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HOME > J Korean Soc Clin Toxicol > Volume 19(1); 2021 > Article
Systematic review for economic benefit of poison control center
Eunah Han, Hyuna Hwang, Gina Yu, Dong Ryul Ko, Taeyoung Kong, Je Sung You, Minhong Choa, Sung Phil Chung
Journal of The Korean Society of Clinical Toxicology 2021;19(1):1-7
DOI: https://doi.org/10.22537/jksct.2021.19.1.1
Published online: June 30, 2021
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1Department of Emergency Medicine, Yonsei University Medical College
2Department of Emergency Medicine, Yonsei University Medical College
3Department of Emergency Medicine, Yonsei University Medical College
4Department of Emergency Medicine, Yonsei University Medical College
5Department of Emergency Medicine, Yonsei University Medical College
6Department of Emergency Medicine, Yonsei University Medical College
7Department of Emergency Medicine, Yonsei University Medical College
8Department of Emergency Medicine, Yonsei University Medical College

Purpose: The purpose of this study was to conduct a systematic review to investigate the socio-economic benefits of the poison control center (PCC) and to assess whether telephone counseling at the poison control center affects the frequency of emergency room visits, hospitalization, and length of stay of patients with acute poisoning. Methods: The authors conducted a medical literature search of the PubMed, EMBASE, and Cochrane Library databases. Two reviewers evaluated the abstracts for eligibility, extracted the data, and assessed the study quality using a standardized tool. Key results such as the cost-benefit ratio, hospital stay days, unnecessary emergency room visits or hospitalizations, and reduced hospital charges were extracted from the studies. When meta-analysis was possible, it was performed using RevMan software (RevMan version 5.4). Results: Among 299 non-duplicated studies, 19 were relevant to the study questions. The cost-benefit ratios of PCC showed a wide range from 0.76 to 36 (average 6.8) according to the level of the medical expense of each country and whether the study included intentional poisoning. PCC reduced unnecessary visits to healthcare facilities. PCC consultation shortened the length of hospital stay by 1.82 (95% CI, 1.07-2.57) days. Conclusion: The systematic review and meta-analysis support the hypothesis that the PCC operation is cost-beneficial. However, when implementing the PCC concept in Korea in the future, it is necessary to prepare an institutional framework to ensure a costeffective model.

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JKSCT : Journal of The Korean Society of Clinical Toxicology