@article{ref1,
title="Aluminum phosphide poisoning mortality rate in Iran; a systematic review and meta-analysis",
journal="Archives of academic emergency medicine",
year="2021",
author="Bagherian, Farhad and Kalani, Navid and Rahmanian, Fatemeh and Abiri, Samaneh and Hatami, Naser and Foroughian, Mahdi and Mehramiz, Neema John and Shahi, Behzad",
volume="9",
number="1",
pages="e66-e66",
abstract="INTRODUCTION: According to statistics provided by the forensic medicine facility of Iran, there are a high number of Aluminum phosphide (ALP) poisoning-related deaths in the country; while the mortality rate varies in different studies. This study aimed to determine a pooled estimate of ALP poisoning mortality rate in Iran. <br><br>METHODS: The present study was a systematic review and meta-analysis of the mortality rate of ALP poisoning in Iran. Through the quarry of Persian and English databases, using &quot;aluminum phosphide&quot;, &quot;phosphine&quot;, &quot;rice pills&quot;, &quot;poisoning&quot;, and &quot;Iran&quot; as keywords, and no time restrictions, studies reporting mortality rate in ALP poisoning cases were collected. The random-effects model was used to pool the proportions of mortality and age of survivors versus non-survivors. <br><br>RESULTS: 21 studies with 3432 cases of ALP poisoning were included in this meta-analysis. The pooled mortality rate of ALP poisoning in Iran was 39.6%, (95% CI: 31.5%-47.9%; I(2) = 95%). Since there was significant publication bias, the trim-and-fill correction was conducted and the corrected pooled mortality rate was estimated to be 27.3% (95% CI: 18.9%- 36.5%), which is the rate that should be considered for clinical guidance. Morality rate in male and female patients was 62.3% (95% CI: 53.5%-70.8%) and 37.7% (95% CI: 29.2%-46.5%), respectively (p < 0.01). Survivors had significantly lower mean age than non-survivors (SMD: -0.26 (95% CI: -0.37 to -0.15); p < 0.01; I(2)=0%). <br><br>CONCLUSION: According to this report, the Mortality rate of ALP poisoning in Iranian population is about 27%, with men having a higher fatality rate than women. Poisoning at a younger age is associated with better results.<p /> <p>Language: en</p>",
language="en",
issn="2645-4904",
doi="10.22037/aaem.v9i1.1396",
url="http://dx.doi.org/10.22037/aaem.v9i1.1396"
}