From the Research
Discharge Criteria for Organophosphate (OP) Poisoning
The discharge criteria for organophosphate (OP) poisoning are not explicitly stated in the provided studies. However, the following points can be considered:
- The severity of OP poisoning can be assessed using the POP scale, which grades poisoning as mild, moderate, or severe based on common clinical manifestations 1.
- The duration of hospitalization for OP poisoning can range from 1 to 14 days, with an average of 2.9 days 2.
- Patients with mild intoxication may be discharged earlier, while those with moderate to severe intoxication may require longer hospitalization and closer monitoring 2.
- The decision to discharge a patient with OP poisoning should be based on the resolution of symptoms, improvement in clinical condition, and the patient's ability to manage any potential complications 3, 4, 5.
- Some key factors to consider before discharging a patient with OP poisoning include:
- Resolution of SLUDGE symptoms (Salivation, Lacrimation, Urination, Defecation, Gastric cramps, Emesis) 3
- Improvement in butyrylcholinesterase levels 2
- Ability to manage potential complications, such as respiratory or cardiovascular problems 4, 5
- Patient's understanding of follow-up care and potential long-term effects of OP poisoning 3, 4, 5