Clinico-Epidemiological Profile and Outcome of Acute Poisoning Patients admitted to Intensive Care Unit in A Tertiary Level Private Hospital in Bangladesh

Authors

  • A K M Ferdous Rahman Associate Professor, Department of Critical Care Medicine, Dhaka Medical College Hospital & Consultant (ICU), Proactive Medical College & Hospital, Narayanganj.
  • Zubaer Wasit Nasif Phase B MD Resident, Anesthesiology, Department of Anesthesia, Pain, Palliative & Intensive Care, Dhaka Medical College Hospital, Dhaka
  • Saifullah Al Kafi Phase B MD Resident, Anesthesiology, Department of Anesthesia, Pain, Palliative & Intensive Care, Dhaka Medical College Hospital, Dhaka
  • Sabrina Sultana Senior Medical Officer, Intensive Care Unit, Proactive Medical College & Hospital, Dhaka
  • Md Foyjul Islam Fellow, Field Epidemiology Training Program Bangladesh, Institute of Epidemiology, Disease Control and Research (IEDCR), Dhaka

DOI:

https://doi.org/10.3329/bccj.v12i2.76441

Keywords:

Acute poisoning, Aluminium phosphide, Poisoning,Stupefying agent

Abstract

Background: Acute poisoning is a prevalent health issue necessitating Intensive Care Unit (ICU) admission in developing countries. This study evaluates the socio-demographic characteristics, clinical parameters, and outcomes of acute poisoning patients admitted to the ICU in a tertiary level private hospital in Bangladesh.

Method: This retrospective cohort study was conducted at tertiary care private hospital in Narayanganj, Bangladesh. Data was collected from ICU medical records from January 2023 to April 2024, enrolling a total of 57 patients aged 18 years or more who presented with acute poisoning. Data analysis was performed using Stata (Statistical Software for Data Science) 17.0(p < 0.05)

Results: Out of 57 patients, 52.63% were females, with mean age of 27.84 years. Suicidal intent accounted for 84.21% of cases, and the primary reasons for poisoning included marital (61.40%) and familial disharmony (15.79%). The predominant type of poisoning was due to sedatives (17.54%) followed by aluminium phosphide (14.04%), and stupefying agents (14.04%). Aluminium phosphide poisoning had a 100% fatality rate, while sedatives and several other agents had 100% recovery rate. Statistical analysis showed a significant association between the type of poison and the final outcome (χ2(15) = 38.7996, p = 0.001).

Conclusion: The study highlights the prevalence of intentional poisoning among young adults, especially females, with sedatives, aluminium phosphide, and stupefying agents being the most common. The high mortality rate from aluminium phosphide underscores the need for strict regulations and public awareness to control access to these substances.

Bangladesh Crit Care J September 2024; 12 (2): 89-95

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Published

2024-10-16

How to Cite

Rahman, A. K. M. F., Nasif, Z. W., Kafi, S. A., Sultana, S., & Islam, M. F. (2024). Clinico-Epidemiological Profile and Outcome of Acute Poisoning Patients admitted to Intensive Care Unit in A Tertiary Level Private Hospital in Bangladesh. Bangladesh Critical Care Journal, 12(2), 89–95. https://doi.org/10.3329/bccj.v12i2.76441

Issue

Vol. 12 No. 2 (2024)

Section

Original Articles

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