Table 4 Median [interquartile range] time of treatments in three major outcomes of 13 toxicology referral centers during early Iranian methanol outbreak.
Time of Treatment (min) | East Azarbayjan (n = 140) | Gilan (n = 28) | Hamedan (n = 7) | Isfahan (n = 52) | Khorasan Razavi (n = 56) | Khuzestan (n = 75) | Mazandaran (n = 5) | Qazvin (n = 3) | Tehran (n = 316) | West Azarbayjan (n = 4) | Yazd (n = 30)Yazd (n = 30) | P value | Total (n = 716) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Death (n = 84) | |||||||||||||
Buffer | |||||||||||||
n (%) | 15/19 (79) | 1/11 (9) | 1/1 (100) | 3/5 (60) | 0/1 (0) | 7/7 (100) | 3/3 (100) | 1/1 (100) | 18/35 (51) | 1/1 (100) | 0 | – | 50/84 (60) |
Ingestion to tx | 1445 [1445, 2885] | 2880 [–, –] | 450 [–, –] | 1500 [1500, –] | – | 2885 [2885, 4325] | 1480 [1530, –] | 1500 [–, –] | 1445 [1391, 2885] | 4320 [–, –] | – | 0.182* | 1515 [1445, 2885] |
n (%) | 18/19 (95) | 1/11 (9) | 1/1 (100) | 4/5 (80) | 1/1 (100) | 7/7 (100) | 3/3 (100) | 1/1 (100) | 26/35 (74) | 1/1 (100) | 0 | – | 62/84 (74) |
Arrival to tx | 5 [5, 5] | 1440 [–, –] | 30 [–, –] | 150 [75, 225] | 5 [–, –] | 5 [5, 5] | 40 [5, –] | 60 [–, –] | 5 [5, 128] | 2160 [–, –] | – | < 0.001* | 5 [5, 60] |
Ethanol | |||||||||||||
n (%) | 15/19 (79) | 0/11 (0) | 1/1 (100) | 4/5 (80) | 0/1 (0) | 0/7 (0) | 3/3 (100) | 0/1 (0) | 19/35 (54) | 0/1(0) | 0 | – | 42/84 (50) |
Ingestion to tx | 1445 [1445, 2885] | – | 440 [–, –] | 1665 [1500, 1920] | – | – | 1530 [1680, –] | – | 1445 [1445, 2885] | – | – | 0.282* | 1472 [1445, 2345] |
n (%) | 18 (95) | 0/11 (0) | 1/1 (100) | 5 (100) | 1/1 (100) | 0/7 (0) | 3/3 (100) | 0/1 (0) | 27/35 (77) | 0/1(0) | 0 | – | 54/84 (64) |
Arrival to tx | 5 [5, 5] | – | 20 [–, –] | 60 [30, 135] | 5 [–, –] | – | 5 [90, –] | – | 5 [5, 210] | – | – | 0.001* | 5 [5, 60] |
Follinic acid | |||||||||||||
n (%) | 15/19 (79) | 0/11 (0) | 1/1 (100) | 3/5 (60) | 0/1 (0) | 6/7 (86) | 3/3 (100) | 0/1 (0) | 16 (46) | 1/1 (100) | 0 | – | 45/84 (54) |
Ingestion to tx | 1445 [1445, 2885] | – | 1860 [–, –] | 1860 [1440, –] | – | 2885 [2885, 4325] | 114 [35, –] | – | 1472 [1445, 2733] | 4440 [–, –] | – | 0.242* | 1740 [1445, 2885] |
n (%) | 15/19 (79) | 0/11 (0) | 1/1 (100) | 4/5 (80) | 1/1 (100) | 6/7 (86) | 3/3 (100) | 0/1 (0) | 23/35 (66) | 1/1 (100) | 0 | – | 56/84 (67) |
Arrival to tx | 5 [5, 5] | – | 1440 [–, –] | 108 [75, 375] | 5 [–, –] | 5 [5, 5] | 90 [5, –] | – | 60 [5, 300] | 2280 [–, –] | – | < 0.001* | 5 [5, 165] |
Hemodialysis | |||||||||||||
n (%) | 13/19 (68) | 1/11 (9) | 1/1 (100) | 3/5 (60) | 0/1 (0) | 6/7 (86) | 2/3 (67) | 1/1 (100) | 22/35 (63) | 1/1 (100) | 0 | – | 48/84 (57) |
Ingestion to tx | 1500 [1490, 3060] | 1445 [–, –] | 1320 [–, –] | 1590 [2040,–] | – | 3150 [2685, 4515] | 1580 [1937, –] | 1620 [–, –] | 1515 [1486, 2955] | 4560 [–, –] | – | 0.074* | 1605 [1500, 3000] |
n (%) | 11/19 (58) | 1/10 (10) | 1/1 (100) | 3/5 (60) | 1/1 (100) | 6/7 (86) | 2/3 (67) | 1/1 (100) | 30 (86) | 1/1 (100) | 0 | – | 59/84 (70) |
Arrival to tx | 60 [60, 135] | 60 [–, –] | 900 [–, –] | 540 [270, –] | 600 [–, –] | 180 [165, 270] | 318 [140, –] | 180 [–, –] | 60 [60, 128] | 2400 [–, –] | – | 0.002* | 120 [60, 240] |
Survival without sequelae (n = 492) | |||||||||||||
Buffer | |||||||||||||
n (%) | 93/105 (89) | 0/10 (0) | 2/6 (33) | 33/37 (89) | 15 /38 (39) | 19/66 (29) | 1/1 (100) | 0/2 (0) | 130/212 (61) | 1/1 (100) | 0/14 (0) | – | 279/492 (55) |
Ingestion to tx | 2885 [1445, 2885] | – | 5415 [390, –] | 2220 [1200, 2670] | 2885 [1445, 2885] | 2885 [1445, 2885] | 2990 [–, –] | – | 2885 [1445, 2885] | 2220 [–, –] | – | 0.474* | 2885 [1445, 2885] |
n (%) | 93/105 (90) | 0/10 (0) | 2/6 (33) | 37/37 (100) | 25 /38 (66) | 19/66 (29) | 1/1 (100) | 0/2 (0) | 131/212 (62) | 1/1 (100) | 0/14 (0) | – | 285/492 (58) |
Arrival to tx | 5 [5, 5] | – | 30 [195, –] | 60 [30, 120] | 5 [5, 5] | 5 [5, 5] | 30 [–, –] | – | 5 [5, 5] | 60 [–, –] | – | < 0.001* | 5 [5, 5] |
Ethanol | |||||||||||||
n (%) | 102/105 (97) | 0/10 (0) | 1/6 (17) | 32/37 (86) | 16 /38 (42) | 0/66 (0) | 1/1 (100) | 0/2 (0) | 165/212 (78) | 0/1 (0) | 0/14 (0) | – | 301/492 (61) |
Ingestion to tx | 2885 [1445, 2885] | – | 390 [–, –] | 2235 [1155, 2550] | 2885 [1445, 2885] | – | 2990 [–, –] | – | 2885 [1445, 2885] | – | – | 0.094* | 2790 [1445, 2885] |
n (%) | 103/105 (98) | 0/10 (0) | 1/6 (17) | 36/37 (97) | 28 /38 (74) | 0/66 (0) | 1/1 (100) | 0/2 (0) | 166/212 (78) | 0/1 (0) | 0/14 (0) | – | 307/492 (62) |
Arrival to tx | 5 [5, 5] | – | 30 [–, –] | 60 [30, 120] | 5 [5, 5] | – | 30 [–, –] | – | 5 [5, 5] | – | – | < 0.001* | 5 [5, 5] |
Follinic acid | |||||||||||||
n (%) | 103/105 (98) | 0/10 (0) | 0/6 (0) | 21/37 (57) | 0 /38 (0) | 15/66 (23) | 1/1 (100) | 0/2 (0) | 162/212 (76) | 1/1 (100) | 0/14 (0) | – | 303/492 (62) |
Ingestion to tx | 2885 [1445, 2885] | – | – | 1980 [1095, 2850] | 2885 [1445, 2885] | 2885 [1445, 2885] | 6480 [–, –] | – | 2885 [1500, 3151] | 2220 [–, –] | – | 0.092* | 2885 [1445, 2885] |
n (%) | 104/105 (99) | 0/10 (0) | 0/6 (0) | 25/37 (68) | 0 /38 (0) | 15/66 (23) | 1/1 (100) | 0/2 (0) | 163/212 (77) | 1/1 (100) | 0/14 (0) | – | 309/492 (63) |
Arrival to tx | 5 [5, 5] | – | – | 150 [90, 330] | 5 [5, 5] | 5 [5, 5] | 4320 [–, –] | – | 5 [5, 540] | 60 [–, –] | – | < 0.001* | 5 [5, 5] |
Hemodialysis | |||||||||||||
n (%) | 93/105 (90) | 1/10 (10) | 1/6 (17) | 28/37 (76) | 15/38 (39) | 16/66 (24) | 1/1 (100) | 0/2 (0) | 185/212 (87) | 1/1 (100) | 0/14 (0) | – | 341/492 (69) |
Ingestion to tx | 2925 [1530, 2970] | 3120 [–, –] | 690 [–, –] | 2580 [1485, 2940] | 3180 [2160, 3600] | 3000 [1560, 3210] | 2280 [–, –] | – | 2220 [1560, 3030] | 2760 [–, –] | – | 0.072* | 2885 [1560, 3000] |
n (%) | 94/105 (90) | 1/10 (10) | 1/6 (17) | 31/37 (84) | 24/38 (63) | 16/66 (24) | 1/1 (100) | 0/2 (0) | 186/212 (88) | 1/1 (100) | 0/14 (0) | – | 355/492 (72) |
Arrival to tx | 60 [49, 90] | 240 [–, –] | 330 [–, –] | 360 [240, 420] | 630 [375, 720] | 150 [120, 240] | 120 [–, –] | – | 120 [90, 180] | 600 [–, –] | – | < 0.001* | 120 [60, 240] |
Survival with sequelae (n = 140) | |||||||||||||
Buffer | |||||||||||||
n (%) | 15/16 (94) | 0/7 (0) | 0/7 (0) | 7/10 (70) | 10/17 (59) | 2/2 (100) | 1/1 (100) | 0 | 33/69 (48) | 1/1 (100) | 0/16 (0) | – | 59/140 (42) |
Ingestion to tx | 1445 [1445, 2885] | – | – | 2520 [1470, 4320] | 2885 [995, 2885] | 2885 [2885, 2885] | 2220 [–, –] | – | 2885 [1500, 3300] | 2940 [–, –] | 0.181* | 2885 [1450, 3060] | |
n (%) | 15/16 (94) | 0/7 (0) | 0/7 (0) | 9/10 (90) | 17/17 (100) | 2/2 (100) | 1/1 (100) | 0 | 35/69 (51) | 1/1 (100) | 0/16 (0) | – | 63/140 (45) |
Arrival to tx | 5 [5, 5] | – | – | 30 [23, 120] | 5 [5, 5] | 5 [5, 5] | 780 [–, –] | – | 30 [5, 360] | 1500 [–, –] | < 0.001* | 5 [5, 82] | |
Ethanol | |||||||||||||
n (%) | 16/16 (100) | 0/7 (0) | 0/7 (0) | 7/10 (70) | 10/17 (59) | 0/2 (0) | 0/1 (0) | 0 | 39/69 (57) | 1/2 (50) | 0/16 (0) | – | 63/140 (45) |
Ingestion to tx | 1445 [1445, 2885] | – | – | 2430 [1500, 4320] | 2885 [995, 2885] | – | – | – | 2885 [1560, 3240] | 2940 [–, –] | – | 0.039* | 2885 [1470, 3060] |
n (%) | 16/16 (100) | 0/7 (0) | 0/7 (0) | 9/10 (90) | 14/17 (82) | 0/2 (0) | 0/1 (0) | 0 | 39/69 (57) | 1/2 (50) | 0/16 (0) | – | 65/140 (46) |
Arrival to tx | 5 [5, 5] | – | – | 60 [30, 330] | 5 [5, 5] | – | – | – | 30 [5, 180] | 1500 [–, –] | – | < 0.001* | 5 [5, 90] |
Follinic acid | |||||||||||||
n (%) | 16/16 (100) | 1/7 (43) | 1/7 (14) | 6/10 (60) | 10/17 (59) | 2/2 (100) | 0/1 (0) | 0 | 39/69 (57) | 1/2 (50) | 0/16 (0) | – | 65/140 (46) |
Ingestion to tx | 1445 [1445, 2885] | 2160 [–, –] | 2160 [–, –] | 2295 [1500, 3495] | 2885 [995, 2885] | 2885 [2885, 2885] | – | – | 2885 [1560, 3360] | 2940 [–, –] | – | 0.158* | 2885 [1450, 3060] |
n (%) | 16/16 (100) | 1/7 (43) | 1/7 (14) | 7/10 (70) | 16/17 (94) | 2/2 (100) | 0/1 (0) | 0 | 40/69 (58) | 1/2 (50) | 0/16 (0) | – | 67/140 (48) |
Arrival to tx | 5 [5, 5] | 1080 [–, –] | 1080 [–, –] | 180 [60, 300] | 5 [5, 5] | 5 [5, 5] | – | 75 [5, 420] | 1500 [–, –] | – | < 0.001* | 5 [5, 120] | |
Hemodialysis | |||||||||||||
n (%) | 14/16 (88) | 3/7 (43) | 6/10 (60) | 10/17 (59) | 2/2 (100) | 1/1 (100) | 0 | 53/69 (77) | 1/2 (50) | 0/16 (0) | – | 90/140 (64) | |
Ingestion to tx | 1860 [1495, 2948] | 3060 [3000–, –] | 3000 [3060, –] | 2640 [1621, 5325] | 3450 [1800, 3765] | 3060 [3000,–] | 2340 [–, –] | – | 2940 [1860, 3270] | 3180 [–, –] | 0.419* | 2885 [1470, 3030] | |
n (%) | 14/16 (88) | 1/7 (43) | 3/7 (43) | 8/10 (80) | 16/17 (94) | 2/2 (100) | 1/1 (100) | 0 | 55/69 (80) | 1/2 (50) | 0/16 (0) | – | 100/140 (71) |
Arrival to tx | 60 [40, 120] | 180 [120, –] | 180 [120, –] | 240 [195, 690] | 660 [420, 885] | 180 [120, –] | 900 [–, –] | – | 120 [30, 300] | 1740 [–, –] | – | < 0.001* | 120 [60, 420] |