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HOME > J Korean Soc Clin Toxicol > Volume 9(1); 2011 > Article
Availability of Toxicologic Screening Tests in the Emergency Department
In-Kyung Um, Jong-Su Park, Kap-Su Han, Han-Jin Cho, Sung-Hyuck Choi, Sung-Woo Lee, Yun-Sik Hong
Journal of The Korean Society of Clinical Toxicology 2011;9(1):26-29
DOI: https://doi.org/
Published online: June 30, 2011
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1Department of Emergency Medicine, Korea University College of Medicine
2Department of Emergency Medicine, Korea University College of Medicine
3Department of Emergency Medicine, Korea University College of Medicine
4Department of Emergency Medicine, Korea University College of Medicine
5Department of Emergency Medicine, Korea University College of Medicine
6Department of Emergency Medicine, Korea University College of Medicine
7Department of Emergency Medicine, Korea University College of Medicine

Purpose: The role of a point of care test (POCT) is currently becoming important when treating patients and making decisions in the emergency department. It also plays a role for managing patients presenting with drug intoxication. But the availability of the test has not yet been studied in Korea. Therefore, we investigated the utility and the availability of POCT for drug screening used in the emergency department. Methods: This was a retrospective study for those patients with drug intoxication between January 2007 and December 2010 in an urban emergency department. Results: Between the study period, 543 patients were examined with a Triage$^{(R)}$-TOX Drug Screen. Among those, 248 (45.7%) patients showed negative results and 295 (54.3%) patients showed positive results. The sensitivity of the test for benzodiazepine, acetaminophen and tricyclic antidepressants were 85.9%, 100%, 79.2%, respectively. Conclusion: POCT of drug screening in emergency department showed good accuracy especially in patient with benzodiazepine, acetaminophen and tricyclic antidepressant intoxication. Therefore, it can be useful diagnostic tool for the management of intoxicated patients.


JKSCT : Journal of The Korean Society of Clinical Toxicology