Evaluation of several clinical scoring tools in organophosphate poisoned patients.
OBJECTIVE
The aim of this study was to evaluate the Acute Physiology and Chronic Health Evaluation (APACHE) II, III and Simplified Acute Physiology Score II (SAPS II) as predictors of severity of organophosphate poisoning (OPP).


METHODS
This is a retrospective study of 48 patients with OPP who were admitted to the intensive care unit (ICU) for at least 24 h between 1997 and 2004. Demographic, laboratory, survival data and on day one APACHE II, III, SAPS II and Glasgow Coma Scale (GCS) were recorded, and correlations between these scores and severity of poisoning were performed.


RESULTS
Forty-eight patients were evaluated. Mechanical ventilation was required by 58% of patients. The mean APACHE II, III and SAPS II values were 11.5 +/- 7.21, 42.1 +/- 24.49 and 25.1 +/- 15.76, respectively. Total dose and duration of atropine and of pralidoxime therapy, length of ICU stay and mortality all correlated with these clinical scoring tools.


CONCLUSIONS
The APACHE II, III and SAPS II clinical scoring tools seem to predict the severity of organophosphate poisoning, and may have prognostic value.
Sungurtekin
Hülya
H
Department of Anesthesiology and Reanimation, Pamukkale University School of Medicine, Denizli, Turkey. hsungurtekin@yahoo.com
Gürses
Ercan
E
Balci
Canan
C
D018806:APACHE; D000328:Adult; D004636:Emergency Service, Hospital; D005260:Female; D015600:Glasgow Coma Scale; D006305:Health Status Indicators; D006801:Humans; D007902:Length of Stay; D008297:Male; D062025:Organophosphate Poisoning; D011041:Poisoning / Q000175:diagnosis; D012372:ROC Curve; D012189:Retrospective Studies; D012720:Severity of Illness Index