Evidence map›Paper›PMID 34870232›Full record

ArticleArchives of academic emergency medicine2021

Aluminum Phosphide Poisoning Mortality Rate in Iran; a Systematic Review and Meta-Analysis.

Farhad Bagherian, Navid Kalani, Fatemeh Rahmanian, Samaneh Abiri, Naser Hatami, Mahdi Foroughian, Neema John Mehramiz, Behzad Shahi

Registry-linked trialAbstract read
In one paragraph

Article in Archives of academic emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07451561 (Role of Combination Therapy of Glucose Insulin Potassium Infusion), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT07451561 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Role of Combination Therapy of Glucose Insulin Potassium Infusion (GIK), Intravenous Hydrocortisone and Oral Sevelamer in Treatment of Acute Aluminum Phosphide Poisoned Cases Admitted to Intensive Care Unit (ICU) at Sohag University Hospitals.

TypeinterventionalSponsorSohag UniversityRan2026 to 2027Enrolled74ConditionsAcute Aluminum Phosphide Poisoned CasesArmsGastric lavage with paraffin oil, GIK solution
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Epidemiology and mortality predictors of acute poisoning in a Tunisian Emergency Department: a two-year retrospective study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
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  15. Effect of extracorporeal membrane oxygenation on mortality rate of aluminum phosphate poisoning: A systematic review and meta-analysis.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Farhad BagherianDepartment of Emergency Medicine, Babol University of Medical Sciences, Babol, Iran.
Navid KalaniResearch center for social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.
Fatemeh RahmanianDepartment of Emergency Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
Samaneh AbiriDepartment of Emergency Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
Naser HatamiStudent Research Committee, Jahrom University of Medical Sciences, Jahrom, Iran.
Mahdi ForoughianDepartment of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Neema John MehramizDepartment of Psychiatry Neurology, Banner university medical center, Tucson, AZ, USA.
Behzad ShahiDepartment of Emergency Medicine, Faculty of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAccording to statistics provided by the forensic medicine facility of Iran, there are a high number of Aluminum phosphide (ALP) poisoning-related deaths in the country; while the mortality rate varies in different studies. This study aimed to determine a pooled estimate of ALP poisoning mortality rate in Iran.

methodsThe present study was a systematic review and meta-analysis of the mortality rate of ALP poisoning in Iran. Through the quarry of Persian and English databases, using "aluminum phosphide", "phosphine", "rice pills", "poisoning", and "Iran" as keywords, and no time restrictions, studies reporting mortality rate in ALP poisoning cases were collected. The random-effects model was used to pool the proportions of mortality and age of survivors versus non-survivors.

results21 studies with 3432 cases of ALP poisoning were included in this meta-analysis. The pooled mortality rate of ALP poisoning in Iran was 39.6%, (95% CI: 31.5%-47.9%; I

conclusionAccording to this report, the Mortality rate of ALP poisoning in Iranian population is about 27%, with men having a higher fatality rate than women. Poisoning at a younger age is associated with better results.

Indexed as

Aluminum phosphideIranMortalityPoisoning; phosphine

Identifiers

PMID34870232
PMCPMC8628645

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Registered trials

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