{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T10:33:10Z","timestamp":1783420390516,"version":"3.54.6"},"reference-count":24,"publisher":"Scientific Scholar","content-domain":{"domain":["nmji.in"],"crossmark-restriction":true},"short-container-title":["NMJI"],"abstract":"\nBackground<\/jats:title>\nSnakebite is a disease of the poor, and hospitals catering to these individuals are often resource-constrained. Lack of electronic medical records in these resource-limited settings makes the capture of data even harder.<\/jats:p>\n<\/jats:sec>\n\nMethods<\/jats:title>\nBefore establishing a snakebite registry in the region, we did a retrospective case record review of all snakebite victims (n<\/jats:italic>=3229) over 5 years who presented to a single tertiary care centre, catering to one of the largest number of snakebite victims in the country.<\/jats:p>\n<\/jats:sec>\n\nResults<\/jats:title>\nOf the 451 cases, 262 (58.1%) presented to the emergency department within 2 hours of the bite. In 170 instances, the snake was brought along and the species of the snake was recorded. Russell\u2019s viper was the most common (130; 76.5%). Blood products were used in 237 (52.5%) patients. Acute kidney injury occurred in 165 (36.6%) patients, of whom 37 (8.2%) required dialysis. The mean (SD) duration of hospital admission was 10.5 (7.4) days. There was a significant correlation between number of snakebites with rainfall and humidity. One hundred and seven cases (3.3%) of snakebite resulted in mortality. A majority of mortality records were not available (88%; 94\/107), rendering us incapable of doing reliable mortality data correlations or interpretation.<\/jats:p>\n<\/jats:sec>\n\nConclusion<\/jats:title>\nViperidae bites predominate in the region, with renal injury being the most common cause for morbidity. Region-specific, prospective snakebite mapping could be a cost-effective strategy that might help in vulnerability analysis of the region. A multi-centric region-specific snakebite registry encompassing not just the clinico-epidemiological characteristics of snakebite victims, but also the demographic data, the pre-hospital care and local remedial practices, geospatial distribution, anti-snake venom and blood product usage, will help in developing better healthcare strategies for snakebite victims in India.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/nmji_97_20","type":"journal-article","created":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T07:54:17Z","timestamp":1657094057000},"page":"326-332","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Retrospective review of case records of snakebite presenting to a single tertiary care centre over a 5-year period"],"prefix":"10.25259","volume":"34","author":[{"given":"RONALD JAISON","family":"MELIT","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur 686005, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SIJU V.","family":"ABRAHAM","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur 686005, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SREEKALA","family":"RADHAKRISHNAN","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur 686005, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BABU URUMESE","family":"PALATTY","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur 686005, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"AJAY","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KRISHAN S.","family":"VIMAL","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KRISHNA","family":"DAS","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur 686005, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.K.","family":"KASSYAP","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Jubilee Mission Medical College and 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