Description

Lee et al identified several predictors associated with survival in patients with acute paraquat poisoning. These can help to identify a patient who may benefit from more aggressive management. The authors are from Soonchunhyang University in South Korea.


 

Paraquat: 1.1'-dimethyl-4,4'-bipyridium dichloride

 

Patient selection: acute paraquate poisoning, on admission to hospital

 

Organ dysfunctions associated with acute paraquat poisoning include:

(1) renal

(2) hepatic

(3) pancreatic

(4) heart

Parameter

Good Prognosis

Poor Prognosis

age

younger

older

route of exposure

percutaneous or inhalation

ingestion or injection

level of exposure

low

high

metabolic acidosis

none or minimal

moderate to severe

organ failures

none

multiple

leukocytosis

none or minimal

moderate to marked

 

where:

• Specific age cutoffs were not given. For the implementation < 30, 30 to 50 and > 50 years of age will be used.

 


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