| アブストラクト | OBJECTIVES: This study aimed to describe the clinical and procedural characteristics of drug poisoning, to examine procedural differences between drug poisoning repeaters and non-repeaters, and to estimate the costs of drug poisoning. METHODS: A retrospective cohort study of a nationally representative sample of 6585 inpatients with drug poisoning was conducted, using the administrative database of the Diagnosis Procedure Combination/Per-Diem Payment System in 2008. RESULTS: Although only 3% of patients required surgery and 65% were discharged from the hospitals within 3 days, greater than 30% were admitted to tertiary emergency care (i.e., high-level emergency care) centers that provide care to severely ill and trauma patients who require intensive care. Only 30% of patients received psychiatric consultation during hospitalization. In addition, repeaters were less likely to be admitted to hospitals by ambulance (67% vs. 76%) and more likely to be discharged within 3 days (77% vs. 65%) than non-repeaters. The annual economic burden of drug poisoning in Japan was $66 million ( yen7.7 billion), with the population aged 20-39 years accounting for 50% of these costs. CONCLUSION: This study highlights the need for optimally allocating resources and improving prevention strategies. |
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| ジャーナル名 | General hospital psychiatry |
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| 投稿日 | 2012/08/21 |
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| 投稿者 | Okumura, Yasuyuki; Shimizu, Sayuri; Ishikawa, Koichi B; Matsuda, Shinya; Fushimi, Kiyohide; Ito, Hiroto |
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| 組織名 | Department of Social Psychiatry, National Institute of Mental Health, National;Center of Neurology and Psychiatry, Kodaira 187-8553, Tokyo, Japan.;yokumura@ncnp.go.jp |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/22902257/ |
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