Study of Glasgow Coma Scale Score and QTc Interval in Prognosis of Organophosphate Compound Poisoning

Q4 Medicine

Journal, Indian Academy of Clinical Medicine Pub Date : 2012-01-01 DOI:10.4137/IJCM.S9807

A. Deshpande, N. Gaikwad, S. Deshpande

引用次数: 5

Abstract

We assessed the applicability of the Glasgow Coma Scale (GCS) and the QT interval (QTc) to predicting outcomes in patients with organophosphate (OP) poisoning. In the hospital setting, QTc and GCS were monitored in each patient at admission. Patients with respiratory failure were compared to patients without these complications, and mortality was compared between groups. We found that the group with complications had a significantly longer QTc and a lower GCS score, a higher number of intubations, and worse outcomes (P < 0.05). GCS score and QTc have been shown to be equally good in predicting respiratory failure and hospital mortality in patients with OP poisoning. These results suggest that during initial out-of-hospital care of patients with OP poisoning, it is essential to monitor the QTc and the GCS score. The simplicity and promptness of these methods will allow providers to perform early and effective triage.

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格拉斯哥昏迷评分及QTc间隔对有机磷化合物中毒预后的影响

我们评估了格拉斯哥昏迷量表(GCS)和QT间期(QTc)在预测有机磷(OP)中毒患者预后方面的适用性。在医院环境中，在每位患者入院时监测QTc和GCS。将呼吸衰竭患者与无这些并发症的患者进行比较，并比较两组之间的死亡率。我们发现并发症组QTc明显延长，GCS评分明显降低，插管次数明显增多，预后较差(P < 0.05)。GCS评分和QTc在预测OP中毒患者的呼吸衰竭和住院死亡率方面同样有效。这些结果提示，在OP中毒患者最初的院外护理中，监测QTc和GCS评分是必要的。这些方法的简单性和及时性将允许提供者执行早期和有效的分类。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal, Indian Academy of Clinical Medicine Medicine-Medicine (all)

CiteScore

0.10

自引率

0.00%

发文量

期刊介绍： Indian Association of Clinical Medicine is an academic body constituted in the year 1992 by a group of clinicians with the main aim of reaffirming the importance of clinical medicine in this era of high-tech diagnostic modalities. There is no doubt that modern investigational methods have contributed a lot to the present day medical practice but that does not render clinical acumen and examination less important. The art and science of clinical medicine helps up to make proper and judicious use of investigations and not these be the sole basis of our practice. That is the basic idea behind this ''Association''. We presently have members and fellows of the association from all over the country. In August, 2002 the body was registered as "Indian Association of Clinical Medicine" by the Registrar of Societies, Delhi.