Methods: We conducted a retrospective review of spp. snakebite cases registered by the PCC of Bordeaux, France, between January 1, 2018, and December 31, 2020, evaluating the agreement between VipGrade assessments, toxicologists' assessments, and current guidelines.
Results: 133 patients with snakebites were included. There was 100% agreement in severity grading by PCC guidelines and VipGrade. However, grading by toxicologists and VipGrade diverged in 19 cases (85% agreement; = 0.80; 95% CI: 0.71 to 0.87).
Conclusions: The VipGrade tool's grading reflects current PCC guidelines, which are authoritative in France, and may allow for a more rapid and standardized determination of management and follow-up of viper-bitten patients. It should be noted, however, that the more complex and dynamic aspects of management are not included in VipGrade. Its purpose is to supplement, not replace, the advice of the PCC's clinical toxicologists, and this advice should be sought whenever a viper bite is encountered in clinical practice.
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