Review Article

A Systematic Review of Ethanol and Fomepizole Use in Toxic Alcohol Ingestions

Table 1

Patient demographics; individual cases.

VariableEthylene glycolMethanol
Ethanol FomepizoleBoth Ethanol FomepizoleBoth
(n = 166)(n = 31)(n = 15)(n = 201)(n = 72)(n = 18)

Age (mean ± SD)(n = 162)(n = 21)(n = 15)(n = 189)(n = 72)(n = 18)
42.2 ± 14.342.5 ± 14.740.6 ± 15.439.0 ± 13.744.9 ± 12.843.7 ± 17.2
Median = 42Median = 45Median = 42Median = 36Median = 45Median = 42

Gender (% male)(n = 144)(n = 21)(n = 15)(n = 199)(n = 72)(n = 18)
84%67%80%73%68%56%

Region(n = 166)(n = 31)(n = 15)(n = 201)(n = 72)(n = 18)
 North America19%32%33%52%29%39%
 Europe81%68%67%37%71%61%
 Other0%0%0%11%0%0%

Time to diagnosis (h) (range)(n = 124)(n = 19)(n = 7)(n = 145)(n = 15)(n = 7)
0.5–240.25–220.5–361–720.5–302–41
Median = 2Median = 6Median = 11Median = 6.3Median = 9.5Median = 6.5

Toxic alcohol serum level(n = 113)(n = 30)(n = 15)(n = 186)(n = 72)(n = 18)
(mmol/L)24.7 ± 43.946.2 ± 58.920.3 ± 16.863.0 ± 61.443.8 ± 48.358.3 ± 68.2
(mean ± SD)Median = 8.0Median = 23Median = 15.7Median = 43.8Median = 23.5Median = 27.3

Ethanol serum level(n = 19)(n = 9)(n = 1)(n = 40)(n = 57)(n = 7)
(mmol/L)20.4 ± 31.18.2 ± 13.606.3 ± 12.37.3 ± 18.64.4 ± 10.5
(mean ± SD)Median = 0.03Median = 0Median = 0Median = 0Median = 0Median = 0

Initial serum pH(n = 126)(n = 27)(n = 12)(n = 190)(n = 69)(n = 16)
(mean ± SD)7.21 ± 0.227.16 ± 0.217.18 ± 0.167.13 ± 0.257.16 ± 0.277.26 ± 0.14
Median = 7.29Median = 7.17Median = 7.18Median = 7.19Median = 7.23Median = 7.27

Coingestion(n = 30)(n = 5)(n = 1)(n = 30)(n = 28)(n = 6)
Ethanol ( )133120171
Other ( )310120

ME: methanol, EG: ethylene glycol, SD: standard deviation.
Data points were not available for every case. Calculations of mean, median, and SD were done using available data only. n in bold at the top of each column represents total number of patients in the group. in each cell represents number of patients for whom data was present.