지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
오류제보하기
Purpose: Drug overdose is easily found in the emergency department (ED). Sedative-hypnotics overdose causes the aspiration pneumonia in patients with decreased mental status. The purpose of this study was to investigate the risk factors of aspiration pneumonia in patients poisoned with sedative-hypnotics.
Methods: One hundred seventy eight patients who were poisoned with sedative-hypnotics and who visited ED between 2009 and 2015 were included. This study was conducted retrospectively, with collection of data by review of medical records. We collected the data concerning the characteristics of patients and classified them into two groups based on the development of aspiration pneumonia. Logistic regression analysis was performed to investigate the factors for the development of aspiration pneumonia.
Results: Thirty five patients had an aspiration pneumonia during their hospital stay in 178 patients. The age, amount of ingestion, Glasgow Coma Scale (GCS) score at admission, a history of hypertension and diabetes mellitus, and the hypotension at admission were significantly different between two groups in univariate analysis. The age, amount of ingestion and GCS score at admission were associated with the development of aspiration pneumonia in the multivariate logistic regression analysis (OR 1.028 (95%CI, 1.002-1.056, p=0.037), 1.026 (95%CI, 1.004- 1.043, p=0.001), 0.737 (95%CI, 0.683-0.915, p=0.002)). All patients with aspiration pneumonia were discharged without a sequelae.
Conclusion: The development of aspiration pneumonia in the patients of sedative-hypnotics overdose is associated with old age, amount of drug ingestion, and GCS score at admission.
목차
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참고문헌 (20)
참고문헌 신청
https://data.oecd.org/healthstat/suiciderates.htm
Hong JP / 2011 / Korea Annual Report of Suicide :29~35
Sung AJ / 2012 / Multicenter survey of intoxication cases in Korean emergency departments: 2nd annual report, 2009 / J Korean Soc Clin Toxicol 10:22~32
James BM / 2014 / 2013 Annual Report of the American Association of Poison Control Center’s National poison data system(NPDS): 30thAnnual Report / Clin Toxicol 52:1032~1283
Kim. SG / 2010 / Clinical Comparison of Acute Poisoning Victims Between Urban and Rural Areas / J Korean Soc Clin Toxicol 8:69~78
Hong JP / 2011 / Korea Annual Report of Suicide :29~35
Sung AJ / 2012 / Multicenter survey of intoxication cases in Korean emergency departments: 2nd annual report, 2009 / J Korean Soc Clin Toxicol 10:22~32
James BM / 2014 / 2013 Annual Report of the American Association of Poison Control Center’s National poison data system(NPDS): 30thAnnual Report / Clin Toxicol 52:1032~1283
Kim. SG / 2010 / Clinical Comparison of Acute Poisoning Victims Between Urban and Rural Areas / J Korean Soc Clin Toxicol 8:69~78
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