Risk Factors of Mathai and Bhanu for Mortality Associated with Acute Aluminum Phosphide Poisoning

Description

Mathai and Bhanu identified a number of risk factors associated with mortality in patients with aluminum (aluminium) phosphide poisoning. These can help to identify a patient who may benefit from more aggressive management. The authors are from the Christian Medical College in Ludhiana, Punjab, India.

Patient selection: acute aluminum phosphide poisoning

Parameters:

(1) serum creatinine

(2) arterial blood pH

(3) serum bicarbonate

(4) need for mechanical ventilation

(5) need for vasoactive drugs

(6) APACHE II score

Parameter	Finding	Points
serum creatinine	<= 1 mg/dL	0
	> 1 mg/dL	1
arterial blood pH	>= 7.2	0
	< 7.2	1
serum bicarbonate	>= 15 mmol/L	0
	< 15 mmol/L	1
mechanical ventilation	not needed	0
	needed	1
vasoactive drugs	not needed	0
	needed	1
APACHE II score	< 8	0
	>= 8	1

where:

• The abstract said that a low APACHE II score on admission was associated with mortality but Table 3 and Figure 3 indicate that a high APACHE II score was associated with increased mortality.

total number of risk factors =

= SUM(points for all 6 parameters)

Interpretation:

• minimum number of risk factors: 0

• maximum number of risk factors: 6

• The higher the number of risk factors the greater the risk of mortality.

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Description

Specialty

ICD-10