Comparative Study of Glasgow Coma Score, Poisoning Severity Score and APACHE 2 Score in Predicting Outcome of the Patients with Organophosphate Poisoning

Abstract

Objectives: This study aims to calculate and compare Glasgow Coma Score, International Program on Chemical Safety Poisoning Severity Score and Acute Physiology and Chronic Health Evaluation 2 score in predicting outcome of the patients with organophosphate compound poisoning. Material and Methods: A total of 100 patients were taken in the study from December 2018 to December 2020. Glasgow Coma Score (GCS), International Program on Chemical Safety Poisoning Severity Score (IPCS PSS) and Acute Physiology and Chronic Health Evaluation 2 (APACHE 2) score of each patient were calculated and compared. In this study, we compared the GCS, IPCS PSS and APACHE 2 score in predicting the outcome of the patients with organophosphate compound poisoning. Results: Of the 100 patients, 70 were male and 30 were female. Mortality was 15% in the study. APACHE 2 score was found to be more accurate than IPCS PSS and GCS in predicting the outcome of the patients with OP poisoning. Conclusion: APACHE 2 score requires arterial blood gas analysis which might not be available at all primary health care centres. At such places, IPCS PSS is the better option for predicting the outcome of OP patients.