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Scholars Journal of Applied Medical Sciences | Volume-5 | Issue-02
Clinical Profile and outcome of poisoning cases admitted to ICU in a tertiary care hospital
Ashtaputre MD, Shah (Malviya) AP, Malviya PB
Published: Feb. 27, 2017 | 95 71
DOI: 10.36347/sjams.2017.v05i02.046
Pages: 536-540
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Abstract
Study of the nature and magnitude of poisoning cases, early diagnosis and prompt treatment is essential for introducing the new and evaluating the old preventive measures. Clinical profile of poisoning cases admitted to a hospital present with varied complications and their treatment in ICU is a challenge. Survival mostly depends upon type and quantity of poison and delay in admission. We have tried to correlate the type of poison and the time lag between poison exposure and admission with mortality. An analysis of the risk factors associated with high mortality has been attempted. Details of age, gender, occupation, type of poison, time lag for admission, and outcome were collected from records of poisoning cases admitted to ICU over a period of one year from hospital records section, patients’ case notes, treatment charts and discharge summaries. About 38.57% cases of poisoning required ICU admission .Most cases were between 21-40 years. Farmers and housewives were more prone to poisoning; Organophosphorus being most common. Most cases were brought to hospital within six hours of exposure .In our study the survival rate was 67.9%. A definite correlation was observed between time lag before receiving medical care and mortality. Pesticides and medicines were the most common poison noted. Young age, and farmers can be identified as risk factors for poisoning. Positive corelation between types of poison, age, time lag in receiving medical care and mortality was found. Poisoning is a preventable event and developing effective poisoning prevention strateg