A state level Gap assessment and strengthening of current status of care given to patients presenting with acute poisoning in primary and tertiary care centres of Puducherry
试验速览
- 阶段
- Phase 3 4
- 状态
- 招募中
- 入组人数
- 2,000
- 试验地点
- 1
- 主要终点
- i) To identify the current gaps in the emergency care
研究概览
简要总结
Poisoning is a significant global health problem. World Health Organisation (WHO) estimated in 2016 that unintentional poisoning caused 106683 deaths and loss of 6.3 Million years of healthy life (DALYS). It was also estimated that about 20 % global suicides are due to pesticide poisoning.1-3 According to national crime records Bureau of India in 2020 about 38336 patients committed suicides by poisoning which accounts for about 4 suicides by poisoning per hour in our country.4 National Health mission of Tamil Nadu had launched the Tamil Nadu Accident and emergency Initiative (TAEI) in 2017 for reducing mortality related to trauma and emergencies. One of the six major pillars in achieving this was identified as appropriate management of acute poisoning in emergency departments.
Poisoning is a time dependent emergency and like all other emergency requires a trained specialist to appropriately diagnose and treat. Emergency care systems and facility based care in India are is in its infancy, and it suffers from fragmentation of care right from prehospital care to facility based care both in government as well as private sectors. In a recent country level assessment done under NITI Ayog on gap assessment of emergency and trauma care about 4% of emergency admissions accounted to be for poisoning. This study highlighted the lack of trained manpower equipment’s, essential medications like antidotes for specific poisoning and written protocols for managing these patients. Managing patients with poisoning requires trained manpower, knowledge of various toxins and specific antidotes and decontamination measure to be done as soon as possible at the first medical contact (in the emergency departments).
Thus, the proposed study aims to identify the current gaps in the emergency care delivery to the patients presenting with various poisoning at different levels of health care in Puducherry, also to develop a training program to strengthen the management of acute poisoning given by medical and paramedical health care team
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 99.00 Year(s)（—）
- 性别
- All
入选标准
- •All adult patients ≥ 18 years presenting to emergency department of study sites with alleged history of poisoning.
排除标准
- •Patients presenting with bites and stings and patients in cardiac arrest or brought dead on arrival.
结局指标
主要结局
i) To identify the current gaps in the emergency care
时间窗: 6 months,12 months
delivery to the patients presenting with various poisonings
时间窗: 6 months,12 months
at different levels of health care in Puducherry
时间窗: 6 months,12 months
ii) To develop a training program to strengthen the
时间窗: 6 months,12 months
management of acute poisoning given by medical and
时间窗: 6 months,12 months
paramedical health care team and to test a 6 month pilot
时间窗: 6 months,12 months
intervention in primary, secondary and tertiary levels of care
时间窗: 6 months,12 months
次要结局
- To explore the facilitators and barriers in implementation of the pilot Poisoning management intervention among the emergency care providers(18 months)
研究者
Dr Manu Ayyan
Jawaharlal Institute Of Postgraduate Medical Education and Research