FACTORS ASSOCIATED WITH THE SEVERITY OF SCORPIO POISONING

a cross-sectional study was carried out, in 2017, with data extracted directly from the Epidemiological Investigation Records of the Information System for Notifiable Diseases, for the period from 2007 to 2015. These records were provided by the reference hospital in attendance to the cases of scorpionism, located in the municipality of Jequié (Brazil). Logistic regression was used to verify the factors associated with the severity of scorpionism.

Results:

in the period investigated, 3,565 cases of scorpionism were identified, of which 15.9% were classified as of greater severity. The adjusted analysis showed that the severity of the scorpionism is associated with the ages ranging from 0 to 9 years (OR=6.87; CI 5.23-9.03), from 10 to 19 years old (OR=1.39; CI 1.03-1.87) and 60 or more (OR=4.04, CI 3.12-5.23), and the time elapsed between the moment of the bite and the hospital care of more than 3 hours (OR = 1.38; CI 1.02-1.85).

Conclusion:

it was found that the age range and the time elapsed between the moment of the bite and the hospital care are associated with the severity of the scorpionism, which signals the emergency characteristics of these accidents, especially when children and elderly people are affected.

DESCRIPTORS
Animals poisonous; Scorpion stings; Notification; Patient acuity; Epidemiology

Variables	% Answer	N	%
Gender	99.9
Male		1608	45.1
Female		1955	54.9
Age group (in years)	99.7
0 to 9		365	10.3
10 to 19		616	17.3
20 to 59		2092	58.8
60 or more		483	13.6
Color/race	82.9
Caucasian		480	16.2
Non-Caucasian		2475	83.8
Schooling	65.0
From high school		779	33.6
Incomplete/complete primary education		1200	51.8
Illiterate		339	14.6
Occupation	72.1
Minor/student		746	29.0
Domestic		555	21.6
Work in commerce		249	9.7
Rural worker		103	4.0
Retired		211	8.2
Others		708	27.5
Area of residence	99.7
Area		3371	94.8
Rural		184	5.2
Season of occurrence	99.7
Spring/Summer		1972	55.5
Autumn/winter		1583	44.5
Area of occurrence	99.0
Area		3286	93.1
Rural		244	6.9
Place of occurrence	79.3
Residence		2415	85.5
Farm		86	3.0
Others		325	11.5
Time until hospital care	91.0
< 1 hour		2154	66.4
1 to 3 hours		677	20.9
> 3 hours		412	12.7
Location of the bite	96.0
Upper limbs		1815	53.0
Lower limbs		1296	37.9
Others		312	9.1
Local Manifestations	99.0
No		103	2.9
Yes		3425	97.1
Systemic manifestations	90.5
No		2896	89.8
Yes		330	10.2
Classification of severity	97.2
Mild		2913	84.1
Moderate		481	13.9
Severe		69	2.0
Serotherapy	96.2
No		2836	82.7
Yes		594	17.3
Evolution	90.2
Cure		3211	99.9
Death by Scorpionism		3	0.1

Variables	%	crude OR^*	CI 95%^†	P value
Gender
Female	15.4	1.00	-
Male	16.5	1.08	0.90-1.30	0.391
Age group (in years)
20 to 59	9.3	1.00	-
0 to 9	41.5	6.94	5.36-8.99	<0.001
10 to 19	12.5	1.40	1.05-1.86	0.020
60 or more	29.6	4.11	3.20-5.27	<0.001
Color/race
Caucasian	18.0	1.00	-
Non-Caucasian	16.4	0.89	0.69-1.15	0.397
Schooling
From high school	9.3	1.00	-
Incomplete/complete primary education	16.2	1.88	1.41-2.51	<0.001
Illiterate	37.6	5.86	4.21-8.16	<0.001
Occupation
Work in commerce	7.9	1.00	-
Minor/student	25.8	4.08	2.48-6.71	<0.001
Domestic	11.5	1.51	0.88-2.60	0.128
Rural worker	19.4	2.81	1.40-5.64	0.004
Retired	27.8	4.52	2.58-7.90	<0.001
Others	11.9	1.58	0.94-2.67	0.082
Area of residence
Area	15.3	1.00	-
Rural	26.7	2.01	1.40-2.88	<0.001
Season of occurrence
Autumn/winter	16.4	1.00	-
Spring/Summer	15.3	1.25	0.93-1.67	0.134
Area of occurrence
Area	15.5	1.00	-
Rural	23.6	1.68	1.21-2.34	0.002
Place of occurrence
Residence	16.1	1.00	-
Farm	22.2	1.48	0.87-2.54	0.145
Others	14.8	0.90	0.65-1.26	0.562
Location of the bite
Others	18.3	1.00	-
Upper limbs	16.7	0.89	0.65 - 1.23	0.500
Lower limbs	14.2	0.73	0.53 - 1.02	0.073
Time until hospital care
<1 hora	14.9	1.00	-
1 to 3 hours	18.8	1.31	1.04-1.66	0.019
>3 hours	18.4	1.28	0.97-1.70	0.078
Local Manifestations
No	12.1	1.00	-
Yes	16.1	1.38	0.75-2.55	0.292

Variables	Adjusted OR^*	CI 95%^†	P value
Age group (in years)
20 to 59	1.00	-	-
0 to 9	6.87	5.23-9.03	<0.001
10 to 19	1.39	1.03-1.87	0.030
60 or more	4.04	3.12-5.23	<0.001
Time until hospital care
< 1 hour	1.00	-	-
1 to 3 hours	1.26	0.98-1.60	0.066
> 3 hours	1.38	1.02-1.85	0.033

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] CORRESPONDENCE AUTHOR:
Érica Assunção Carmo eacarmo20@gmail.com