predictors of poor prognosis in aluminum phosphide intoxication

نویسندگان

فخرالدین تقدسی نژاد

fakhredin taghaddosi nejad department of forensic medicine, tehran university of medical sciences, tehran, iran. علی بناگذار

ali banagozar mohammadi department of internal medicine, tabriz university of medical sciences, tabriz, iran. بهنام بهنوش

behnam behnoush department of forensic medicine, tehran university of medical sciences, tehran, iran. امیر محمد کاظمی فر

amirmohammad kazemifar department of internal medicine, qazvin university of medical sciences ,qazvin, iran. مریم زارعی نهندی

چکیده

abstract background: aluminum phosphide as a fumigant is extensively used for wheat preservation from rodents and bugs especially in silos worldwide. there is increasing number of acute intoxication with this potentially lethal compound because of its easy availability. we have tried to locate predictors of poor prognosis in patients with aluminum phosphide intoxication in order to find patients who need more strict medical cares. methods: all cases of aluminum phosphide intoxication that had been referred to our hospital during april 2008 to march 2010 were studied by their medical dossiers. pertinent data including vital signs, demographic features, clinical and lab findings, and incidence of any complication were collected and analyzed by the relevant statistical methods. results: sixty seven cases of aluminum phosphide intoxication were included in the study. 44.8% of them were male. 97% of cases were suicidal. mean amount of ingestion was 1.23+/- 0.71 tablets. mortality rate was 41.8%. ecg abnormality and need for mechanical ventilation had negative relation with outcome. conclusion: correlation between some findings and complications with outcome in aluminum phosphide intoxication can be used as guidance for risk assessment and treatment planning in the patients.

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Predictors of Poor Prognosis in Aluminum Phosphide Intoxication

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عنوان ژورنال:
iranian journal of toxicology

جلد ۶، شماره ۱۶، صفحات ۶۱۰-۶۱۴

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