POISONING SEVERITY SCORE AND IT'S ABILITY TO PREDICT OUTCOME IN CASES OF POISONING

Abstract

Background: Poisoning is a huge epidemic of noncommunicable disease in this century. Among the unnatural deaths, deaths owing to poisoning fall next only to road trafc accident deaths. Management of these critically ill patients will largely get better if the general causes of poisoning are properly dened[1] The PSS is a classication scheme for cases of poisoning in adults and children[2] . This scheme should be used for the classication of acute poisonings regardless of the type and number of agents involved. To study the clinical andAIMS AND OBJECTIVES: laboratory prole of cases of poisoning in J.A. Group of Hospitals, Gwalior To evaluate the “Poisoning Severity Score (PSS)” and its ability to predict outcome in cases of poisoning. Data for this study was obtained from indoorMATERIAL AND METHODS RESEARCH SETTING - wards of Department of Medicine, G.R.MEDICAL COLLEGE & J.A. Group of hospitals Gwalior. The study was scheduled to be completed in a time duration from January 2019 to June 2020.It is a Prospective Descriptive study consisting of total 60 cases of Acute poisoning. Severity score was assessed by the information in case sheets using Poisoning severity scoring (PSS) system. The outcome was measured in terms of morbidity and mortality Out of 60 cases according to PSS 55% were grade 1 cases, 25% were grade 2 cases, 15% were grade 3 cases and 5 % wereRESULT: grade 4 ordeath.39 of patients did not require to be intubated. Poisoning is one of the medical emergencies and causesCONCLUSIONS: signicant mortality and morbidity. Suicidal intent was signicantly higher than other modes of poisoning (p=0.001). Organophosphorus compounds are the commonest agents involved in poisoning followed by rat killer poison. Banning or restricting their use may decrease mortality and morbidity from poisoning .In this study, we found that PSS was a very helpful tool in predicting the mortality in patients of poisoning .