학술논문
국내 약물 중독으로 인한 응급실 내원 환자 특성 및 관련요인 : 응급실손상환자 심층조사 자료 분석 / Patterns and Associated Factors with Emergency Department Visit due to Drug Poisoning in Korea
Document Type
Dissertation/ Thesis
Author
Source
Subject
Language
English
Abstract
서론 및 목적: 중독은 최근 전세계적으로 심각한 공중 보건에 대한 쟁점이며, 오피오이드를 포함한 향정신성 약물 사용으로 인한 중독과 사망이 증가하고 있으나 관련 환자 및 약물에 대한 관리 방안이 부족한 상황이다. 이에 본 연구는 국내 응급실에 방문하는 약물 중독 환자에 대한 특성 및 약물 사용 양상을 파악하고 응급실 방문 및 사망과 관련 있는 요인을 확인하는 것을 목적으로 한다.방법: 본 연구는 질병관리청에서 제공하고 있는 2019년 응급실손상환자심층조사 자료를 활용하였다. 연구 대상자는 중독으로 응급실에 내원한 환자이며, 원인이 의약품인 경우 향정신성 약물의 사용 여부에 따라 환자의 특성 및 약물 사용 양상을 연령 및 성별에 따라 비교하였다. 중독으로 인한 응급실 방문과 응급실 방문 후 사망과 관련 있는 요인을 파악하기 위하여 로지스틱 회귀분석 모델을 사용하였다.결과: 5,270명의 약물 중독 환자에서 3,501명이 한번이라도 향정신성 약물을 사용한 환자로 나타났다. 고령과 여성에서 ‘정신이완제’로 분류된 약물 사용이 많았다. 약물 중독으로 인한 응급실 방문의 다중 로지스틱 회귀분석 결과 여성과 자해/자살 의도, 응급실 방문 후 사망의 결과 남성, 고령과 자해/자살 및 폭력/살인 의도가 유의한 관련 요인으로 나타났다.결론: 본 연구는 응급실손상환자심층조사 자료를 활용하여 약물 중독 환자의 역학적 특징과 향정신성 약물 사용 양상을 확인하였다. 약물 중독으로 인한 응급실 방문 및 응급실 방문 후 사망과 유의하게 관련이 있는 요인으로 성별, 연령, 자살/자해 의도가 확인되었다. 이에 약물 중독에 영향을 미칠 수 있는 약물의 국내 사용 양상에 따른 지속적인 모니터링 및 관리방안 마련이 필요하다.
Introduction & Objectives: Poisoning has recently become a serious public health issue worldwide. Although poisoning and deaths due to the use of psychiatric drugs including opioids, are increasing, there are limited reports of drug poisoning in Korea. Accordingly, the purpose of this study is to identify the characteristics and drug use patterns of drug poisoning patients visiting domestic emergency departments (ED) and to identify factors associated with ED visits and deaths.Methods: This study utilized the 2019 Emergency Department-Based Injury In-Depth Surveillance (EDIIS) data provided by the Korea Disease Control and Prevention Agency (KDCA). The subjects of the study were patients who visited the ED due to poisoning. If the cause was drugs, the patient's characteristics and drug use patterns were compared according to age and sex, depending on whether psychiatric drugs were used. A logistic regression model was used to identify associated factors with ED visits due to poisoning and death after visiting the ED.Results: Among the 5,270 drug poisoning patients, 3,501 were found to have used psychiatric drugs at least once. It was confirmed that as older age and female the use of drugs classified as 'Psycholeptics' increased. As a result of a multivariable logistic regression analysis on ED visits due to drug poisoning, and death after an ED visit, female and self-harm/suicide were associated factors for ED visits, and male, older age, self-harm/suicide, and violence/murder were shown to be significantly associated factors for death.Conclusion: This study confirmed the characteristics and psychiatric drug use patterns of drug poisoning patients with EDIIS data. Sex, age, and self-harm/suicide have been identified as factors significantly associated with ED visits due to drug poisoning, and death after visiting the ED. Monitoring and management measures for the use of drugs that can affect drug poisoning considering domestic drug utilizing patterns should be requisite in these aspects.
Introduction & Objectives: Poisoning has recently become a serious public health issue worldwide. Although poisoning and deaths due to the use of psychiatric drugs including opioids, are increasing, there are limited reports of drug poisoning in Korea. Accordingly, the purpose of this study is to identify the characteristics and drug use patterns of drug poisoning patients visiting domestic emergency departments (ED) and to identify factors associated with ED visits and deaths.Methods: This study utilized the 2019 Emergency Department-Based Injury In-Depth Surveillance (EDIIS) data provided by the Korea Disease Control and Prevention Agency (KDCA). The subjects of the study were patients who visited the ED due to poisoning. If the cause was drugs, the patient's characteristics and drug use patterns were compared according to age and sex, depending on whether psychiatric drugs were used. A logistic regression model was used to identify associated factors with ED visits due to poisoning and death after visiting the ED.Results: Among the 5,270 drug poisoning patients, 3,501 were found to have used psychiatric drugs at least once. It was confirmed that as older age and female the use of drugs classified as 'Psycholeptics' increased. As a result of a multivariable logistic regression analysis on ED visits due to drug poisoning, and death after an ED visit, female and self-harm/suicide were associated factors for ED visits, and male, older age, self-harm/suicide, and violence/murder were shown to be significantly associated factors for death.Conclusion: This study confirmed the characteristics and psychiatric drug use patterns of drug poisoning patients with EDIIS data. Sex, age, and self-harm/suicide have been identified as factors significantly associated with ED visits due to drug poisoning, and death after visiting the ED. Monitoring and management measures for the use of drugs that can affect drug poisoning considering domestic drug utilizing patterns should be requisite in these aspects.