The Scenario of Acute Poisoning in Jashore, Bangladesh

Acherjya, Goutam Kumar; Ali, Mohammad; Alam, AR; Rahman, M M; Mowla, Syed Ghulam Mogni

doi:10.1155/2020/2109673

Cited by 4 publications

(1 citation statement)

References 18 publications

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“…Socio-demographics and toxicological data as well as results of base line clinical characteristics and laboratory investigations obtained from patients included in the present study were more or less comparable to data obtained from previous studies conducted in different toxicological centers in Egypt and worldwide [12,13,14,15,16,17]. In the current study, mortality was reported in 5.8% of all patients.…”

Section: Discussionsupporting

confidence: 87%

A Proposal for a Novel Scoring System for Triage of Acutely Poisoned Patients at Tanta University Poisoning Treating Center, Egypt

Elfatah

Ghonem²,

Wahdan³

et al. 2022

JAMMR

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Background: Poisoning is defined as exposure of an individual to a potentiality harmful substance either by inhalation, skin contact, ingestion, or injection. Aim of the Work: This study aimed to develop and validate a novel scoring system using vital signs, arterial blood gases (ABG) and consciousness level as a tool of triage for evaluation and outcome prediction of acutely poisoned patients. Methods: The current prospective cohort study was conducted on patients with acute poisoning who were admitted at Tanta University Poisoning Treating Center (TUPTC) throughout a period of start of April 2020 to the end of June 2021. For each patient, age, sex, and toxicological characteristics were obtained. Clinical examination and routine laboratory investigations were also done. Results: Significant differences were observed between survivors and non-survivors in the derivation group (444 patients) regarding systolic blood pressure, diastolic blood pressure, respiratory rate, temperature, blood pH, PaCO2, serum HCO3, and O2 saturation. Using univariate and multivariate regression analysis SBP, serum HCO3, and O2 saturation were valid to construct the prediction score at cut off ≤100 mmHg, ≤16.6 mEq/L, and ≤93% respectively. Variables were given points and the score has range from 0 (the best score) to 3 (the worst score). The discrimination power in the derivation group at cut-off point >1 was excellent (AUC: 0.925) with 91.3% sensitivity and 94.9% specificity. Additionally, the discrimination power in the validation group (140 patients) at cut-off point >1 was excellent (AUC: 0.965) with 87.5% sensitivity and 93.8% specificity. Conclusion: This proposed score could be considered a simple and excellent tool for triage to identify acutely poisoned patients who are at risk of mortality. In addition, it is validated and so it could be used in other populations.

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Section: Discussionsupporting

confidence: 87%

A Proposal for a Novel Scoring System for Triage of Acutely Poisoned Patients at Tanta University Poisoning Treating Center, Egypt

Elfatah

Ghonem²,

Wahdan³

et al. 2022

JAMMR

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Marital status and suicidal behavior in South Asia: A systematic review and meta‐analysis

Arafat,

Menon,

Khan

et al. 2023

Health Science Reports

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Background and AimsThe connection between marital status and suicidal behavior has been poorly assessed in South Asia. We aimed to see the proportion of marital status in individuals with suicidal behavior in South Asian countries.MethodsWe followed PRISMA guidelines and registered the protocol in advance (PROSPERO 2023 CRD42023399906). A systematic search was conducted in Medline, Embase, and PsycINFO. Meta‐analyses were performed to pool the proportion of married individuals with suicidal behavior (total [suicide + suicide attempts], suicide, and suicide attempt) in South Asian countries. We considered suicidal behavior consist of suicide and suicide attempts (nonfatal).ResultsOur search identified 47 studies for this review from 6 countries published from 1999 to 2022 with a sample size ranging from 27 to 89,178. The proportion of married individuals was 55.4% (95% CI: 50.1–60.5) for suicidal behavior, 52.7% (95% CI: 44.5–60.7) for suicides, and 43.1 (95% CI: 32.9–53.9) for suicide attempts. The proportion of married persons among suicide attempts varied significantly across countries (p = 0.016) which was highest (61.8%; 95% CI: 57.2–66.2) in India, followed by Bangladesh (52.5%; 95% CI: 41.8%–62.9%) and Pakistan (45.1%; 95% CI: 30.9–59.9). The pooled proportions did not differ significantly in relation to the quality of the studies (p = 0.633).ConclusionThis review identified married persons died more than others by suicide in South Asian countries while single persons attempted suicide than married. As the current study did not assess any cause‐and‐effect association, a cautious interpretation is warranted while considering married marital status as a risk factor.

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Suicide Research in Bangladesh

Uddin

2023

Suicide in Bangladesh

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The Scenario of Acute Poisoning in Jashore, Bangladesh

Cited by 4 publications

References 18 publications

A Proposal for a Novel Scoring System for Triage of Acutely Poisoned Patients at Tanta University Poisoning Treating Center, Egypt

A Proposal for a Novel Scoring System for Triage of Acutely Poisoned Patients at Tanta University Poisoning Treating Center, Egypt

Marital status and suicidal behavior in South Asia: A systematic review and meta‐analysis

Suicide Research in Bangladesh

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