Research Article
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Year 2022, , 1139 - 1144, 20.07.2022
https://doi.org/10.32322/jhsm.1102111

Abstract

References

  • Barceloux DG, Bonf GR, Krenzelok EP, et al. American Academy of clinical toxicology practice guidelines on the treatment of methanol poisoning. J Toxicology 2002; 40: 415-46.
  • Lachance P, Mac-Way F, Desmeules S, et al. Prediction and validation of hemodialysis duration in acute methanol poisoning. Kidney Int. 2015; 88: 1170–7.
  • Liu JJ, Daya MR, Carrasquillo O, Kales SN. Prognostic factors in patients with methanol poisoning. J Toxicol Clin Toxicol 1998; 36: 175–81.
  • Hovda KE, Hunderi OH, Tafjord AB, Dunlop O, Rudberg N, Jacobsen D. Methanol outbreak in Norway 2002-2004: epidemiology, clinical features and prognostic signs. J Intern Med 2005; 258: 181–90.
  • Hassanian-Moghaddam H, Pajoumand A, Dadgar SM, Shadnia S. Prognostic factors in methanol poisoning. Hum Exp Toxicol 2007; 26: 583–6.
  • Paasma R, Hovda KE, Tikkerberi A, Jacobsen D. Methanol mass poisoning in Estonia: outbreak in 154 patients. Clin Toxicol (Phila) 2007; 45: 152–7.
  • Brahmi N, Blel Y, Abidi N, et al. Methanol poisoning in Tunisia: report of 16 cases. Clin Toxicol (Phila) 2007; 45: 717–20.
  • Rzepecki J, Krakowiak A, Fiszer M, et al. Acute methanol poisoning among patients of toxicology unit, Nofer Institute of Occupational Medicine in Lodz, during the period 2000-2009. Przegl Lek 2012; 69: 431–4.
  • Paasma R, Hovda KE, Hassanian-Moghaddam H, et al. Risk factors related to poor outcome after methanol poisoning and the relation between outcome and antidotes-a multicenter study. Clin Toxicol (Phila) 2012; 50: 823–31.
  • Shah S, Pandey V, Thakore N, Mehta I. Study of 63 cases of methyl alcohol poisoning (hooch tragedy in Ahmedabad). J Assoc Physicians India 2012; 60: 34–6.
  • Kute VB, Godara SM, Shah PR, et al. Hemodialysis for methyl alcohol poisoning: a single-center experience. Saudi J Kidney Dis Transpl 2012; 23: 37–43.
  • Massoumi G, Saberi K, Eizadi-Mood N, Shamsi M, Alavi M, Morteza A. Methanol poisoning in Iran, from 2000 to 2009. Drug Chem Toxicol 2012; 35: 330–3.
  • Zakharov S, Pelclova D, Urban P, et al. Czech mass methanol outbreak 2012: epidemiology, challenges and clinical features. Clin Toxicol (Phila) 2014; 52: 1013–24.
  • Rostrup M, Edwards JK, Abukalish M, et al. The methanol poisoning outbreaks in Libya 2013 and Kenya 2014. PLoS One 2016; 11: e0152676.
  • Collister D, Duff G, Palatnick W, Komenda P, Tangri N, Hingwala JA. Methanol intoxication outbreak from recreational ingestion of fracking fluid. Am J Kidney Dis 2017; 69: 696–700.
  • Rulisek J, Balik M, Polak F, et al. Costeffectiveness of hospital treatment and outcomes of acute methanol poisoning during the Czech Republic mass poisoning outbreak. J Crit Care 2017; 39: 190–8.
  • Chang ST, Wang Y-T, Hou Y-C et al. Acute kidney injury and the risk of mortality in patients with methanol intoxication. BMC Nephrol 2019; 20: 205-13.
  • Domenech P, Perez T, Saldarini A, Uad P, Musso CG. Kidney-lung pathophysiological crosstalk: its characteristics and importance. Int Urol Nephrol 2017; 49: 1211–5.
  • Husain-Syed F, Slutsky AS, Ronco C. Lung-kidney cross-talk in the critically ill patient. Am J Respir Crit Care Med 2016; 194: 402–14.
  • Verhelst D, Moulin P, Haufroid V, Wittebole X, Jadoul M, Hantson P. Acute renal injury following methanol poisoning: analysis of a case series. Int J Toxicol 2004; 23: 267–73.
  • Salek T, Humpolicek P, Ponizil P. Metabolic disorders due to methanol poisoning. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2014; 158: 635–9.

The predictors of mortality in patients with methyl alcohol intoxication

Year 2022, , 1139 - 1144, 20.07.2022
https://doi.org/10.32322/jhsm.1102111

Abstract

Aim: Methanol intoxication is a worldwide public health problem. Mortality rates are quite high unless there is early intervention and diagnosis. The aim of this study was to investigate the predictors of mortality in patients with methyl alcohol intoxication.
Material and Method: The study included 18 patients admitted to emergency department of our hospital in 2019-2020, who were diagnosed with methanol intoxication. Laboratory parameters and basic features of the patients were recorded. According to the criteria of 2012 Clinical Practice Guideline for Acute Kidney Injury (AKI), patients were diagnosed with AKI.
Results: The mean age of the patients was 45.7±15.21 years and 72.2% of those were male. The mortality and AKI rate were 38.9% and 44.4%, respectively. In regression analyses, delay in admission to hospital, low Glasgow coma scale score, AKI development and high lactate level were independent predictors of mortality. According to ROC analyses when lactate level was more than 5.75 mmol/L, mortality rate increased more rapidly.
Conclusion: Mortality rate is very high in methanol intoxication. Patients with AKI and high lactate levels should be intervened faster.

References

  • Barceloux DG, Bonf GR, Krenzelok EP, et al. American Academy of clinical toxicology practice guidelines on the treatment of methanol poisoning. J Toxicology 2002; 40: 415-46.
  • Lachance P, Mac-Way F, Desmeules S, et al. Prediction and validation of hemodialysis duration in acute methanol poisoning. Kidney Int. 2015; 88: 1170–7.
  • Liu JJ, Daya MR, Carrasquillo O, Kales SN. Prognostic factors in patients with methanol poisoning. J Toxicol Clin Toxicol 1998; 36: 175–81.
  • Hovda KE, Hunderi OH, Tafjord AB, Dunlop O, Rudberg N, Jacobsen D. Methanol outbreak in Norway 2002-2004: epidemiology, clinical features and prognostic signs. J Intern Med 2005; 258: 181–90.
  • Hassanian-Moghaddam H, Pajoumand A, Dadgar SM, Shadnia S. Prognostic factors in methanol poisoning. Hum Exp Toxicol 2007; 26: 583–6.
  • Paasma R, Hovda KE, Tikkerberi A, Jacobsen D. Methanol mass poisoning in Estonia: outbreak in 154 patients. Clin Toxicol (Phila) 2007; 45: 152–7.
  • Brahmi N, Blel Y, Abidi N, et al. Methanol poisoning in Tunisia: report of 16 cases. Clin Toxicol (Phila) 2007; 45: 717–20.
  • Rzepecki J, Krakowiak A, Fiszer M, et al. Acute methanol poisoning among patients of toxicology unit, Nofer Institute of Occupational Medicine in Lodz, during the period 2000-2009. Przegl Lek 2012; 69: 431–4.
  • Paasma R, Hovda KE, Hassanian-Moghaddam H, et al. Risk factors related to poor outcome after methanol poisoning and the relation between outcome and antidotes-a multicenter study. Clin Toxicol (Phila) 2012; 50: 823–31.
  • Shah S, Pandey V, Thakore N, Mehta I. Study of 63 cases of methyl alcohol poisoning (hooch tragedy in Ahmedabad). J Assoc Physicians India 2012; 60: 34–6.
  • Kute VB, Godara SM, Shah PR, et al. Hemodialysis for methyl alcohol poisoning: a single-center experience. Saudi J Kidney Dis Transpl 2012; 23: 37–43.
  • Massoumi G, Saberi K, Eizadi-Mood N, Shamsi M, Alavi M, Morteza A. Methanol poisoning in Iran, from 2000 to 2009. Drug Chem Toxicol 2012; 35: 330–3.
  • Zakharov S, Pelclova D, Urban P, et al. Czech mass methanol outbreak 2012: epidemiology, challenges and clinical features. Clin Toxicol (Phila) 2014; 52: 1013–24.
  • Rostrup M, Edwards JK, Abukalish M, et al. The methanol poisoning outbreaks in Libya 2013 and Kenya 2014. PLoS One 2016; 11: e0152676.
  • Collister D, Duff G, Palatnick W, Komenda P, Tangri N, Hingwala JA. Methanol intoxication outbreak from recreational ingestion of fracking fluid. Am J Kidney Dis 2017; 69: 696–700.
  • Rulisek J, Balik M, Polak F, et al. Costeffectiveness of hospital treatment and outcomes of acute methanol poisoning during the Czech Republic mass poisoning outbreak. J Crit Care 2017; 39: 190–8.
  • Chang ST, Wang Y-T, Hou Y-C et al. Acute kidney injury and the risk of mortality in patients with methanol intoxication. BMC Nephrol 2019; 20: 205-13.
  • Domenech P, Perez T, Saldarini A, Uad P, Musso CG. Kidney-lung pathophysiological crosstalk: its characteristics and importance. Int Urol Nephrol 2017; 49: 1211–5.
  • Husain-Syed F, Slutsky AS, Ronco C. Lung-kidney cross-talk in the critically ill patient. Am J Respir Crit Care Med 2016; 194: 402–14.
  • Verhelst D, Moulin P, Haufroid V, Wittebole X, Jadoul M, Hantson P. Acute renal injury following methanol poisoning: analysis of a case series. Int J Toxicol 2004; 23: 267–73.
  • Salek T, Humpolicek P, Ponizil P. Metabolic disorders due to methanol poisoning. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2014; 158: 635–9.
There are 21 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Refika Karaer Büberci 0000-0003-4737-6681

Semahat Karahisar Şirali 0000-0003-0981-8928

Murat Duranay 0000-0002-2893-4484

Publication Date July 20, 2022
Published in Issue Year 2022

Cite

AMA Karaer Büberci R, Karahisar Şirali S, Duranay M. The predictors of mortality in patients with methyl alcohol intoxication. J Health Sci Med /JHSM /jhsm. July 2022;5(4):1139-1144. doi:10.32322/jhsm.1102111

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