Author/Authors :
Taghaddosi Nejad ، Fakhredin نويسنده Department of Forensic Medicine, Tehran University of Medical Sciences, Tehran, Iran. , , Banagozar Mohammadi، Ali نويسنده Department of Internal Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. , , Behnoush، Behnam نويسنده Department of Forensic Medicine and Clinical Toxicology, Tehran University of Medical Sciences, Tehran, Iran , , Kazemifar، AmirMohammad نويسنده Department of Internal Medicine, Qazvin University of Medical Sciences ,Qazvin, Iran. , , Zaare Nahandi، Maryam نويسنده Internal Spesialist, Tabriz University of Medical Sciences, Tabriz, Iran. , , Dabiran ، Soheila نويسنده Department of Community Medicine, Tehran University of Medical Sciences, Tehran, Iran. , , Jamalian، Mohammad نويسنده Department of Forensic Medicine, Arak University of Medical Sciences, Arak, Iran , , Bani sheikholeslami، Ali نويسنده Internal Spesialist ,Ghaem Hospital , karaj, Iran. ,
Abstract :
ABSTRACT
Background: Aluminum phosphide as a fumigant is extensively used for wheat preservation from rodents and bugs especially in silos worldwide. There is increasing number of acute intoxication with this potentially lethal compound because of its easy availability. We have tried to locate predictors of poor prognosis in patients with aluminum phosphide intoxication in order to find patients who need more strict medical cares.
Methods: All cases of aluminum phosphide intoxication that had been referred to our hospital during April 2008 to March 2010 were studied by their medical dossiers. Pertinent data including vital signs, demographic features, clinical and lab findings, and incidence of any complication were collected and analyzed by the relevant statistical methods.
Results: Sixty seven cases of aluminum phosphide intoxication were included in the study. 44.8% of them were male. 97% of cases were suicidal. Mean amount of ingestion was 1.23+/- 0.71 tablets. Mortality rate was 41.8%. ECG abnormality and need for mechanical ventilation had negative relation with outcome.
Conclusion: Correlation between some findings and complications with outcome in aluminum phosphide intoxication can be used as guidance for risk assessment and treatment planning in the patients.
