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Objective: This study aims to assess the prognostic significance of urine paraquat (PQ) concentrations on admission at emergency room in patients with acute PQ poisoning.Material and Method: From January 2009 to December 2013, a total of 306 patients with acute PQ poisoning were admitted to the Emergency Intensive Care Unit (EICU) at the First Affiliated Hospital of China Medical University.The relationships between urine PQ concentrations and prognosis of patients with acute PQ poisoning were evaluated.Urine was tested using the sodium dithionite reaction and plasma PQ levels were measured at ED using high-performance liquid chromatography since November 2012.