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J Korean Soc Emerg Med > Volume 28(1); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(1): 117-123.
중독 환자에서 시행된 심폐소생술의 역학적 특징과 결과의 비교: 건강보험심사평가원 자료기반
정운혁, 제상모, 이수형, 이중호, 김철수, 박홍인, 이준영, 배진건, 정태녕, 김의중, 최성욱, 김옥준
차의과학대학교 분당차병원 응급의학과
Comparison of Epidemiological Characteristics and Outcomes for the In-hospital Cardiac Arrest between Poisoned Patients in Korea: A Population Study Based on Korean Health Insurance Review and Assessment Service
Woonhyuk Jung, Sangmo Je, Soohyung Lee, Joongho Lee, Cheolsu Kim, Hongin Bak, Junyoung Lee, Jinkun Bae, Tae Nyoung Chung, Euichung Kim, Sungwook Choi, Okjun Kim
Department of Emergency Medicine, College of Medicine, CHA University, Bundang CHA Hospital, Seongnam, Korea
Correspondence  Sangmo Je ,Tel: 031-780-5843, Fax: 031-780-3942, Email: ontheera@gmail.com ,
Received: June 30, 2016; Revised: July 4, 2016   Accepted: November 21, 2017.  Published online: February 28, 2017.
Poisoning is an important cause of death in Korea. We aimed to investigate the epidemiological characteristics and outcomes for in-hospital cardiac arrest (IHCA) in poisoned patients in Korea.
This is a population-based study, analyzing 576 IHCA patients who were poisoned and registered in the Korean Health Insurance Review and Assessment Service in 2013. The cardiopulmonary resuscitation outcomes, including survival discharge and 30-day survival rate, were analyzed. The main diagnoses were categorized in accordance with the Korean Standard Classification of Diseases version 6.
The overall survival discharge and 30-day survival rate were 31.6% and 15.3%, respectively. The most common etiologies of poisoning were pesticides (54.3%), drugs and medications (21.9%), carbon monoxide (8.9%), and unspecified substances (5.4%); the 30-day survival rate for each etiology was 16.6%, 15.2%, 9.8%, and 19.4%, respectively. A geographical analysis showed a high 30-day survival rate in Gwangju (32.0%), Daejeon (25.0%) and Ulsan (25.0%).
Pesticides poisoning is the most common cause for IHCA patients. The survival rate after IHCA by poisoning was similar in pesticides poisoning than in other toxic etiologies. Therefore, it is crucial to reduce pesticide poisoning and to establish a poisoning information inquiry system.
Key words: Heart arrest, Cardiopulmonary resuscitation, In-hospital heart arrest, Poisoning, Mortality
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