Observational studyAnnals of Saudi medicine
Aluminum phosphide poisoning in Saudi Arabia over a nine-year period.
Observational study in Annals of Saudi medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Worldwide unintentional acute pesticide poisonings: reassessing the occupational and non-occupational burden.Frontiers in public health · 2026Pooled it
- The global distribution of acute unintentional pesticide poisoning: estimations based on a systematic review.BMC public health · 2020Pooled it
- Article
- Meta-analysis of mortality burden due to Aluminum phosphide poisoning in India: A call for strong policy and decision making.Dialogues in health · 2025Review
- Outbreak of carbofuran and bifenthrin poisoning in siblings after ingestion of contaminated food in KSA: Clinical management and public health implications.Journal of Taibah University Medical Sciences · 2025Article
- The National Early Warning Score 2 versus the New-Poisoning Mortality Score System for Predicting Clinical Outcomes After Acute Aluminum Phosphide Poisoning.Toxicology research · 2025Article
- The effect of educational programs on parents' knowledge, behavior, and practices regarding aluminum phosphide poisoning and its first-aid measures.BMC pediatrics · 2024Article
- Article
- Exploring the Landscape of Adult Acute Poisoning in Saudi Arabia: A Comprehensive Narrative Review.Cureus · 2024Review
- Biochemical and histopathological changes in livers of rats poisoned with aluminum phosphide and treated with carrot extract.Environmental analysis, health and toxicology · 2023Article
- A Retrospective Study of Epidemiological Correlations of Food, Drug and Chemical Poisoning in Al-Baha, Western Saudi Arabia.Healthcare (Basel, Switzerland) · 2023Article
- PGI score: prospective validation and correlation with SOFA, SAPS-II, and APACHE-II scores for predicting outcomes in acute aluminum phosphide poisoning.Toxicology research · 2022Article
- The Relative Risk of Toxico-Clinical Parameters with respect to Poisoning Severity and Outcomes in Patients with Acute Poisoning.Advanced biomedical research · 2022Article
- Aluminum Phosphide Poisoning Mortality Rate in Iran; a Systematic Review and Meta-Analysis.Archives of academic emergency medicine · 2021Article
- Clinical Profile and Treatment Outcome of Aluminum Phosphide Poisoning in Felege Hiwot Referral Hospital, Northwest Ethiopia: A Retrospective Study.Open access emergency medicine : OAEM · 2021Article
- Pattern of food, drug and chemical poisoning in Qassim region, Saudi Arabia from January 2017 to December 2017.Toxicology reports · 2020Article
- Article
- Prognostic significance of poison-related factors and consumption patterns in acute aluminum phosphide poisoning.Turkish journal of emergency medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAluminum phosphide (AlP) is an insecticide and rodenticide used to protect stored grains from rodents and other household pests. This substance is highly toxic to humans and has been the cause of many accidental and intentional deaths due in part to poor regulation of sales and distribution in many countries.
objectivesDescribe poisonings reported to the Ministry of Health in Saudi Arabia in terms of demographic variables and by time and geographic distribution.
designRetrospective medical record review.
settingMinistry of Health hospitals nationwide. PATIENTS AND
methodsUsing a semi-structured checklist, data was collected from patient records that contained sociodemographic variables and the outcome (died or discharged).
main outcome measuresAggregated data, summary statistics and statistical comparisons. SAMPLE SIZE: 68 patients.
resultsThirty-eight (56%) were female and the mean (SD) age of patients was 18.6 (1.86) years. Eighteen of 22 (82%) patients who died were younger than 20 years old. Mortality in patients younger than 20 years of age was greater than in adults (P=.043). Mortality was highest in patients younger than 7 years of age (P=.006). The cases were reported by the Islamic years 1427-1435, corresponding approximately to Gregorian years 2006 to 2017. Fifty-six cases (83%) were reported from Jeddah. Most cases were due to accidental exposure to phosphine gas during fumigation.
conclusionMortality due to AlP poisoning was highest in children and most commonly occurred during fumigation of households. Delays in medical attention and diagnosis may have contributed to mortality. LIMITATIONS: Retrospective data collection and relatively small sample size. Data on exact amount and route of phosphide ingestion or exposure not available. CONFLICT OF INTEREST: None.
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