@article{ref1,
title=""PGI score": a simplified three-point prognostic score for acute aluminum phosphide poisoning",
journal="Indian journal of critical care medicine",
year="2020",
author="Pannu, Ashok K. and Bhalla, Ashish and Sharma, Arvind and Sharma, Navneet",
volume="24",
number="9",
pages="790-793",
abstract="INTRODUCTION: Aluminum phosphide (AlP) ingestion for self-harm is associated with a high case-fatality rate (CFR) in low- and middle-income countries. A reliable and accurate prognostic scoring tool is required for appropriate triaging, to guide clinical decision-making, and to evaluate the efficacy of therapeutic interventions for the patients with AlP toxicity.   Materials and methods: We performed a prospective cohort study in a tertiary care hospital in north India in patients aged 15 years and over with acute AlP poisoning, investigating the parameters associated with CFR, and developing a reliable and simple prediction score.   Results: The CFR was 51% in this cohort of 105 patients. Three parameters-pH <7.25, score on Glasgow coma scale (GCS) <13, and systolic blood pressure (SBP) <87 mm Hg were most robust predictors of CFR (odds ratio; 12.614, 18.621, and 17.600, respectively; area under the receiver operating characteristic curve-0.808, 0.796, and 0.776, respectively). Based on these parameters (with 1 point to each), a prognostic score was developed, ranging from 0 to 3 points. A total score of 3 had a 98.2% specificity and a positive predictive value of 96.4%, whereas a score ≤1 had a 100% sensitivity and 100% negative predictive value.   Conclusion: A scoring system based on low pH (P), low GCS score (G), and impaired or low SBP (I) (&quot;PGI&quot; score) may provide a simplified predictive model for mortality in AlP poisoning.  How to cite this article: Pannu AK, Bhalla A, Sharma A, Sharma N. &quot;PGI Score&quot;: A Simplified Three-point Prognostic Score for Acute Aluminum Phosphide Poisoning. Indian J Crit Care Med 2020;24(9):790-793.<p /> <p>Language: en</p>",
language="en",
issn="0972-5229",
doi="10.5005/jp-journals-10071-23555",
url="http://dx.doi.org/10.5005/jp-journals-10071-23555"
}