Survival rate after paraquat poisoning: impact of emergency clinical and laboratory variables

Laurindo Pereira de Souza; Rafael Ayres Romanholo; Cidia  Vasconcellos

doi:10.15253/2175-6783.20212270836

Autores/as

Laurindo Pereira de Souza Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo https://orcid.org/0000-0002-9890-2621
Rafael Ayres Romanholo Instituto Federal de Rondônia https://orcid.org/0000-0002-3210-3448
Cidia Vasconcellos Universidade de São Paulo https://orcid.org/0000-0003-3055-1084

DOI:

https://doi.org/10.15253/2175-6783.20212270836

Palabras clave:

Poisoning; Paraquat; Emergencies; Survival Rate; Amazonian Ecosystem.

Resumen

Objective: to analyze the association of survival to emergency care measures, clinical symptoms and biochemical markers used for paraquat intoxicated patients. Methods: retrospective cohort, guided by the Strengthening the Reporting of Observational Studies in Epidemiology tool. The data collection and analysis protocol were based on two phases: first, with the survey of the investigation forms of exogenous poisoning from the Secretariat of Epidemiological Surveillance; second, with the analysis of information in printed medical records. Results: of the 36 (100%) patients investigated, 19 (53.0%) survived; regarding the clinical manifestations, there was statistical significance for the respiratory system (p=0.003); regarding the biochemical variables, there was statistical significance for liver enzymes. The initial emergency measures 13(56.5%) of survivors received gastric lavage with activated charcoal. Conclusion: we observed a lack of efficacy of the impacts of emergency care measures and medications in increasing patient survival.

Citas

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