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.
Specialty: Toxicology, Emergency Medicine, Critical Care
ICD-10: ,