Retrospective review of case records of snakebite presenting to a single tertiary care centre over a 5-year period
dc.contributor.author | MELIT, RONALD JAISON | en_US |
dc.contributor.author | ABRAHAM, SIJU V | en_US |
dc.contributor.author | RADHAKRISHNAN, SREEKALA | en_US |
dc.contributor.author | PALATTY, BABU URUMESE | en_US |
dc.contributor.author | AJAY, A | en_US |
dc.contributor.author | VIMAL, KRISHAN S | en_US |
dc.contributor.author | DAS, KRISHNA | en_US |
dc.contributor.author | KASSYAP, C.K. | en_US |
dc.date.accessioned | 2023-06-27T08:32:26Z | |
dc.date.available | 2023-06-27T08:32:26Z | |
dc.date.issued | 2021-12 | |
dc.description.abstract | BACKGROUND Snakebite is a disease of the poor, and hospitals catering to these individuals are often resource-constrained. Lack of electronic medical records in these resource-limited settings makes the capture of data even harder. METHODS Before establishing a snakebite registry in the region, we did a retrospective case record review of all snakebite victims (n=3229) over 5 years who presented to a single tertiary care centre, catering to one of the largest number of snakebite victims in the country. RESULTS Of the 451 cases, 262 (58.1%) presented to the emergency department within 2 hours of the bite. In 170 instances, the snake was brought along and the species of the snake was recorded. Russell’s viper was the most common (130; 76.5%). Blood products were used in 237 (52.5%) patients. Acute kidney injury occurred in 165 (36.6%) patients, of whom 37 (8.2%) required dialysis. The mean (SD) duration of hospital admission was 10.5 (7.4) days. There was a significant correlation between number of snakebites with rainfall and humidity. One hundred and seven cases (3.3%) of snakebite resulted in mortality. A majority of mortality records were not available (88%; 94/107), rendering us incapable of doing reliable mortality data correlations or interpretation. CONCLUSION Viperidae bites predominate in the region, with renal injury being the most common cause for morbidity. Region-specific, prospective snakebite mapping could be a cost-effective strategy that might help in vulnerability analysis of the region. A multi-centric region-specific snakebite registry encompassing not just the clinico-epidemiological characteristics of snakebite victims, but also the demographic data, the pre-hospital care and local remedial practices, geospatial distribution, anti-snake venom and blood product usage, will help in developing better healthcare strategies for snakebite victims in India. | en_US |
dc.identifier.affiliations | Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur 686005, Kerala, India | en_US |
dc.identifier.affiliations | Department of Emergency Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, India | en_US |
dc.identifier.citation | MELIT RONALD JAISON, ABRAHAM SIJU V, RADHAKRISHNAN SREEKALA, PALATTY BABU URUMESE, AJAY A, VIMAL KRISHAN S, DAS KRISHNA, KASSYAP C.K.. Retrospective review of case records of snakebite presenting to a single tertiary care centre over a 5-year period. The National Medical Journal of India. 2021 Dec; 34(6): 326-332 | en_US |
dc.identifier.issn | 0970-258X | |
dc.identifier.issn | 2583-150X | |
dc.identifier.place | India | en_US |
dc.identifier.uri | https://imsear.searo.who.int/handle/123456789/218167 | |
dc.language | en | en_US |
dc.publisher | All India Institute of Medical Sciences | en_US |
dc.relation.issuenumber | 6 | en_US |
dc.relation.volume | 34 | en_US |
dc.source.uri | https://doi.org/10.25259/NMJI_97_20 | en_US |
dc.title | Retrospective review of case records of snakebite presenting to a single tertiary care centre over a 5-year period | en_US |
dc.type | Journal Article | en_US |
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