Supportive Measures in Treatment of Aluminum Phosphide Poisoning as a Trial to Reduce Mortality at Assiut University Hospital
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 44
- 主要终点
- mortality rate comparison
研究概览
简要总结
Aluminum phosphide poisoning (ALP) is a global public health problem, and self-poisoning accounts for one-third of the world's suicide rate. In fact, in some parts of developing countries, pesticide poisoning causes more deaths than infection. ALP is very common in our government and the prognosis of the cases is usually so bad. Toxicity by ALP is caused by the liberation of phosphine gas, which causes cell hypoxia due to inhibition of oxidative phosphorylation leading to circulatory failure.
详细描述
Aluminum phosphide poisoning is a major problem, accounting for many Emergency Unit visits and hospitalization, the incidence of aluminum phosphide poisoning increasing in the last few years.
ALP is used as pesticides for many years to protect grains in stores and during its transportation. The availability of these tablets and their low cost make it an easy and common method of suicide in our country with the increasing incidence of social and financial problems that face the youth.
In management, the main objective is to provide effective oxygenation, ventilation, and circulation until phosphine is excreted. All patients of severe ALP poisoning require continuous invasive hemodynamic monitoring and early resuscitation with fluid and vasoactive agents. N- acetylcysteine as an antioxidant and cytoprotective agent reduces myocardial oxidative injury and increase survival time. Magnesium sulfate helps in scavenging free radicals through glutathione (GSH) recovery hence is effective as a parenteral antioxidant in this poisoning as well as has been tried for its general membrane stabilizing effect in cardiac cells .
Death after 24 hours occurs usually owing to shock, cardiac arrhythmia, metabolic acidosis, and acute respiratory distress syndrome.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All the cases with the primary diagnosis of Aluminum phosphide toxicity will be included in the study.
- •Willing and able to comply with the study procedures and provide written informed consent to participate in the study.
排除标准
- •Patients with a history of any chronic disease (renal and hepatic).
- •Patients refuse to participate in the study.
- •Aged less than 18 years
研究组 & 干预措施
Aluminum phosphide patients
effect of N-acetyl cysteine and supportive measures in outcome of aluminum phosphide poisoning cases
干预措施: N-acetyl cysteine (Drug)
结局指标
主要结局
mortality rate comparison
时间窗: 3 days
comparison of mortality rate using the New protocol and previous mortality rate from archive records
hospital stay
时间窗: 3 days
number of days the patient stayed at hospital
次要结局
未报告次要终点
研究者
MKMAbdelrahim
assistant lecturer
Assiut University