Báo cáo y học: "Lethality of suicidal organophosphorus poisoning in an Indian population: exploring preventability"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Lethality of suicidal organophosphorus poisoning in an Indian population: exploring preventability. | Annals of General Psychiatry BioMed Central Primary research Lethality of suicidal organophosphorus poisoning in an Indian population exploring preventability Nilamadhab Kar Open Access Address Wolverhampton City Primary Care Trust Corner House Resource Centre 300 Dunstall Road Wolverhampton WV6 0NZ UK Email Nilamadhab Kar - nmadhab@ Corresponding author Published 21 November 2006 Received 05 July 2006 . --7 . IA in 1-7 nrnv r 1-7 Accepted 21 November 2006 Annals of General Psychiatry 2006 5 17 doi 1744-859X-5-17 This article is available from http content 5 1 17 2006 Kar licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Suicide by organophosphorus poisoning is common in India. Study of factors associated with lethality may suggest methods for prevention. Methods Severity of symptoms biochemical manifestation of poisoning degree of lethality and the outcome were studied with an aim to explore the modifiable factors associated with lethality and to discuss preventability. Clinical variables were collected symptoms were rated by the physicians using global impression of severity and the lethality was assessed by scale for assessment of lethality of suicide attempt SALSA in 100 consecutive patients with suicidal organophosphorus poisoning attending a medical college hospital in South India. Results Fatal outcome n 26 was significantly associated with higher mean age lower mean pseudocholinesterase level longer duration between organophosphorus compound ingestion and specific intervention. All those who died had respiratory failure. Physicians assessment of symptom severity and lethality as assessed by the SALSA could differentiate those succumbed and survived

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