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23377

Risk Factors Predicting Stricture Formation and Death in Patients with Caustic Ingestion

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Last updated: 22 Jan 2023

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Abstract

Background: Caustic ingestion is still a difficult medical problem, and the outcome is often unexpected. Objectives: This study assessed the usefulness of intoxication data, clinical data and some laboratory parameters in predicting the outcome following caustic ingestion, and test the applicability of DROOL Score (DS) as a prognostic indicator of oesophageal stricture. Methods: Ninety-two patients with caustic ingestion admitted to Poison Control Centre Ain Shams University (PCCASU), during the period from 1st June to November 30, 2015 were prospectively studied. Diagnoses of stricture made via barium study. Results: Sixty-six percentage of cases were children under 5 years. In 48.9% of cases, the caustic agent was alkaline. Symptoms and signs can adequately predict the outcome of corrosive patients. DROOL Score and Total Leucocytic Count (TLC) ≥ 20,000 are useful tools for predicting both stricture formation and mortality, in addition blood pH ˂ 7.2 can also predict mortality.  A new value of DS ≤ 5.5 to predict stricture formation and mortality of corrosive patients was proposed. Conclusion: Clinical manifestations can adequately predict the outcome also; DS and TLC ≥ 20,000 have predictive value for outcome prediction of corrosive patients. Moreover, blood pH ˂ 7.2 can predict mortality.  A new value of DS ≤ 5.5 was identified as a prognostic indicator of outcome in caustic patients. 

DOI

10.21608/ajfm.2019.23377

Keywords

Corrosive, Outcome, poison centres, stricture, Prognostic factors

Authors

First Name

Alaa

Last Name

Mahmoud

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Affiliation

Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

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First Name

Eman

Last Name

Mohammed

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Affiliation

Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

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Orcid

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First Name

Rasha

Last Name

Al Husseini

MiddleName

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Affiliation

Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

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Orcid

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First Name

Sana

Last Name

Bilal

MiddleName

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Affiliation

Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

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Orcid

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Volume

32

Article Issue

1

Related Issue

4366

Issue Date

2019-01-01

Receive Date

2019-01-02

Publish Date

2019-01-01

Page Start

10

Page End

19

Print ISSN

1687-1030

Online ISSN

2636-3356

Link

https://ajfm.journals.ekb.eg/article_23377.html

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https://ajfm.journals.ekb.eg/service?article_code=23377

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2

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Journal

Publication Title

Ain Shams Journal of Forensic Medicine and Clinical Toxicology

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https://ajfm.journals.ekb.eg/

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Article

Created At

22 Jan 2023