Original Articles
Morteza Rahbar Taromsari, Mort
Abstract
An Aluminum phosphide or rice tablet is one of the most common pesticides. According to high mortality rates of this tablet consumption, high availability of agricultural pesticides because of agriculture occupation and lack of studies in recent years, the authors aimed to survey frequency and associated factors of mortality rate due to Rice tablet consumption in Razi hospital, Rasht, 2012-13. In this study, all patients from March2012upto March 2013 referred to Razi hospital in Rasht because of consumption of Rice tablet. A checklist containing all relevant information in three categories: demographic characteristics, clinical characteristics and laboratory results were collected and registered. After collecting the data, data were analyzed by descriptive tests using SPSS version 18. 172 patients with a mean age of 37.19±17.06 years were entered and half the subjects were males. Cases of suicide was mental and emotional problems (50%), the family’s problems (28.1%), financial problems (11.7%)and the problems associated with addiction (9.4%)respectively. Our study showed that 60.5 % of patients suffered from cardiac arrhythmias during treatment and 44.2% of patients died due to Rice tablet poisoning. The study also showed that age over 45 years increased the mortality rate 3.5 times, alcohol consumption 3 times and decrease of each unit of HCO3 1.3 times however MCV elevation slightly decreased. Most cases of toxicities occur due to suicidal intention in young adults and the age of suicide in this way is becoming increased. Mean of WBC, pH and HCO3 can be indicated poor prognosis of patients with ALP poisoning. Further policy should be considered to limit the availability and sale and use of rice tablet.