Pattern and Clinical Outcome of Poisoning Cases Admitted in Emergency Department of a Tertiary Care Center at High Altitude Nepal.

Volume 8, Issue 2, April 2023     |     PP. 130-140      |     PDF (323 K)    |     Pub. Date: April 9, 2023
DOI: 10.54647/cm321050    96 Downloads     4501 Views  

Author(s)

Tula Krishna Gupta, Department of General Practice and Emergency Medicine, Karnali Academy of Health Science, Jumla.
Smriti Mayur Kasaudhan, Department of Community Medicine, Karnali Academy of Health Science, Jumla.
Vivek Paudyal, Department of General Practice and Emergency Medicine, Karnali Academy of Health Science, Jumla.
Anusmriti Pal, Department of Internal Medicine, Karnali Academy of Health Science, Jumla.
Kushal Bhattarai, Department of Biochemistry, Karnali Academy of Health Science, Jumla.
Grishma Shrestha, Department of General Practice and Emergency Medicine, Karnali Academy of Health Science, Jumla.
Rajiv Shah, Department of Gynecology and Obstetrics, Karnali Academy of Health Science, Jumla.
Abdullah Rain, Department of Surgery, Karnali Academy of Health Science, Jumla.

Abstract
Introduction:Poisoning is one of the major health problems not only for the respective nation but also globally. Globally it has more impact on mortality and morbidity. According to WHO 2021 mortality rate of Nepal due to unintentional poisoning is 1.66 per one lakh population.(1) The objective of this study is to know the pattern and clinical outcome of oral poisoning in the high altitude of Nepal.
Methods: This is retrospective observational study done in the emergency of Karnali Academy of Health Sciences (KAHS), Jumla. The data was taken from 2021 July to 2022 July. Data was collected by reviewing the record file from data store of KAHS. Data entry was done in excel sheet followed by its analysis.
Results: Out of total 8163 patients visited in one year 74 (0.90%) was of poisoning cases in the year July 2021 to 2022 July. Most of the poisoning cases were seen in the age group between 11-20 i.e. 41.89%. Zinc phosphide (33.78%) was found to be the most common type of poisoning followed by an herbal compound (10.81%) named Coriaria nepalensis locally called as Machhaino. Maximum case overload was seen in the month of May-June. Out of 74 only 26 (35.13%) went through psychiatry evaluation. Out of 26 cases psychiatry evaluation 20 were suffering from mental disorder. The most common mental health disorder was suffering from depression (60%). In 46% suicidal tendency was found. 58 (78.37%) were discharged at the end of hospital stay and total death was 3 (4.05%).
Conclusion: The poisoning pattern is different in different part of world. Multidimensional approach is needed to address the problem related to poisoning. Most of the poisoning cases are associated with mental health disorder.

Keywords
Pattern of poisoning, mental health issues, outcome.

Cite this paper
Tula Krishna Gupta, Smriti Mayur Kasaudhan, Vivek Paudyal, Anusmriti Pal, Kushal Bhattarai, Grishma Shrestha, Rajiv Shah, Abdullah Rain, Pattern and Clinical Outcome of Poisoning Cases Admitted in Emergency Department of a Tertiary Care Center at High Altitude Nepal. , SCIREA Journal of Clinical Medicine. Volume 8, Issue 2, April 2023 | PP. 130-140. 10.54647/cm321050

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