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J Korean Soc Emerg Med > Volume 28(2); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(2): 176-189.
자발적인 전자의무기록 약물보고시스템을 이용한 성인 응급의료센터의 약물유해반응의 임상적 특성
이한성1, 이정훈1, 서준석1, 도한호1, 김재승1, 이준규2
1동국대학교 일산병원 응급의학과
2동국대학교 일산병원 내과
Adverse Drug Reactions in Adult Patients Visiting an Emergency Department: Based on Spontaneous Reporting System
Han Seong Lee1, Jeong Hun Lee1, Jun Seok Seo1, Han Ho Doh1, Jae Seong Kim1, Jun Kyu Lee2
1Department of Emergency Medicine, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea
2Department of Internal Medicine, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea
Correspondence  Jeong Hun Lee ,Tel: 031-961-7761, Fax: 031-961-7775, Email: smcer007@daum.net,
Received: November 3, 2016; Revised: November 7, 2016   Accepted: March 8, 2017.  Published online: April 30, 2017.
Adverse drug reaction (ADR) is known to be a substantial reason for emergency departments (ED) visits. Additionally, it also is a frequent occurrence in ED. The aim of the study was to compare the characteristics between ADRs that occurred in ED and ADRs that occur elsewhere based on the spontaneous reporting system in a hospital.
In this retrospective observational study, the data was collected by the spontaneous ADR reporting system within an electronic medical record system during a 24-month period. ADR of patients aged more than 18 years were included in this study.
Patients with ADR was older in ED (42.6±14.5 vs. 53.9±17.2, p<0.001) and they were administered with less medications (2.0±1.3 vs. 4.4±4.4, p<0.001). The proportion of ADR reported by doctors in ED was higher than that in non-ED (41.2% vs. 28.2%, p<0.001). The proportion of the severe ADR was not significantly different between the ED and non-ED groups (2.9% vs. 3.8%, p=0.701). The most common symptom of ADRs in ED and non-ED groups were cutaneous (52.9%) and gastrointestinal (42.2%), respectively; the most common implicated medication was analgesics (62.7%) and analgesics (41.5%), respectively.
The characteristics of ADR in ED is different from that in non-ED locations. Further studies are needed to differentiate education and prevention strategies of ADR in ED from those in non-ED locations.
Key words: Drug-related side effects and adverse reactions, Emergency service, Hospital, Adverse drug reaction reporting systems
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