An epidemiological study of patients with methanol poisoning and the factors affecting the prognosis of patients in imam khomeini hospital Kermanshah 2010-2015

Message:
Article Type:
Research/Original Article (دارای رتبه معتبر)
Abstract:
Aims
Every year, many people come to emergency care due to methanol poisoning and receive healthcare services. Therefore, the aim of this study was to investigate the effective factors in the prognosis of patients with acute methanol poisoning admitted to Imam Khomeini Hospital in Kermanshah during 2010-1015.
Instruments &
Methods
This is a retrospective descriptive-analytic study. Sampling was done by census method. The study population included patients with acute methanol poisoning referring to Imam Khomeini Hospital in Kermanshah from 2010 to 2015. The required information including age, gender, date of referral, times interval until patient referral, clinical signs and symptoms of ECG symptoms, type of treatment and eventual poisoning from medical records and phone call with patients referring to Imam Khomeini Hospital were collected by filling in the relevant checklist. The data were analyzed by SPSS 22. Mann-Whitney test, Chi-square test or Fisher exact test, and multivariate logistic regression were used.
Findings
188 (96.5%) of the patients were male and 7 (3.5%) were female. The mortality rate of the patients was 12.5%. There was a significant relationship among mortality rate and age, clinical symptoms (including coma, blurred vision, pupil size, nausea, and vomiting), laboratory symptoms (including urea, creatinine, glucose, AST, ALT, CPK, LDH, pH, and bicarbonate), non-cardiac rhythms, prescription of ethanol, folic acid, corticosteroid and bicarbonate, and conducting, the frequency, and duration of dialysis (p<0.05).
Conclusion
Consciousness level, creatinine level, and pH of methanol-poisoned patients when admitted to the emergency department can predict the outcome of treatment and the mortality situation.
Language:
Persian
Published:
Forensic Medicine, Volume:24 Issue: 3, 2018
Pages:
175 to 184
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