Journal article
Metal phosphide poisoning in a disaster-stricken area. Can early hemodialysis improve outcomes?
Hemodialysis international, v 28(3), pp 351-357
Jul 2024
PMID: 38937150
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Phosphide metal poisoning results in tens of thousands of fatalities per year worldwide. The mortality in critically ill patients often exceeds 50%. The available treatment is supportive and there is no antidote. Dialysis is recommended to treat advanced complications but has not been prescribed early in the process. In this study we report our experience in using dialysis in the early hours of presentation of the patients and suggest it can favorably improve the prognosis. We also draw attention to the risk of suicide under conditions of chronic conflict such as those in northwestern Syria, and to the lack of necessary mental health support for patients after suicide attempts.
Retrospective review of records of patients poisoned with aluminum phosphide and admitted to critical care facilities in northwestern Syria between July 2022 and June 2023.
During the observation period 16 cases were encountered. Suicide was the reason of the poisoning in 15 patients, the median patient age was 18 years and over two thirds of the patients were female. Early dialysis was used in 11 patients who were critically ill and their mortality rate was 18%.
Phosphide metal poisoning is common in the disasters stricken area of northwestern Syria. Most cases are suicidal and impact young females. Early dialytic interventions may favorably impact the outcomes.
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Details
- Title
- Metal phosphide poisoning in a disaster-stricken area. Can early hemodialysis improve outcomes?
- Creators
- Najjar Abdo - Division of Critical Care, Syrian American Medical Society, Critical Care Fellowship, Bab El-Hawa, SyriaSekkarie Mohamed - Nephrology and Hypertension Associates, Bluefield, West Virginia, USAValerie Luyckx - Brigham and Women's HospitalAlabdullah Mohammad - Division of Critical Care, Syrian American Medical Society, Critical Care Fellowship, Bab El-Hawa, SyriaSulaiman Abdu El Rahman - Division of Critical Care, Syrian American Medical Society, Critical Care Fellowship, Bab El-Hawa, SyriaKuhn Christine - University of ZurichJetter Alexander - University of ZurichHajj Nasan Khaled - Syrian Board of Medical Spetialists, Idlib, SyriaMurad Lina - Access to Wholistic and Productive Living InstituteRifai Ahmad Oussama - Lynn UniversitySami Alasfar - WinnMedAlhajHusain Ahmad - Allegheny General Hospital
- Publication Details
- Hemodialysis international, v 28(3), pp 351-357
- Publisher
- Wiley
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pulmonary, Critical Care, and Sleep (Medicine)
- Web of Science ID
- WOS:001256828100001
- Scopus ID
- 2-s2.0-85197376999
- Other Identifier
- 991022202491404721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Urology & Nephrology