ISSN 2167-0404
International Journal of Medicine and Medical Sciences Vol. 1(1), pp. 011-013, 27 November, 2011, ISSN: 2167-0404 © International Scholars Journals
Full Length Research Paper
Demographic pattern and severity of caustic injury in 300 caustic ingestion patients
Esmaeil Haji Nasrollah1, Hassan Peyvandi2, Ali Khoshkar3, Hadi Mirhashemi4, Mehdi Ahmadi5 and Ghazal Hajinasrollah6
1Professor of General Surgery. Shahid Behshti University Loghman Medical Center.
2Associated Professor of General Surgery. Shahid Behshti University Loghman Medical Center.
3Assistant Professor of General Surgery. Shahid Behshti University Loghman Medical Center.
4Assistant Professor of General Surgery. Shahid Behshti University Loghman Medical Center.
5Resident of General Surgery. Shahid Behshti University Loghman Medical Center.
6Intern of General Surgery. Shahid Behshti University Loghman Medical Center.
*Corresponding Author’s E-mail: [email protected]
Received November 27, 2011; Accepted November 20, 2011
Abstract
Objective: The aim of this study was to report frequency and ratio of caustic substance ingestion cases and their demographic data that admitted in Loghman Medical Center, as a referral center in toxicological problems
Cases and methods: From 2007 to 2010, 300 cases of caustic ingestion were admitted. One hundred and eighty nine men and 109 women ingested caustic ingestion. All demographic data, past medical and past psychiatric history were recorded. Gastresopagheal endoscopy underwent. Caustic injury was defined based on Zargar grading system. Data were analyzed with SPSS 18 software, accordingly.
Results: Three hundred cases with corrosive substance ingestion admitted in Loghman Medical Center during 2007 to 2010. 154 patients (51.3%) were single, 83 cases (27.6%) were married, 34 cases (11.2%) were divorced and 39 cases (13%) were widowed.
Ingestion was associated with suicidal intent in 217cases (72.3%). 134 cases (44.6%) had a previous history of psychiatric 98cases (32.6%) had history of substance abuse. Mean time interval was (8.45±2.11 hours).Amount of caustic substance was between 1 cup (75cc) and 12 cup (900cc). The caustic materials for injuries were in 97cases (32.4%) chemical depilatory agent (Vajebi), 128 cases (42.6%) acids and 75 cases (25%) liquid lye. Based on Zargar system 128cases did not have esophageal and gastric burn, 116 cases had grade I injury, 38cases had grade II injury and 14cases had grade III injury.
Conclusion: More than two third of the cases with caustic ingestion were due to intent ingestion. Singles, men and cases with psychiatric problems are more prone to suicide, and thus to caustic ingestion.
Keywords: Caustic ingestion, demographic pattern, caustic injury, severity