TO ASSESS THE SEVERITY OF ORGANOPHOSPHORUS COMPOUND POISONING CLINICALLY BY USING PERADENIYA SCORE.

Dr. T.Shabari Girish; Dr.Kalyan; Dr. Y.J.Visweswara Reddy

Volume : VI, Issue : IV, April - 2016

TO ASSESS THE SEVERITY OF ORGANOPHOSPHORUS COMPOUND POISONING CLINICALLY BY USING PERADENIYA SCORE.

Dr. T. Shabari Girish, Dr. Kalyan, Dr. Y. J. Visweswara Reddy

Abstract :

Introduction: Respiratory failure is the commonest fatal complication of OP compound poisoning.Our aim was to assess the severity of organophosphorus compound poisoning clinically by using Peradeniya score(POP) to plan management & assess outcome. Methods: This was an prospective observational study conducted on 118 patients at PESIMR hospital, a teritary care center at Kuppam,Andhra Pradesh. Results: Based on POP score,the need for ventilator support was noted in 26.9% of patients, 30% of patients with moderate poisoning and 46.1% of patients with severe poisoning. Mean dose of atropine required was high in patients with severe grade (631.78mg) when compared to patients with mild & moderate grade 440.18mg & 580.17mg respectively. Overall mortality was 11% and it was (30.8%) in severe grade(p value<0.05). Conclusion: Patients in severe grade(22.1%) of POP scale needed ventilatory support(46.1%) & the mortality(30.8%) and amount of atropine(631.8mg) was higher when compared to the patients with mild to moderate grade. POP score is useful in care plan & assessment of prognosis in OP poisoning patients.