Aim: The primary aim of the study was to understand the demographic characteristics, details of clinical and laboratory risk factors predicting high disease severity in patients with snake envenomation to a tertiary care center. Material & Methods: This was a Prospective observational Cohort study with nested case control design. The study was conducted among the patients presenting to the Department of Medicine, Government Medical College, Bettiah, Bihar, India, over a period of one year. Sequentially encountered patients with snake envenomation were recruited after taking written informed consent and were followed up till discharge with a clinical research form. Results: A total of 100 patients with newly diagnosed case of snake envenomation, above the age of 15 presented to the emergency department were included in the study. The mean bite to needle time for first medical contact was 2.46 hours with a standard deviation of +/- 2 hours. The most clinical feature was pain at the bite sit which was present in 89% of the patients followed by local swelling which was seen in 82% of the population. Conclusion: Socio-demographic variables, clinical findings, treatment variables, ASV related data and mortality in our study was found to be consistent with the studies done earlier.

Aim: The primary aim of the study was to understand the demographic characteristics, details of clinical and laboratory risk factors predicting high disease severity in patients with snake envenomation to a tertiary care center. Material & Methods: This was a Prospective observational Cohort study with nested case control design. The study was conducted among the patients presenting to the Department of Medicine, Government Medical College, Bettiah, Bihar, India, over a period of one year. Sequentially encountered patients with snake envenomation were recruited after taking written informed consent and were followed up till discharge with a clinical research form. Results: A total of 100 patients with newly diagnosed case of snake envenomation, above the age of 15 presented to the emergency department were included in the study. The mean bite to needle time for first medical contact was 2.46 hours with a standard deviation of +/- 2 hours. The most clinical feature was pain at the bite sit which was present in 89% of the patients followed by local swelling which was seen in 82% of the population. Conclusion: Socio-demographic variables, clinical findings, treatment variables, ASV related data and mortality in our study was found to be consistent with the studies done earlier.