• Home
  • Browse
    • Current Issue
    • By Issue
    • By Author
    • By Subject
    • Author Index
    • Keyword Index
  • Journal Info
    • About Journal
    • Aims and Scope
    • Editorial Board
    • Publication Ethics
    • Peer Review Process
  • Guide for Authors
  • Submit Manuscript
  • Contact Us
 
  • Login
  • Register
Home Articles List Article Information
  • Save Records
  • |
  • Printable Version
  • |
  • Recommend
  • |
  • How to cite Export to
    RIS EndNote BibTeX APA MLA Harvard Vancouver
  • |
  • Share Share
    CiteULike Mendeley Facebook Google LinkedIn Twitter
Zagazig Journal of Forensic Medicine and Toxicology
arrow Articles in Press
arrow Current Issue
Journal Archive
Volume Volume 23 (2025)
Volume Volume 22 (2024)
Volume Volume 21 (2023)
Volume Volume 20 (2022)
Volume Volume 19 (2021)
Volume Volume 18 (2020)
Volume Volume 17 (2019)
Volume Volume 16 (2018)
Volume Volume 15 (2017)
Volume Volume 14 (2016)
Issue Issue 2
Issue Issue 1
Volume Volume 13 (2015)
Abdel Hamid, O. (2014). Comparison of Three Different Scoring Systems in Predicting Mortality Of Acute Aluminum and Zinc Phosphide Poisoned Patients Admitted to ICU at Zagazig University Hospitals. Zagazig Journal of Forensic Medicine and Toxicology, 14(2), 1-44. doi: 10.21608/zjfm.2014.396502
Omaima Abdel Hamid. "Comparison of Three Different Scoring Systems in Predicting Mortality Of Acute Aluminum and Zinc Phosphide Poisoned Patients Admitted to ICU at Zagazig University Hospitals". Zagazig Journal of Forensic Medicine and Toxicology, 14, 2, 2014, 1-44. doi: 10.21608/zjfm.2014.396502
Abdel Hamid, O. (2014). 'Comparison of Three Different Scoring Systems in Predicting Mortality Of Acute Aluminum and Zinc Phosphide Poisoned Patients Admitted to ICU at Zagazig University Hospitals', Zagazig Journal of Forensic Medicine and Toxicology, 14(2), pp. 1-44. doi: 10.21608/zjfm.2014.396502
Abdel Hamid, O. Comparison of Three Different Scoring Systems in Predicting Mortality Of Acute Aluminum and Zinc Phosphide Poisoned Patients Admitted to ICU at Zagazig University Hospitals. Zagazig Journal of Forensic Medicine and Toxicology, 2014; 14(2): 1-44. doi: 10.21608/zjfm.2014.396502

Comparison of Three Different Scoring Systems in Predicting Mortality Of Acute Aluminum and Zinc Phosphide Poisoned Patients Admitted to ICU at Zagazig University Hospitals

Article 1, Volume 14, Issue 2, July 2014, Page 1-44  XML PDF (681.3 K)
Document Type: Original Article
DOI: 10.21608/zjfm.2014.396502
View on SCiNiTO View on SCiNiTO
Author
Omaima Abdel Hamid email
Forensic Medicine & Clinical Toxicology Department, Faculty of Medicine, Zagazig University
Abstract
Aluminum and zinc phosphides are effective, cheap and available rodenticides and insecticides known to have high mortality rats. Exposure to these compounds occurs suicidal, accidental or occupational. Aim: The current work was performed to compare the ability of Sequential Organ Failure Assessment (SOFA) score, Acute Physiology and Chronic Health Evaluation II (APACHE II) score and Simplified Acute Physiology Score II (SAPS II) to predict mortality of acute aluminum and zinc phosphide poisoned patients admitted to ICU. Subjects and methods: Patients admitted to ICU from January 2015 to December 2015 were included and prospectively followed up till discharge or death where they were divided into survivors and non- survivors groups. The socio-demographic and poisoning data were collected and SOFA, APACHE II and SAPS II scores were calculated during the first twenty four hours post admission. The accuracy of each scoring system was detected using Receiver Operating Characteristic (ROC) curve analysis and standardized mortality ratio (SMR) and by means of Hosmer & Lemeshow goodness-of-fit test. Results: sixty two patients were enrolled, the overall mortality rate was 30.6%; higher mortality rate was associated with aluminum phosphide, delayed time to ICU admission and with suicidal exposure. SOFA, APACHE II, SAPS II values were significantly higher in non- survivor group. SOFA shows significantly higher AUC 0.981 versus 0.856 for APACHE II and 0.837 for SAPS II, the SMR of SOFA was 1.18. Conclusion: although SOFA, APACHE II and SAPS II can predict mortality of acute aluminum and zinc phosphide patients admitted to ICU, SOFA score has the highest predictive values besides being easier and simpler.
Keywords
aluminum phosphide; zinc phosphide; SOFA; APACHE II; SAPS II
Statistics
Article View: 32
PDF Download: 46
Home | Glossary | News | Aims and Scope | Sitemap
Top Top

Journal Management System. Designed by NotionWave.