OUTCOME AND PREDICTORS OF IN-HOSPITAL MORTALITY IN PATIENTS PRESENTING WITH ACUTE POISONING TO A TEACHING HOSPITAL

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Zafar Ali
Muhammad Abdur Rahman Afridi
Riaz Muhammad
Abdur Rahim
Syed Kashif Ur Rahman
Noor Ullah
Intekhab Alam

Abstract

Objective: To determine the outcome and predictors of in-hospital mortality in patients presenting with acute poisoning to a teaching hospital.

Methodology: This was a hospital based descriptive study. A total of 128 pa- tients were enrolled from June 2015 to July 2017.Patients presenting with acute poisoning, of either gender and above 12 years were included by non-proba- bility convenient sampling method. Patients were divided into the survivors and the expired group. Outcome, mortality and predictors of in-hospital mortality were studied. For data entry and analysis, SPSS version 21.0 was utilized.

Results: Out of 128 patients, there were 51 (39.8%) males and 77 (60.2%) fe- males. Mean age of the patients was 25.79 ±11.23 years. A total of 15 (11.7%) patients expired. The highest number of deaths (7/16, 43.75%) were observed in the aluminium phosphide (wheat pill) poisoning patients which was followed by organophosphorus poisoning (4/40, 10%). Majority of the expired patients presented after 06 hours (73.3%), had respiratory distress (60%), shock (46.7%) and received delayed management in the form of gastric lavage (66.7%) and other supportive care (80%). Among the 15 expired patients, 08 (53.3%) were females and 13 (86.7%) were in the age group of below 40 years.

Conclusion: The overall mortality was 11.7% and the majority of expired pa- tients were young individuals of less than 40 years of age. Late presentation, delayed management, GCS below 8/15, shock, respiratory distress and poison- ing with aluminium phosphide or organophosphorus compounds were import- ant predictors of in-hospital mortality in patients with acute poisoning.

Article Details

How to Cite
1.
Ali Z, Abdur Rahman Afridi M, Muhammad R, Rahim A, Kashif Ur Rahman S, Ullah N, Alam I. OUTCOME AND PREDICTORS OF IN-HOSPITAL MORTALITY IN PATIENTS PRESENTING WITH ACUTE POISONING TO A TEACHING HOSPITAL. J Postgrad Med Inst [Internet]. 2018 Jul. 5 [cited 2022 May 21];32(2). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/2285
Section
Original Article
Author Biography

Riaz Muhammad

Assistant Professor,

Medical "A” unit

Post graduate Medical Institute

Lady Reading Hospital Peshawar, Khyber Pukhtoonkhwa.


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