medicine, College of Medicine, Chosun University, Gwangju, Korea.
Acute drug-intoxicated patients visiting the emergency room often develop pneumonia after emergency treatment. The purpose of this article is to investigate the risk factors associated with the development of pneumonia and to aid in the treatment of such patients.
108 patients who visited the Chosun University Hospital emergency room from May 2002 through August 2004 for the treatment of acute drug intoxication were investigated retrospectively.
In this study, 52(48.1%) of 108 patients developed pneumonia. The development of pneumonia was significantly higher in patients who were intoxicated with insecticide, were not alert, were hypotensive and apneic, vomiting, required artificial ventilation through intubation due to increased secretions patients.
In acute drug-intoxicated patients, changes in consciousness, the amount of secretion and performed of endotracheal intubation are risk factors associated with an increased possibility of developing pneumonia. Careful inspection and observation are needed for acute drug-intoxicated patients with these risk factors.
Key words: Pneumonia, Drug intoxication, Risk factors
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