Mortality among organophosphate poisoning patients presenting with low Glasgow coma scale score at A Tertiary Care Hospital.

  • Muhammad Ali Jinnah Postgraduate Medical Center Karachi, Pakistan.
  • Vinod Kumar Jinnah Postgraduate Medical Center Karachi, Pakistan.
  • Shafique Ahmed Jinnah Postgraduate Medical Center Karachi, Pakistan.
  • Hina Iram Jinnah Postgraduate Medical Center Karachi, Pakistan.
  • Sagheer Ahmed Jinnah Postgraduate Medical Center Karachi, Pakistan.
  • Rukhsana Abdul Sattar Jinnah Postgraduate Medical Center Karachi, Pakistan,
Keywords: Glasgow Coma Scale, Mortality, Organophosphorus Compounds, Organophosphate Poisoning

Abstract

This study is designed to assess the mortality in OPP patients with low GCS scores. Study Design: Cross Sectional study. Setting: Jinnah Postgraduate Medical Center. Period: From 1st February 2018 to 31st August 2018. Material & Methods: Included patients with low GCS, both genders and age of 18-60 years diagnosed with OPP. Their GCS was calculated and the outcome was determined in terms of mortality.
Results: Out of 70 patients, the mean age was 35.2+16.5 years with the majority (62.9%) <30 years. 62.9% of these were males. Most (57.1%) of them presented after ingestion of <15mL of OP, 60% had the poisoning for >60 minutes, and the majority (74.3%) had taken it orally. When the GCS was computed, 81.40% had that of >5, while the mean came out to be 6.64 ±1.43. The mortality rate here was 17.10%. Conclusion: GCS toll can be a helpful and practical tool in assessing the mortality among the patients of OPP. However, because of the limited literature on the subject further studies are recommended to improve its validity.

Author Biographies

Muhammad Ali, Jinnah Postgraduate Medical Center Karachi, Pakistan.

MBBS, FCPS

Assistant Professor Nephrology

Vinod Kumar, Jinnah Postgraduate Medical Center Karachi, Pakistan.

MBBS, FCPS

Senior Registrar Internal Medicine

Shafique Ahmed, Jinnah Postgraduate Medical Center Karachi, Pakistan.

MBBS

Postgraduate Trainee Nephrology

Hina Iram, Jinnah Postgraduate Medical Center Karachi, Pakistan.

MBBS

Postgraduate Trainee Nephrology

Sagheer Ahmed, Jinnah Postgraduate Medical Center Karachi, Pakistan.

MBBS

Postgraduate Trainee Medicine

Rukhsana Abdul Sattar, Jinnah Postgraduate Medical Center Karachi, Pakistan,

MBBS, FCPS

Professor and Head Medicine

Published
2020-10-10