Epidemiological Study of Aluminum Phosphide Poisoning Mortality in Tohid Hospital, Sanandaj, from 2010 to 2018

Pegah  Khedri; Amir  Molanaei; Navid  Fatehi; Seyedeh Neshat  Sarabi; Kourosh  Akhbari; Khaled  Rahmani; Leila  Azizkhani

doi:10.18502/jimc.v8i4.19554

Pegah Khedri Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
Amir Molanaei Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
Navid Fatehi Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
Seyedeh Neshat Sarabi Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
Kourosh Akhbari Department of Emergency Medicine, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
Khaled Rahmani Liver and Digestive Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
Leila Azizkhani Department of Emergency Medicine, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran

DOI: https://doi.org/10.18502/jimc.v8i4.19554

Keywords: Aluminum phosphide, Complications, Poisoning, Rice tablets

Abstract

Background: Aluminum Phosphide (ALP) is a highly toxic inorganic compound, widely used as a rodenticide and insecticide during grain storage and transportation in developing countries. The present study investigated the aluminum phosphide poisoning mortality in Tohid Sanandaj Hospital from 2010 to 2018.

Methods: In this cross-sectional descriptive-analytical study, the medical records of 76 aluminum phosphide-poisoned patients admitted to Tohid Hospital in Sanandaj between 2010 and 2018 were studied. The data were analyzed through SPSS-20 software, using frequency, percentage, the mean and standard deviation for descriptive variables, and t-test and chi-squared for analytical variables. Using the relative risk index, the strength of the relationship was assessed.

Results: This study showed that 21.1% of the patients died of poisoning, and 76.9% were discharged. The highest mortality rate was associated with the oral administration and intact tablet form. In this study, 56.6% of participants were men, and the mortality rate due to pill poisoning was the same in both sexes (p=0.55). The results also demonstrated that majority of the individuals studied had a diploma (56.6%; p=0.566), and in terms of occupation, the highest frequency was related to self-employment (56.6%; p=0.472), but the highest mortality rate was observed in the unemployed groups (43.8). In this study, 59.2% of the participants were single, and the highest mortality rate was related to the single group (p=0.763).

Conclusion: Considering that administration to the treatment time interval and the number of pills consumed is associated with higher patient mortality, these components can be studied as an estimate of prognosis more thoroughly and accurately in ALP poisoning.