The comparison of the applications of strong ion gap, blood glucose and other indexes in the acute organophosphorus pesticide poisoning
GU Xu-dong
YUAN Xue-feng
NIE Shi-nan
Abstract：Objective To compare the strong ion gap ( SIG) and AMS, AST, CK-MB, blood glucose ( BG) index predicting the prognosis of acute organophosphorus pesticide poisoning ( AOPP ) patients. Methods This retrospective study included 69 cases who were diagnosed by AOPP from January to December 2014. According to the prognosis they were divided into death group and survival group. By analyzing the odds ratio (ORs) and establishing ROC curve, we evaluated the effectiveness of SIG and BG in predicting the prognosis of patients with AOPP. Results The abnormal index of blood glucose (P=0. 001) indicated a higher risk of death than the normal index, SIG showed higher ORs for fatality than BG (P <0. 05). In the ROC curve, the area under the curve of the SIG, BG on the prognosis of fatality was 0. 856, 0. 817, respectively. Conclusion With early SIG and BG level increase, the risk of death will increase in acute organophosphorus pesticide poisoning, and SIG is a more effective marker than index of BG on the prognosis of death.
Keywords：Acute organophosphorus pesticide poisoning(AOPP)Strong ion gap(SIG)Blood glucose(BG)SurvivalDeathPrognosis
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 521-523 )