Evidence map›Paper›PMID 41053567›Full record

ArticleBMC emergency medicine2025

Alcohol poisoning, in the shadow of a COVID-19 pandemic: a 5-year review of methanol/ethanol toxicity in Northern Iran.

Yahya Salehtabari, Mohsen Salehtabari, Kimia Khonakdar, Zeinab Sajjadi, Kobra Gholami, Hassan Talebi Ghadicolaei, Zoya Hadinejad

Abstract read
In one paragraph

Article in BMC emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

7 authors.

Yahya SalehtabariSchool of Medicine, Pharmaceutical Sciences Research Center, Institute of Herbal Medicines and Metabolic Disorders, Mazandaran University of Medical Sciences, Sari, Iran.
Mohsen SalehtabariHealth Network, Mazandaran University of Medical Sciences, Babolsar, Iran.
Kimia KhonakdarDepartment of Anesthesiology, School of allied medical sciences, Master of Science in Anesthesia Education, Mazandaran University of Medical Sciences, Sari, Iran.
Zeinab SajjadiDeputy of Treatment, Emergency Medical Services, Bachelor of Nursing, Mazandaran University of Medical Sciences, Sari, Iran.
Kobra GholamiDeputy of Treatment, Emergency Medical Services, Bachelor of Nursing, Mazandaran University of Medical Sciences, Sari, Iran.
Hassan Talebi GhadicolaeiDeputy of Treatment, Emergency Medical Services, Master of Nursing, Mazandaran University of Medical Sciences, Sari, Iran.
Zoya HadinejadDeputy of Treatment, Emergency Medical Services, PhD in Health in Emergencies and Disaster, Mazandaran University of Medical Sciences, Sari, Iran. zoya.hadian@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe onset of the COVID-19 pandemic coincided with the widespread dissemination of misinformation regarding the protective role of alcohol against the virus. This led to a surge in the consumption of illicit alcoholic beverages and a rise in fatal methanol poisonings. Given the high incidence of alcohol poisoning in Mazandaran Province and the lack of comprehensive epidemiological data, this study aimed to examine the trends, characteristics, and outcomes of alcohol poisoning during and after the pandemic. MATERIALS AND

methodsThis retrospective cross-sectional descriptive study included 958 patients diagnosed with alcohol poisoning who were admitted to hospitals affiliated with Mazandaran University of Medical Sciences from 2020 to 2025. Data on demographics, type of alcohol consumed, clinical symptoms, mode of hospital arrival, and outcomes were extracted from hospital and EMS information systems. Chi-square and Fisher’s exact tests were used for categorical variables, while independent t-tests were employed for continuous variables.

resultsOf the 958 patients, 82.5% were male. The incidence of alcohol poisoning significantly decreased during the post-pandemic period (p = 0.003). Most cases occurred among young adults. Methanol ingestion was associated with a markedly higher mortality rate (29.4% vs. 8.6% for ethanol) and a greater incidence of visual impairment. The dialysis rate was 10% in both groups. Logistic regression analysis identified methanol use, non-EMS transport, and lack of pre-hospital treatment as predictors of higher mortality. Interestingly, male gender was associated with better survival outcomes (p = 0.046).

conclusionThese findings highlight the urgent need for early warning systems, targeted education for high-risk groups, and broader public awareness regarding the dangers of counterfeit alcohol during biological crises.

Indexed as

COVID-19EthanolMethanolAdultCross-Sectional StudiesFemaleHumansIncidenceIranMaleMiddle AgedRetrospective StudiesYoung AdultEthanolMethanolAlcohol poisoningCOVID-19EpidemiologyEthanolMethanolPandemic

Identifiers

PMID41053567
PMCPMC12502143

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.