DOI: 10.36347/sjams.2017.v05i05.026

Pages: 1841-1844

With ever increasing number of both intentional and unintentional poisoning especially in the developing world there is a requirement for an effective and inexpensive method to assist the emergency personnel to prognosticate the patient and predict outcomes. This study intends to test a proposed scoring system based on clinical parameters called Peradeniya organophosphorus poisoning (POP) scale on Indian patients in a tertiary care set up. After applying the inclusion and exclusion criteria a total of 50 patients with various severity of OP poisoning admitted in a tertiary care setup were included in the study. The peradeniya scoring system was applied at admission and the patients were closely followed up to observe the outcome in terms of morbidity and mortality. Males constituted a majority of the study population (66%) when compared to females (34%) and a large proportion were in the younger age group (less than 30 years). On admission, most of the patients were in the mild (50%) or moderate (44%) poisoning group and only 6% in the severe group. The Severe group had a significantly higher incidence of respiratory failure (100%) and death (66%), which progressively declined in the moderate and mild group, which translated to higher duration of ICU stay. Peradeniya score for severity of poisoning was found to have a good correlation with outcome and can be used as a predictor of respiratory failure, duration of ICU stays and also mortality.