ArticleJournal of clinical and diagnostic research : JCDR2015
Acute Poisonings Admitted to a Tertiary Level Intensive Care Unit in Northern India: Patient Profile and Outcomes.
Article in Journal of clinical and diagnostic research : JCDR, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Importance of pesticides for lethal poisoning in India during 1999 to 2018: a systematic review.BMC public health · 2021Pooled it
- Toxicoepidemiology of poisoning exhibited in Indian population from 2010 to 2020: a systematic review and meta-analysis.BMJ open · 2021Pooled it
- Predictive models assessing the impact of intensive care unit admission on the outcomes of acutely poisoned patients.Toxicology research · 2025Article
- Study of the Clinical Profiling and Assessment of Poisoning Cases in a Tertiary Care Hospital.Cureus · 2024Article
- Validity of different scoring systems in prediction of intensive care unit admission and mortality in acute organophosphate poisoning.Toxicology research · 2024Article
- Review
- Toxicoepidemiology of Acute Poisoning: A Classic Tale of Two Indias.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024Article
- Determinants of Poison-related Mortality in Tertiary Care Hospital, South India.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024Article
- Article
- Study of pattern and outcome of acute poisoning cases at tertiary care hospital in North India.Journal of family medicine and primary care · 2023Article
- Prevalence of unfavorable outcome in acute poisoning and associated factors at the University of Gondar comprehensive specialized hospital, Gondar, Northwest Ethiopia: a hospital-based cross-sectional study.Frontiers in public health · 2023Article
- Acute pesticide poisoning in the central part of Iran: A 4-year cross-sectional study.SAGE open medicine · 2023Article
- Comparative Study of Demographic and Toxico-Clinical Factors of Patients with Acute Poisoning Admitted to General Intensive Care Unit versus Specific Intensive Care Unit for Poisoning Cases.Advanced biomedical research · 2023Article
- Outcome of Poisoning and Associated Factors Among Patients Admitted at Referral Hospitals in Northwest Ethiopia, 2022: A Multicenter Retrospective Study.Open access emergency medicine : OAEM · 2023Article
- Organophosphorus Poisoning among Acute Poisoning Cases Presenting to the Emergency Department of a Secondary Care Centre: A Descriptive Cross-sectional Study.JNMA; journal of the Nepal Medical Association · 2022Article
- Comparison between various scoring systems in predicting the need for intensive care unit admission of acute pesticide-poisoned patients.Environmental science and pollution research international · 2022Article
- Paradigm shift in pattern and prevalence of poisoning during COVID-19 pandemic.Journal of family medicine and primary care · 2022Article
- Study of organophosphorus compound poisoning in a tertiary care hospital and the role of Peradeniya Organophosphorus Poisoning scale as a prognostic marker of the outcome.Journal of family medicine and primary care · 2021Article
- Impact of Lockdown due to COVID-19 on the Modalities of Intoxicated Patients Presenting to the Emergency Room.Prehospital and disaster medicine · 2021Article
- Acute poisonings presenting to King Edward VIII hospital intensive care unit in Durban, South Africa.The Southern African journal of critical care : the official journal of the Critical Care Society · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPoisoning is becoming a real health care burden for developing countries like India. An improved knowledge of the patterns of poisonings, as well as the clinical course and outcomes of these cases can help to formulate better preventive and management strategies.
aimTo study the demographic and clinical profiles of patients admitted to the ICU with acute poisoning and to study the factors that predict their mortality. MATERIALS AND
methodsRetrospective two years (September 1, 2010 to August 31, 2012) study of all consecutive patients admitted to the Intensive Care Unit (ICU) with acute poisoning at a tertiary care hospital in Northern India.
resultsOut of the 67 patients admitted to the ICU during the study period, the majority were young (median age 29 years) males (69%) who had consumed poison intentionally. Pesticides were the most commonly employed poison, notably organophosphorus compounds (22 patients, 32.8%) and aluminium phosphide (14 patients, 20.9%). While the overall mortality from all poisonings was low (18%), aluminium phosphide was highly toxic, with a mortality rate of 35%. The factors at ICU admission that were found to be associated with a significant risk of death were, high APACHE II and SOFA scores (p =0.0001 and p=0.006, respectively), as well as the need for mechanical ventilation and drugs for vasoactive support (p=0.012 and p= 0.0001, respectively).
conclusionUse of pesticides for intentional poisoning continues to be rampant in Northern India, with many patients presenting in a critical condition to tertiary level hospitals. Pesticide regulations laws, educational awareness, counseling and poison information centers will help to curtail this public health problem.
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