A Cross-Sectional Study to Determine the Relation between Glycemic Status at Admission and the Outcome Following Organophosphorus Poisoning Cases in Rural Teaching Hospital
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 6
Abstract
Abstract: Random blood sugar (RBS) level is one of the factors which influence the severity of the organophosphorous compound poisoning. To study the clinical profile in patients who had consumed organophosphorous poison. To determine the relation between glycemic status at admission and outcome in organophosphorus poisoning. 100 cases of OP poisoning admitted to Adichunchanagiri Hospital and Research Centre, B.G.Nagar, Mandya between June 2015-May 2017 were studied. Detailed history and clinical examination was done according to the proforma with special reference to the need for ventilator support, admission RBS and pseudocholinesterase levels.100 cases of OP poisoning admitted to SAH&RC were considered. The most common age group was 18-25 years. Males were common (65%). Main group were farmers (55%). Majority of patients admitted within 4 hours of exposure. The most common compound was dimethoate. Vomiting (94%), hypersalivation (90%) were the most common symptoms. Respiratory failure was the most common complication (40%). Hyperglycemia was observed in 36% of patients with 80.6% developing complications and 72% needed ventilator. Admission RBS >200mg/dl is reliable parameters to predict mortality and ventilator requirement in organophosphorus compound poisoning. A increase in blood sugar levels were associated for ventilator requirements, mortality and complications, and was found to be statistically significant according to chi square test.
Authors and Affiliations
Ravi B. N, Man Mohan U. S
Keywords
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