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Características sociodemográficas y clínicas relacionadas con la condición final de pacientes intoxicados por paraquat en un hospital del suroccidente de Colombia

INTRODUCTION: Paraquat is an agrochemical that constitutes the first cause of death by poisoning in different countries. OBJECTIVE: To relate sociodemographic and clinical characteristics with the final condition of patients intoxicated by paraquat in a hospital in southwestern Colombia. MATERIALS A...

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Autores principales: Ordóñez-Zarama, Yalila Andrea, Jurado-Fajardo, Daniel, Panesso, María Camila Paredes-, Rosero-Bello, David Alejandro, Montenegro-Coral, Franco Andrés, Risueño-Blanco, José Alirio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto Nacional de Salud 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9552748/
https://www.ncbi.nlm.nih.gov/pubmed/36122288
http://dx.doi.org/10.7705/biomedica.6361
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author Ordóñez-Zarama, Yalila Andrea
Jurado-Fajardo, Daniel
Panesso, María Camila Paredes-
Rosero-Bello, David Alejandro
Montenegro-Coral, Franco Andrés
Risueño-Blanco, José Alirio
author_facet Ordóñez-Zarama, Yalila Andrea
Jurado-Fajardo, Daniel
Panesso, María Camila Paredes-
Rosero-Bello, David Alejandro
Montenegro-Coral, Franco Andrés
Risueño-Blanco, José Alirio
author_sort Ordóñez-Zarama, Yalila Andrea
collection PubMed
description INTRODUCTION: Paraquat is an agrochemical that constitutes the first cause of death by poisoning in different countries. OBJECTIVE: To relate sociodemographic and clinical characteristics with the final condition of patients intoxicated by paraquat in a hospital in southwestern Colombia. MATERIALS AND METHODS: This was an observational, descriptive, analytical, crosssectional, and retrospective study. We reviewed the medical records of patients diagnosed with paraquat poisoning at a level III hospital in Pasto, Colombia, from 2013 to 2018. We collected the data regarding their final condition (alive or deceased) and their sociodemographic, clinical, and paraclinical information. We established group comparisons and designed a binary logistic regression model. RESULTS: We reviewed 299 records and, after the exclusion, we analyzed 160 cases. The characteristics related to the final condition of the patients were length of stay (OR = 0.124; 95% CI: 0.03-0.6; p = 0.009), heart rate (OR = 35.65; 95% CI: 1.44-884.78; p = 0.029), and initial creatinine (OR = 1.73; 95% CI: 1.23-2.44; p = 0.002). CONCLUSION: The proportion of case fatality was higher in patients with short hospital stay times and elevated heart rates and admission creatinine levels. This report may be useful as a rationale for the creation of a severity scale for the early detection of patients with adverse outcomes and their timely treatment.
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spelling pubmed-95527482022-10-12 Características sociodemográficas y clínicas relacionadas con la condición final de pacientes intoxicados por paraquat en un hospital del suroccidente de Colombia Ordóñez-Zarama, Yalila Andrea Jurado-Fajardo, Daniel Panesso, María Camila Paredes- Rosero-Bello, David Alejandro Montenegro-Coral, Franco Andrés Risueño-Blanco, José Alirio Biomedica Artículo Original INTRODUCTION: Paraquat is an agrochemical that constitutes the first cause of death by poisoning in different countries. OBJECTIVE: To relate sociodemographic and clinical characteristics with the final condition of patients intoxicated by paraquat in a hospital in southwestern Colombia. MATERIALS AND METHODS: This was an observational, descriptive, analytical, crosssectional, and retrospective study. We reviewed the medical records of patients diagnosed with paraquat poisoning at a level III hospital in Pasto, Colombia, from 2013 to 2018. We collected the data regarding their final condition (alive or deceased) and their sociodemographic, clinical, and paraclinical information. We established group comparisons and designed a binary logistic regression model. RESULTS: We reviewed 299 records and, after the exclusion, we analyzed 160 cases. The characteristics related to the final condition of the patients were length of stay (OR = 0.124; 95% CI: 0.03-0.6; p = 0.009), heart rate (OR = 35.65; 95% CI: 1.44-884.78; p = 0.029), and initial creatinine (OR = 1.73; 95% CI: 1.23-2.44; p = 0.002). CONCLUSION: The proportion of case fatality was higher in patients with short hospital stay times and elevated heart rates and admission creatinine levels. This report may be useful as a rationale for the creation of a severity scale for the early detection of patients with adverse outcomes and their timely treatment. Instituto Nacional de Salud 2022-09-02 /pmc/articles/PMC9552748/ /pubmed/36122288 http://dx.doi.org/10.7705/biomedica.6361 Text en https://creativecommons.org/licenses/by/4.0/Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons
spellingShingle Artículo Original
Ordóñez-Zarama, Yalila Andrea
Jurado-Fajardo, Daniel
Panesso, María Camila Paredes-
Rosero-Bello, David Alejandro
Montenegro-Coral, Franco Andrés
Risueño-Blanco, José Alirio
Características sociodemográficas y clínicas relacionadas con la condición final de pacientes intoxicados por paraquat en un hospital del suroccidente de Colombia
title Características sociodemográficas y clínicas relacionadas con la condición final de pacientes intoxicados por paraquat en un hospital del suroccidente de Colombia
title_full Características sociodemográficas y clínicas relacionadas con la condición final de pacientes intoxicados por paraquat en un hospital del suroccidente de Colombia
title_fullStr Características sociodemográficas y clínicas relacionadas con la condición final de pacientes intoxicados por paraquat en un hospital del suroccidente de Colombia
title_full_unstemmed Características sociodemográficas y clínicas relacionadas con la condición final de pacientes intoxicados por paraquat en un hospital del suroccidente de Colombia
title_short Características sociodemográficas y clínicas relacionadas con la condición final de pacientes intoxicados por paraquat en un hospital del suroccidente de Colombia
title_sort características sociodemográficas y clínicas relacionadas con la condición final de pacientes intoxicados por paraquat en un hospital del suroccidente de colombia
topic Artículo Original
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9552748/
https://www.ncbi.nlm.nih.gov/pubmed/36122288
http://dx.doi.org/10.7705/biomedica.6361
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