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引用次数: 0
Abstract
Background
Organophosphate poisoning is continuing to be a rising cause for the presentation to emergency department and admission to the Intensive Care Units in India.
Objective
The objective of this review was to quantitatively synthesize the data to identify the epidemiologic characteristics, the length of hospital stays, and mortality of patients with organophosphate poisoning.
Methods
A systematic review of the scientific studies published between 2010 and 2022 was carried out. With the help of comprehensive search strategy, 15 out of 112 articles from databases like CINAHL, EBSCO, Scopus, PUBMED, ProQuest, Web of Science, and Central were retrieved. The Joanna Briggs Institute (JBI) guidelines was adopted and reported using the PRISMA guidelines.
Results
The total participants reported by the current review were 28,593 patients. This review also highlighted that the mean age of participants was 42.22 ± 9.29 years and the mean duration of arrival to hospital was 5.97 ± 2.48 h. Majority of the participants reported were male 20,127 (70.4 %). It was also reported that 3331(11.6 %) patients developed complications and 71.7 % (2387) patients were on mechanical ventilation. This review also reported that 6732 (23.5 %) patients were discharged after recovery while 1059 (3.7 %) patients succumbed during treatment.
Conclusion
The delay in hospital arrival of the patient worsens the condition of organophosphate poisoned patient resulting in serious complications, prolonged hospital stay and even increases the caregiver burden. The mass awareness to be created for the public to ensure the victim reaches the hospital for immediate medical care to prevent mortality and minimize morbidity.
背景：在印度，有机磷中毒持续成为急诊科和重症监护病房住院人数上升的原因。目的对有机磷中毒患者的流行病学特征、住院时间和死亡率进行定量综合分析。方法对2010 ~ 2022年发表的相关科学研究进行系统回顾。在综合检索策略的帮助下，从CINAHL、EBSCO、Scopus、PUBMED、ProQuest、Web of Science、Central等数据库中检索到112篇文章中的15篇。采用了乔安娜布里格斯研究所（JBI）的指导方针，并使用PRISMA指导方针进行了报告。结果本综述共纳入28,593例患者。本综述还强调，参与者的平均年龄为42.22±9.29岁，平均到达医院时间为5.97±2.48小时。报告的大多数参与者为男性20,127（70.4%）。3331例（11.6%）患者出现并发症，71.7%（2387）患者采用机械通气。本综述还报道了6732例（23.5%）患者康复后出院，1059例（3.7%）患者在治疗期间死亡。结论有机磷中毒患者的延误就诊加重了患者的病情，导致并发症严重，住院时间延长，甚至加重了护理人员的负担。提高公众意识，确保受害者及时到医院接受治疗，以防止死亡和尽量减少发病率。
期刊介绍：
Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.
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