Clinical predictors of in‐hospital mortality in patients with snake bite: a retrospective study from a rural hospital in central India

Kalantri, Shriprakash; Singh, Amandeep; Joshi, Rajnish; Malamba, Samuel; Ho, Christine; Ezoua, Joseph; Morgan, Maureen

doi:10.1111/j.1365-3156.2005.01535.x

Cited by 69 publications

(71 citation statements)

References 23 publications

(23 reference statements)

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“…The predominance of male victims suggests a special risk of outdoor activity. This is comparable to the studies done by other authors [4,[11][12][13][14].…”

Section: Sex and Educationsupporting

confidence: 82%

“…Rural inhabitants form the biggest chunk of casualties (67.5%) attributed to the labour they are generally engaged in and this collaborates with inference drawn from other studies [4,[9][10][11][12][13].…”

Section: Rural Areasupporting

confidence: 68%

“…Similar observation was also made by other authors [11,18,19]. The location of hospital and the means of transportation serve as the main limiting factor apart from the usual treatment from quacks for delay in arrival at hospital.…”

Section: Interval Between Time Of Bite and Hospital Admissionsupporting

confidence: 65%

“…Bites on the head and trunk mostly occur when nocturnal species bite people while sleeping [19]. Lower extremity as the most common site for snake bite has been observed in similar other studies [9,11,14,19,20].…”

Section: Body Regionmentioning

confidence: 70%

“…48.5% of snakebites occurred in agriculture industry and farming activities, [4,[9][10][11][12] attributed to unshod farmers which makes them prone to the risk [4,9].…”

Section: Agricultural Activitymentioning

confidence: 99%

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Epidemiological Profile of Snake Bite at Tertiary Care Hospital, North India

Anjum¹,

Husain²,

Hanif³

et al. 2012

J Forensic Res

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This hospital based prospective study was conducted from September 2009 to September 2011.All the patients irrespective of age and sex, who reported with history of snake bite were included in the study. A total 169 snake bite patients, consisting of 116 (68.7%) male and 53 (31.3%) female [mean (SD) age 32±12 years] were admitted to the hospital during the study period, the ratio being 2.2:1. The majority of victims belonged to rural areas (67.5%) and most vulnerable occupation group was the people involved in agricultural activities (48.5%). The study population was predominately bitten outdoors (62.7%). Most of the time people could not identify the snake (52.1%) and among identified poisonous snakes Elapidae and Viperidae type were 15.4% and 13.0% respectively. The maximum cases of snakebite were recorded in the 3rd quarter of the year (67.4%) and peak incidence of snake bite was recorded in the time between 6:00 PM to 12:00 midnight (30.2%). In 69.2% of cases, the site of snake bite was lower limbs. The commonest manifestation was fright (85.2%) followed by pain at local site (57.9%). Majority of the victims were treated with ASV (81.1%) and most of them survived (92%).

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“…The predominance of male victims suggests a special risk of outdoor activity. This is comparable to the studies done by other authors [4,[11][12][13][14].…”

Section: Sex and Educationsupporting

confidence: 82%

Section: Rural Areasupporting

confidence: 68%

Section: Interval Between Time Of Bite and Hospital Admissionsupporting

confidence: 65%

Section: Body Regionmentioning

confidence: 70%

“…48.5% of snakebites occurred in agriculture industry and farming activities, [4,[9][10][11][12] attributed to unshod farmers which makes them prone to the risk [4,9].…”

Section: Agricultural Activitymentioning

confidence: 99%

See 3 more Smart Citations

Epidemiological Profile of Snake Bite at Tertiary Care Hospital, North India

Anjum¹,

Husain²,

Hanif³

et al. 2012

J Forensic Res

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Treatment response and clinical features of snakebite envenomation in Alborz province, Iran: A cross‐sectional study

Farajidana,

Mosalamiaghili,

Assadian

et al. 2024

Health Science Reports

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BackgroundSnakebite envenomation is a significant yet neglected public health burden. Our aim was to investigate the clinical and demographic factors of snakebite envenomation, as well as the factors associated with its severity and response to treatment, in Alborz province, northern Iran.MethodsIn this cross‐sectional study, we included 50 patients diagnosed with snakebite envenomation, referring to the Poison Control Centre of Alborz University of Medical Sciences. The presenting signs and symptoms, demographic data, treatment dose, response to treatment, complications, laboratory findings, and snakebite severity scale (SSS) were collected.ResultsForty‐six patients (92%) were men, the total mean age was 31.7 ± 12.06 years, and mean SSS was 6.54 ± 3.39. The patients were admitted for a median of 2 days, and 11 patients needed ICU admissions. The majority of snakebites were in upper extremities (60%) and they mainly occurred in summer (56%). SSS was significantly associated with response to treatment, ICU admission, gastrointestinal adverse events, thrombocytopenia, and length of stay. Similarly, response to treatment was significantly related to the history of snakebite, ICU admission, gastrointestinal adverse events, thrombocytopenia, length of stay, and SSS.ConclusionGastrointestinal symptoms, higher severity scores, and longer hospital stays were associated with poor treatment response. Importantly, no mortality was observed in this cohort. Further research is needed to confirm these findings and optimize treatment strategies for snakebite management.

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