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Demographic characteristics and delayed neurological sequelae risk factors in carbon monoxide poisoning.
Demographic characteristics and delayed neurological sequelae risk factors in carbon monoxide poisoning.
- Source :
-
The American journal of emergency medicine [Am J Emerg Med] 2020 Dec; Vol. 38 (12), pp. 2552-2556. Date of Electronic Publication: 2019 Dec 20. - Publication Year :
- 2020
-
Abstract
- Aim: Carbon monoxide (CO) is a colorless, odorless gas and tasteless. CO poisoning (COP) is one of the most frequently encountered inhalation poisonings. The most common cause of morbidity in COP is delayed neurological sequelae (DNS). DNS is the occurrence of neuropsychiatric findings within 2-240 days after discharge of patients with COP and there are no definitive diagnostic criteria. The aim of our study is; to determine the risk factors and incidence of DNS.<br />Method: Our study is a retrospective, observational study. Patients with the diagnosis of COP in the emergency department between 2015 and 2016 were included in the study. Patients age, gender, findings in the initial physical examination (PE) and neurological examination (NE), blood carboxyhemoglobin (COHb) level, relation between hyperbaric oxygen (HBO) treatment and DNS were assessed.<br />Results: Total of 72 patients were included in the study. Mean age was 33.43 ± 20.89. It was determined that pathological findings in the initial NE are a significant predictive factor for DNS (Odds ratio 18.600, p:0.004). Significant relation between NE and HBO treatment was present (p:00.1). There was no statistically significant relationship between initial COHb level and receiving HBO treatment (p:0.9). Median COHb level of patients with DNS was 30 (min:10, max: 43), median COHb level of patients without DNS was 25 (min:10, max:44) and there was no statistically significant relationship between the two groups according to COHb levels (p:0.7).<br />Conclusion: Pathological findings in the initial neurological examination had a predictive value for delayed neurological sequelae in patients with carbon monoxide poisoning.<br />Competing Interests: Declaration of competing interest Authors have no conflict of interests.<br /> (Copyright © 2019 Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Attention
Carbon Monoxide Poisoning metabolism
Carbon Monoxide Poisoning psychology
Carbon Monoxide Poisoning therapy
Child
Child, Preschool
Cognitive Dysfunction epidemiology
Cognitive Dysfunction etiology
Cognitive Dysfunction physiopathology
Cognitive Dysfunction psychology
Confusion epidemiology
Confusion etiology
Confusion physiopathology
Confusion psychology
Female
Hospitalization
Humans
Hyperbaric Oxygenation statistics & numerical data
Hyperphagia epidemiology
Hyperphagia etiology
Hyperphagia physiopathology
Hyperphagia psychology
Infant
Length of Stay
Male
Memory Disorders epidemiology
Memory Disorders etiology
Memory Disorders physiopathology
Memory Disorders psychology
Middle Aged
Muscle Rigidity epidemiology
Muscle Rigidity etiology
Muscle Rigidity physiopathology
Muscle Rigidity psychology
Nervous System Diseases etiology
Nervous System Diseases physiopathology
Nervous System Diseases psychology
Neurologic Examination
Physical Examination
Postural Balance
Risk Factors
Sensation Disorders epidemiology
Sensation Disorders etiology
Sensation Disorders physiopathology
Sensation Disorders psychology
Time Factors
Tremor epidemiology
Tremor etiology
Tremor physiopathology
Tremor psychology
Urinary Incontinence epidemiology
Urinary Incontinence etiology
Urinary Incontinence physiopathology
Urinary Incontinence psychology
Young Adult
Carbon Monoxide Poisoning physiopathology
Carboxyhemoglobin metabolism
Nervous System Diseases epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1532-8171
- Volume :
- 38
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- The American journal of emergency medicine
- Publication Type :
- Academic Journal
- Accession number :
- 31889577
- Full Text :
- https://doi.org/10.1016/j.ajem.2019.12.037