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dc.contributor.authorGheshlaghi, Farzad-
dc.contributor.authorAkafzadeh Savari, Mahsa-
dc.contributor.authorNasiri, Rozita-
dc.contributor.authorWong, Anselm Y-
dc.contributor.authorFeizi, Awat-
dc.contributor.authorReza Maracy, Mohammad-
dc.contributor.authorDorooshi, Gholamali-
dc.contributor.authorMeamar, Rokhsareh-
dc.contributor.authorEizadi-Mood, Nastaran-
dc.identifier.citationCritical Reviews in Toxicology 2020; 50(8): 677-684en_US
dc.description.abstractTo evaluating the efficacy of fresh frozen plasma (FFP) in comparison with conventional regimen in the treatment of organophosphate (OP) poisoning. PubMed, ScopeMed, Cochrane, Scopus, and Google Scholar databases were searched. The search strategy used the following key words "organophosphate" and "poisoning or toxicity", "(atropine and oxime)", "fresh frozen plasma", "clinical trial", "outcome". The treatment with atropine or/and oxime was considered conventional therapy. The length of hospitalization, the length of ICU admission, need for mechanical ventilation and its duration, clinical recovery point, choline esterase level, mortality rate, and intermediate syndrome (IMS) occurrence were the key outcomes of interest. Databases were searched during the period of 2003-2019. Five studies were included in the analysis. Pooling of data showed that the relative risk (RR) of mortality in OP poisoning for five included trials comparing FFP-treated group with conventional regimen therapy was [0.563 (95% CI (0.252, 1.255)]. The summary of RR for IMS in two studies was [RR: 1.34, 95% CI (0.655, 2.742)]. In addition, there was a non-significant mean difference (MD) in hospital stay [MD: -0.106, 95% CI (-0.434, 0.223)] in three included trials. A significant MD was observed in the length of ICU admission in two trials between FFP-treated group compared to the conventional treatment group [MD: -2.672, 95% CI (-4.189, -1.154)], but after random effects meta-analysis, the changes were not significant [MD: -2.015, 95% CI (-6.308, 2.277)]. The summary of fixed-effect meta-analysis for choline esterase level in three trails was [MD: -0.117, 95% CI (-0.468, 0.234)]. The RR of ventilation requirement for two included trials in the FFP-treated group comparing to the conventional regimen therapy was [0.84, 95% CI (0.691, 1.022)] while for ventilation duration in two studies was [MD: -0.183, 95% CI (-0.567, 0.201)]. The addition of FFP to conventional therapy did not improve the outcomes of mortality, IMS, hospital length of stay, cholinesterase levels, need or duration of mechanical ventilation, and only the length of ICU stay could affect in the treated group.en_US
dc.subjectOrganophosphate poisoningen_US
dc.subjectclinical trialsen_US
dc.subjectfresh frozen plasmaen_US
dc.titleEfficacy of fresh frozen plasma transfusion in comparison with conventional regimen in organophosphate poisoning treatment: a meta-analysis study.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleCritical Reviews in Toxicologyen_US
dc.identifier.affiliationIsfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iranen_US
dc.identifier.affiliationCentre for Integrated Critical Care, Department of Medicine and Radiology, Melbourne Medical School, University of Melbourne, Melbourne, VIC, Australiaen_US
dc.identifier.affiliationVictorian Poisons Information Centreen_US
dc.identifier.affiliationDepartment of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australiaen_US
dc.identifier.affiliationDepartment of Epidemiology & Biostatistics, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iranen_US
dc.identifier.affiliationIsfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iranen_US
dc.identifier.pubmedid33064048-, Anselm Y
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
item.openairecristype Poisons Information Centre-
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