Table 5. List of serious adverse events (SAE) occurring in snakebite victims with neurotoxic signs randomized to either a low or a high initial dose of antivenom.
Nature of the SAE | Seriousness criteria | Relationship to treatment | Outcome | |
---|---|---|---|---|
1 | Anaphylactic reaction | Life-threatening | Definitely related | Resolved |
2 | Anaphylactic reaction | Results in death | Probably related | Death |
3 | Anaphylactic reaction | Life-threatening | Definitely related | Resolved |
4 | Delayed anaphylactic reaction | Results in death | Probably related | Death |
5 | Anaphylactic reaction | Life-threatening | Definitely related | Resolved |
6 | Anaphylactic reaction | Life-threatening | Definitely related | Resolved |
7 | Gangrene of bitten finger | Prolonged hospitalization and permanent disability | Unlikely to be related | Resolved with sequelae |
8 | Respiratory failure | Results in death | Not related | Death |
9 | Cardiac arrest | Life-threatening | Definitely related | Resolved |
10 | Tracheostomy1 | Results in death | Unlikely to be related | Not resolved |
11 | Sudden death after discharge (unexplained) | Results in death | Unlikely to be related | Not resolved |
12 | Anaphylactoid reaction | Life-threatening | Probably related | Resolved |
13 | Overdose2 | Overdose | NA | NA |
14 | Death (unexplained reason) | Results in death | Unlikely to be related | Death |
15 | Death (overwhelming envenoming) | Results in death | Unlikely to be related | Death |
16 | Post-anoxic myoclonus | Prolonged hospitalization | Unlikely to be related | Recovered |
17 | Anaphylactoid reaction | Results in death | Probably related | Death |
18 | Respiratory failure | Results in death | Unlikely to be related | Death |
19 | Death (overwhelming envenomation) | Results in death | Unlikely to be related | Death |
1Death consecutive to tracheostomy occurred in the same patient as the cardiac arrest.
2As per trial protocol, overdose of antivenom were to be considered as SAE and reported on expedited basis to the sponsor.