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Predictors for Mortality in Children with Scorpion Envenomation Admitted to Pediatric Intensive Care Unit, Qena Governorate, Egypt

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  • 1 Department of Pediatrics, Qena Faculty of Medicine, South Valley University, Qena, Egypt;
  • | 2 Department of Anaesthesia and ICU, Faculty of Medicine, Assiut University, Assiut, Egypt

This study aimed to identify the clinical and laboratory manifestations that affect outcome of scorpion envenomation in children. It included 154 children admitted with scorpion sting envenomation over a period of 2 years. The epidemiological, clinical, and laboratory findings of patients were recorded, and grading of severity was performed based on local and systemic involvement. Organ failure was determined according to diagnostic criterion of multiple organ dysfunction syndrome, and severity of illness was assessed by the Pediatric Risk of Mortality (PRISM III) score. Of studied children, 58.4% were males and 41.6% were females. Children aged > 5 years suffered more scorpion stings (79.9%) than others did. The place of residence was rural more than urban, outdoor stings more than indoors, nocturnal more than diurnal, and most stings were on the exposed areas of the limbs. Based on clinical evaluation, 37.7% of patients were classified as class I severity followed by class II (48.7%) and class III (13.6%). Among studied cases, 21 deaths (13.6%) were registered; all of them belonged to class III severity. Mortality was significantly higher in children with agitation, coma, convulsions, arrhythmia, heart failure, pulmonary edema, and priapism. There were significantly higher values of leukocytes, platelets, creatinine, liver enzymes, glucose, and creatine phosphokinase in non-survivors than in survivors. The presence of organ failure was associated with mortality. In addition, the need for mechanical ventilation and inotropic support were at increased risk of mortality. Moreover, a significant association was found between PRISM score and the number of failed organs with fatal outcome.

Author Notes

Address correspondence to Khaled A. Baseer, Department of Pediatrics, Qena Faculty of Medicine, South Valley University, Qena 83523, Egypt. E-mail: khaledabdalla20@yahoo.com

Disclosure: This study was approved by the Ethical Committee of South Valley University.

Authors’ addresses: Khaled A. Baseer, Department of Pediatrics, Qena Faculty of Medicine, South Valley University, Qena, Egypt, E-mail: khaledabdalla20@yahoo.com. Mohamed A. A. Naser, Department of Anaesthesia and ICU, Faculty of Medicine, Assiut University, Assiut, Egypt, E-mail: monbasser@yahoo.com.

Disclaimer: The work described has not been published previously. It is not under consideration for publication elsewhere. Its publication is approved by all authors. Journal policies detailed have been reviewed.

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