Demographic characteristics and delayed neurological sequelae risk factors in carbon monoxide poisoning

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dc.authoridSarı Doğan, Fatma/0000-0002-3790-9774;en_US
dc.contributor.authorSarı Doğan, Fatma
dc.contributor.authorGuneysel, Özlem
dc.contributor.authorGokdag, Eren
dc.contributor.authorGüneş, Merve
dc.contributor.authorSumen, Selin Gamze
dc.date.accessioned2024-07-12T21:37:48Z
dc.date.available2024-07-12T21:37:48Z
dc.date.issued2020en_US
dc.department[Belirlenecek]en_US
dc.description.abstractAim: 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. 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. 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). Conclusion: Pathological findings in the initial neurological examination had a predictive value for delayed neurological sequelae in patients with carbon monoxide poisoning. (C) 2019 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.ajem.2019.12.037
dc.identifier.endpage2556en_US
dc.identifier.issn0735-6757
dc.identifier.issn1532-8171
dc.identifier.issue12en_US
dc.identifier.pmid31889577en_US
dc.identifier.scopus2-s2.0-85077157813en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage2552en_US
dc.identifier.urihttps://doi.org/10.1016/j.ajem.2019.12.037
dc.identifier.urihttps://hdl.handle.net/20.500.12415/6943
dc.identifier.volume38en_US
dc.identifier.wosWOS:000601175400010en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofAmerican Journal of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY04285
dc.subjectCarbon Monoxide Poisoningen_US
dc.subjectDelayed Neurological Sequelaeen_US
dc.subjectCarboxyhemoglobinen_US
dc.subjectHyperbaric Oxygenen_US
dc.titleDemographic characteristics and delayed neurological sequelae risk factors in carbon monoxide poisoningen_US
dc.typeArticle
dspace.entity.typePublication

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