Mardiha, Mohammad

Simorgh Research Repository

Ol"-J O L*rl,rjblc ":;l*41ol-o.ri f .5;r* p9J-c olJlijlc*S*r;1 o.r5lj.jlolo0 6 tr- tr".frfj_flf ,-b ea.a;.i .Sl,1;5 J a21c c.itr.lo c.q.7o lr''.,J"f*,rg $l ..gLa Arib .S-.Jrr'S f" )116l a,.-r-Uio d))1glf f-rh ,-,.5 dl.c N*, t{ cirog**o 2ct^i.olr +J Ll,s{1, .5atro;5cO l*Us oJAj .1.i5c.1"-,Kl .r6:iLU-o:. u.q.*.o ,5c\ Y12(,!yilo.'stl'-u-JA(o.-;5 JIc ,"- tl .r.-l**_,, .,1,f-: S l.gLo a-s U_ o-r:5 r# ,-;^:r_ ,-r);l e;-t ' ;',--.l\.grL )--S-:-i5r, .Sb.,r5G r-,::o 'ulr, Q . "_, lc ,=,_YL ,* S .f ;l'-* ;lflrt ! *3r* ,Zf -c"l^r* ;-l ,c ,v)ls at i-_ti r ..,Jil ,s4f p?.)b 4" ,51 . .:rl.: .9;[-, ;*.o I olrL..? _*] _ -.c*J oa;." ror)tr;_t S*f :;;rrl oUlL,i,! tij'9 &J9laa cJc a,, .u:--ic.cL Yf ,.: a5 Cl;f ;lgflrL ! er* JL \2 .SYtl ol-, t -i ,r,tL 4.Jtt^ gp.l ;c , _*_,.4,J tt J-,r J L- 6- .* _:" s.:y z*!rf tl, ..,i...............r.(-rJj I ;;'9 .!c9,, osr5 a,-ly;_-:* _:a-LiL -L'..1 o.r:5;- J;r.cL643L "LtU;J -.:L-.1- -"o.J*'.t ',^ o.ljj j' 9. - )J I ... V -- v - )- . \ I J -. J.. ) ) I J.  J ,,r rS;:--* (l& )r k, f ; LrL*l f I Sf JIF o5. sc9, a,Jll^., l-,J -,1^* Vrt : qp-..(.r,f-l$l .S t^ +:i L- rr .,_i_,19f o t5;-.: S;6_S.yLtl .,:y.)'1.\/YY (rl":i A\ o [:l-., -.-ll- :^...i ;.r.i a,-1. , , )\ f l.l?b (rt^* f f 45 lV $-t' ...*l J=^ qU" t 6;6F U-,----=. .r,"i )'1. ?f ld \ (rL"* Y? 'S :.;L;;k r x- t S-f , .S--rl-rs 1 Oto * t- .J* .j--r.* aQt, .5--.r,- -f p ,_t.l =-.-';;ls :i:oa-; fc OR(95%CI) eP value LWBC- BE - GFR srle* ";i:- -+ I . -,J P value tl;.j _,J ol; rfi orlg* o;i; -SJ iJ L: lr.: . crlo;*9 Jr ! .[Ls ;+.orlc ,- I 3 r ! .s-,1. ,;* aLl, 9'o C) - j "WBC -BS-Cr-Bili T-Bili D-AST-GFR-BE-Hco3APACHE II-SOFA.SAPS IISystemic complication (Kidney-liver-lung-ca rdiovascula r),lrL* ,J Sj K-,1 .sk-"- 1.r-r*-t- L"Jit ;l ,s-jf .sL. ="-1 + ft ,s.-J.ij-,ll , .-,lrL* ,.rJ!,r 69f-s1 .gto a:s[- ," ,s-)f ;L-Lo *J9 . c*l oIf 'r- -.grl.:t'*,-*,r, lo.u o.tf F- )h; .srls;LrL*.tlSf 9l;-r':o,lj -- -*.;;1.: ;l95lrt! "-...f* ;lrL.*r.: .,,L,L* f l 3,* -.- --Abstract: Prognostic Value of Endoscopy in Paraquat PoisoningObjective: Since paraquat poisoning has a high mortality rate, determining theprognosis of the afl-ected patients is of great importance. Although the gastrointesti:,symptoms are the first and most common symptoms of paraquat poisoning, due t.'limited and contradictory studies. but the prognostic value of these sylptoms andendoscopy has remained unclear.Method: In this cross-sectional study, patients r,vho were over l6 years old andsuffering from Paraquat poisoning were ref-erred to the hospital in first 24 hours c-poisoning and underwent endoscopy. These patients were investigated during fir e . -'The hospital niortalitl,rate $,as considered as the criterion fbr the evaluation of thepatients' results.Results: A total of 78 paraquat-poisoned patients were included in the study. Thehospital mortality rate was observed to be 23.10%o. According to the gastrointestin.endoscopic findings, the highest extent of the injurl, was Grade IV, which was obs:: .:in 44 patients (56.41%) and the most severe injury was Grade II-a, which was see:- -patients (46.15%). There was no significant relationship between the hospital m(ar::rate and the endoscopi, findings in terms of neitherthe extent northe severitl'of t}:-iniury.A univariate analvsis u,as done to find statisticall.v significant associations (P> L)5 .the multivariatiy analy'sis. WBC.BE. and GFR were independentl,v associated u it:mortality with P values [odds ratio (95% confidence interval)] of 0.008 [ .71 ( 1 .I : -2.5 5)1, 0.0 1 [0.5 3(0.32-0.86)]. and 0.0 1 [0.92(0.86-0.98)] .respectively.Conclusion: Although the gastrointestinal system injurl,is first and the most c.'r' -'organic injury among the paraquat-poisoned patients. but gastrointestinal conrpl .'beside endoscopic findings have no prognostic value in detern-rining the rate .: . , : -mortality. The amount of ingested toxin has significant values for predictins t:r.mortality rate of the paraquat poisoned patients.Keywords: Paraquat. Prognosis, Hospitalrnortality. Endoscopy. Gastrc,intes, --q

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