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Organophosphate compounds are often used for homicidal and suicidal purposes. It accounts for about 80% of pesticide related hospital admissions. Study aimed to assess the severity of OP poisoning by POP scale, PSS and GCS and to compare POP scale, PSS and GCS in predicting the treatment outcome in OP poisoning. Material and Methods: 100 patients of OP compound poisoning were included in the study. POP score, PSS and GCS were assessed at the time of presentation and were grouped based on the severity. These scores were individually evaluated in predicting the ventilator requirement and mortality in OP compound poisoning and the scores were compared with each other, as to asses which score was better in predicting the severity of OP poisoning. Results: Ventilator requirement and mortality was found to be in 43% and 16% of patients respectively. Intubation rates and mortality rates were higher in patients with severe grades of POP score, PSS and GCS with a significant p value (0.00), than in patients with mild to moderate grades. All three scores correlated well in predicting the requirement of ventilatory support and mortality in OP compound poisoning cases. ConclusionThe three scoring systems are simple and effective tool that can be assessed based on the clinical examination. For a resource limited country, like India, any of the three scoring systems can be applied at the primary care setting level which helps in making timely decision regarding need for ventilatory support and timely shifting of patient to the ICU care setting.

international journal of contemporary medical research

A Study to Assess the Utility of Peradeniya Organophosphorous Poisoning (POP) Scale, Poisoning Severity Score (PSS) and Glasgow Coma Scale (GCS) in Predicting Severity and Treatment Outcome in Acute Organophosphorous Poisoning