Poisoning Severity Score And Its Correlation With APACHE II And Glasgow Coma Scale In Predicting Outcome In Patients Presented With Poisoning In Emergency Department

Simple item page
dc.contributor.authorPatel, Sen_US
dc.contributor.authorGajjar, Men_US
dc.contributor.authorJarvani, B.en_US
dc.date.accessioned2023-07-14T08:16:05Z
dc.date.available2023-07-14T08:16:05Z
dc.date.issued2021-11
dc.description.abstractBackground:Standardized scales for scoring severity of poisoning is need of time in Emergency department(ED)to identify high risk patients for intensive monitoring and treatment before disposal and for compatibility of data. So in this study we try to evaluate utility of Glasgow coma scale (GCS), poisoning severity score (PSS) and Acute physiology and chronic health evaluation II (APACHE II) in estimating clinical severity and prognosis of poisoning patients.Material and methods: A Retrospective observational study was conducted between1stJune 2019 to 28thFebruary 2021 in the Emergency Department of tertiary care teaching hospital, Ahmedabad, India. Data was collected from computerized hospital information system and analysed in CDC software Epi Info (version 7.3.2.1).Results:Out of total 50 patients during study,majority of patients were in age group of 21-30 year (yr)with Male: Female ratio of 1:1. Out of 50 cases, 44 consumed chemical substances, 3 had corrosive and 3 had medication consumption with organophosphates (OP) being most common compound. Mean PSS in expired was significantly high in comparisonof survivors (p value= 0.0118). Present study found significant association between PSS within first 24 hours and GCS of patients pre sented with poisoning with p value 0.0117 (GCS on admission) and 0.0002 (GCS at 24 hr). A statistically significant correlation was found between PSS and APACHE II, with a p value= 0.0242 and also between GCS and APACHE II with a p value= 0.0018 (CI=95%).Conclusion:Both PSS and GCSare effective in predicting Severity and outcome of patients presented with poisoning in ED.GCSis more useful as it is easy to use, does not require any laboratory investigations and less time consuming.en_US
dc.identifier.affiliationsResident, Emergency Medicine Department, Smt. N.H.L. Municipal Medical College, Ahmedabaden_US
dc.identifier.affiliationsAssociate Professor, Emergency Medicine Department, A.M.C.M.E.T. Medical College, Ahmedabaden_US
dc.identifier.affiliationsProfessor, Emergency Medicine Department, Smt. N.H.L. Municipal Medical College, Ahmedabaden_US
dc.identifier.citationPatel S, Gajjar M, Jarvani B.. Poisoning Severity Score And Its Correlation With APACHE II And Glasgow Coma Scale In Predicting Outcome In Patients Presented With Poisoning In Emergency Department . National Journal of Integrated Research in Medicine. 2021 Nov; 12(5): 28-35en_US
dc.identifier.issn0975-9840
dc.identifier.issn2230 - 9969
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/219805
dc.languageenen_US
dc.publisherAssociation of Health Professionals and Health Educatorsen_US
dc.relation.issuenumber5en_US
dc.relation.volume12en_US
dc.source.urihttps://nicpd.ac.in/ojs-/index.php/njirm/article/view/3170en_US
dc.subjectPoisoningSeverity Scoreen_US
dc.subjectAPACHE IIen_US
dc.subjectGCSen_US
dc.titlePoisoning Severity Score And Its Correlation With APACHE II And Glasgow Coma Scale In Predicting Outcome In Patients Presented With Poisoning In Emergency Departmenten_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
NJIRM2021v12n5p28.pdf
Size:
998.32 KB
Format:
Adobe Portable Document Format
Download
Collections
National Journal of Integrated Research in Medicine